Show Inspection Reports
Total health inspections
4
Washington average 7.8
Last Health inspection on Nov 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Avalon Federal Way Care Center
Overview of Avalon Federal Way Care Center
An unsurpassed luxurious senior living community in Tacoma aimed to make residents feel not only at home but feel like family, and considered one of the premier nursing homes– Avalon Care Center at Federal Way is where convenience and comfort are balanced. The community ensures a results-driven approach to recovery where its well-trained staff is committed to quality care. Avalon Care Center puts its residents at the heart of its mission.
Specializing in short-term rehabilitation, the skilled nursing community offers an array of comprehensive services designed to boost a speedy recovery. A list of their points of excellence includes wound care, support services, and therapy (occupational, speech, and physical).
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81.5%
Residents per day (avg)
106
Occupancy rate
81.5%
Residents per day (avg)
106
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
55% of new residents, often for short stays.
Typical stay
29 days
Medicaid
21% of new residents, often for long-term daily care.
Typical stay
6 - 7 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$26.4M
Operating loss
-$888.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$26,409,173.00
Operating loss
$-888,699.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$20.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$27.3M
23 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 49 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A- (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Ms. Sandy Wilkinson, Administrator
Inspection History
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
4 visits/inspections
2 routine inspections
Results
4 with issues
0 without issues
Washington average: 8 complaint visits
Washington average: 9 inspections
Latest inspection
Date:November 21, 2025
Type:Annual Inspection
41 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health citations
78
Washington average 48.9
Citations per inspection
19.5
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
77 of 78 citations resulted from standard inspections; and 1 of 78 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Washington averageWashington average: 0.3
Serious Health citations
0
0
100% better than Washington averageWashington average: 1.7
0 critical citations
0 serious citations
76 moderate citations
2 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 05, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 05, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 24, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 24, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 24, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 24, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 24, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 24, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Federal Way The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Garden Terrace Healthcare Center at Federal Way
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Federal Way
70
65.2%
-10%
4.88
+16%
0
46
0
61
-
46
Larson, Megan
$15,2M
$6,3M
41.6%
505512
Avalon Federal Way Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Federal Way
120
81.5%
+12%
4.11
-3%
0
78
0
106
A-
49
Avalon Health Care Centers, Llc
$26,0M
$6,8M
26.2%
505510
Enchanted Adult Family Home LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Federal Way
-
-
-
-
-
0
0
0
-
-
25
-
-
-
-
-
Soundview Elder Care in Federal Way
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Federal Way
-
-
-
-
-
0
0
0
-
-
6
-
-
-
-
-
Places of interest near Avalon Federal Way Care Center
1.8 miles from city center — 0.49 miles to nearest hospital (St. Francis Hospital)
135 South 336th St, Federal Way, WA 98003
Calculate Travel Distance to Avalon Federal Way Care Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
181
Employees
132
Contractors
49
Staff to resident ratio
1.87:1
0% compared with Washington averageWashington average ratio: 1.85:1
Avg staff/day
69
Average shift
7.9 hours
0% compared with Washington averageWashington average: 8.1 hours
Total staff hours (quarter)
49,290
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
72
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8.2%
4,054 contractor hours this quarter
Speech Language Pathologist: 10
Physical Therapy Aide: 8
Respiratory Therapy Technician: 8
Licensed Practical Nurse: 7
Registered Nurse: 6
Physical Therapy Assistant: 3
Certified Nursing Assistant: 2
Occupational Therapy Assistant: 2
Qualified Social Worker: 2
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 70 | 2 | 72 | 23,474 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 19 | 7 | 26 | 8,439 | 91 | 100% | 9.8 |
| Registered Nurse | 20 | 6 | 26 | 5,719 | 91 | 100% | 9.6 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 2,864 | 72 | 79% | 8 |
| Speech Language Pathologist | 0 | 10 | 10 | 1,402 | 89 | 98% | 5.6 |
| Physical Therapy Aide | 0 | 8 | 8 | 930 | 82 | 90% | 6 |
| Mental Health Service Worker | 2 | 0 | 2 | 906 | 68 | 75% | 8.6 |
| RN Director of Nursing | 2 | 0 | 2 | 793 | 66 | 73% | 7.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 747 | 87 | 96% | 7.6 |
| Physical Therapy Assistant | 0 | 3 | 3 | 613 | 72 | 79% | 6.2 |
| Dietitian | 1 | 0 | 1 | 507 | 67 | 74% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 454 | 57 | 63% | 8 |
| Occupational Therapy Aide | 1 | 1 | 2 | 429 | 58 | 64% | 7.3 |
| Nurse Aide in Training | 1 | 0 | 1 | 420 | 56 | 62% | 7.5 |
| Respiratory Therapy Technician | 0 | 8 | 8 | 318 | 64 | 70% | 4.4 |
| Qualified Social Worker | 0 | 2 | 2 | 260 | 57 | 63% | 4.6 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 63 | 61 | 67% | 1 |
72 Certified Nursing Assistant
% of Days
100%
26 Licensed Practical Nurse
% of Days
100%
26 Registered Nurse
% of Days
100%
10 Clinical Nurse Specialist
% of Days
79%
10 Speech Language Pathologist
% of Days
98%
8 Physical Therapy Aide
% of Days
90%
2 Mental Health Service Worker
% of Days
75%
2 RN Director of Nursing
% of Days
73%
3 Other Dietary Services Staff
% of Days
96%
3 Physical Therapy Assistant
% of Days
79%
1 Dietitian
% of Days
74%
1 Nurse Practitioner
% of Days
67%
1 Administrator
% of Days
64%
1 Dental Services Staff
% of Days
63%
2 Occupational Therapy Aide
% of Days
64%
1 Nurse Aide in Training
% of Days
62%
8 Respiratory Therapy Technician
% of Days
70%
2 Qualified Social Worker
% of Days
63%
2 Occupational Therapy Assistant
% of Days
67%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
97 residents
Residents by payment source
Medicare
27 residents (27.8%)
Medicaid
58 residents (59.8%)
Private pay or other
12 residents (12.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.1
9% better than Washington averageWashington average: 10.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
21% better than Washington averageWashington average: 20.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.1%
Percent of long-stay residents whose need for help with daily activities has increased
11.1%
32% better than Washington averageWashington average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.9%
Percent of long-stay residents whose ability to move independently worsened
16.9%
23% better than Washington averageWashington average: 21.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
13% better than Washington averageWashington average: 24.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
79% worse than Washington averageWashington average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.9%
Percent of long-stay high risk residents with pressure ulcers
8.9%
81% worse than Washington averageWashington average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
In line with Washington averageWashington average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.8%
Percent of long-stay residents who lose too much weight
3.8%
34% better than Washington averageWashington average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.1%
Percent of long-stay residents who have depressive symptoms
4.1%
75% better than Washington averageWashington average: 16.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.3%
Percent of long-stay residents who received an antipsychotic medication
12.3%
15% better than Washington averageWashington average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.7%
9% worse than Washington averageWashington average: 96.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
In line with Washington averageWashington average: 93.8%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.0%
9% worse than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
46% better than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.6%
6% better than Washington averageWashington average: 82.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.1%
In line with Washington averageWashington average: 19.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
7.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.8%
41% better than Washington averageWashington average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington averageWashington average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
64.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
64.8%
21% better than Washington averageWashington average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
58.5%
Rate of successful return to home or community from a skilled nursing facility.
58.5%
16% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Avalon Federal Way Care Center based on CMS SNF Cost Reports.
Occupancy Rate
81.5%
↑ 7.4pp vs 2022
Net Income
-$888,699
↑ ~$759K vs 2022
Total Payroll
$9,868,207
↑ ~$1.6M vs 2022
Profit Margin
-3.4%
↑ 4.4pp vs 2022
Loading trend charts...
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