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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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).
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 47th out of 89 homes in Washington. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
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Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
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54m per day | ■ Avg State avg: 53m per day · National avg: 41m per day |
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LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
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1h 0m per day | ▲ 22% State avg: 49m per day · National avg: 52m per day |
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Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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2h 39m per day | ■ Avg State avg: 2h 41m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
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3h 52m per day | ■ Avg State avg: 3h 47m per day · National avg: 3h 26m per day |
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Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
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2m per day | ▼ 60% State avg: 5m per day · National avg: 4m per day |
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RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
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38m per day | ■ Avg State avg: 38m per day · National avg: 29m per day |
Occupancy lower than 85% suggests more openings may be available.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
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This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
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Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
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41 | 31 | This facility has 32% more total deficiencies than a typical Washington nursing home (41 vs. WA avg 31).↑ 32% worse |
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Deficiencies per year
Average deficiencies per year since 2023.
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13.7 | 10.3 | This facility has 33% more deficiencies per year than a typical Washington nursing home (13.7 vs. WA avg 10.3).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 21, 2025, identified multiple deficiencies related to care planning, medication administration, assistance with daily living activities, communication, restorative services, infection control, and pharmacy recommendations. Earlier inspections showed similar issues with care planning, medication management, infection prevention, resident consent, and communication, along with additional concerns about food service, staff training, and resident notifications. Complaint investigations were not listed in the available reports. No fines, immediate jeopardy findings, or license actions were noted in the reports. The pattern of deficiencies suggests ongoing challenges in clinical care and regulatory compliance without clear improvement over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWashington average 7.8
Last Health inspection on Nov 2024
Washington average 48.9
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.
100% better than Washington average
Washington average: 0.3
100% better than Washington average
Washington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Washington average
0% compared with Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,676 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 3 | 68 | 23,650 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 20 | 11 | 31 | 7,906 | 92 | 100% | 9.8 |
| Registered Nurse | 22 | 7 | 29 | 5,612 | 92 | 100% | 9.5 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,675 | 77 | 84% | 8 |
| Speech Language Pathologist | 0 | 8 | 8 | 1,460 | 90 | 98% | 6.3 |
| Dental Services Staff | 3 | 0 | 3 | 1,370 | 64 | 70% | 7.8 |
| RN Director of Nursing | 3 | 0 | 3 | 1,211 | 70 | 76% | 8.3 |
| Physical Therapy Aide | 0 | 8 | 8 | 921 | 84 | 91% | 6.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 835 | 85 | 92% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 504 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 281 | 63 | 68% | 4.3 |
| Physical Therapy Assistant | 0 | 5 | 5 | 264 | 55 | 60% | 4.6 |
| Qualified Social Worker | 0 | 3 | 3 | 82 | 27 | 29% | 3 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 77 | 67 | 73% | 1 |
| Nurse Aide in Training | 2 | 0 | 2 | 38 | 5 | 5% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 27 | 3 | 3% | 8.9 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 average
Washington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
21% better than Washington average
Washington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.1%
32% better than Washington average
Washington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
16.9%
23% better than Washington average
Washington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
13% better than Washington average
Washington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.7%
79% worse than Washington average
Washington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
8.9%
81% worse than Washington average
Washington average: 4.9%
Percent of long-stay residents with a urinary tract infection
1.8%
In line with Washington average
Washington average: 1.7%
Percent of long-stay residents who lose too much weight
3.8%
34% better than Washington average
Washington average: 5.8%
Percent of long-stay residents who have depressive symptoms
4.1%
75% better than Washington average
Washington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
12.3%
15% better than Washington average
Washington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.7%
9% worse than Washington average
Washington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
In line with Washington average
Washington average: 93.8%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.0%
9% worse than Washington average
Washington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
46% better than Washington average
Washington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.6%
6% better than Washington average
Washington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.1%
In line with Washington average
Washington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.8%
41% better than Washington average
Washington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington average
Washington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
64.8%
21% better than Washington average
Washington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.5%
16% better than Washington average
Washington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97
Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Avalon Federal Way Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #20 / 93Payroll — State benchmarkedThis home is ranked 20th out of 93 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
1.8 miles from city center
Estimated distance in miles from Federal Way's city center to Avalon Federal Way Care Center's address, calculated via Google Maps.
— 0.49 miles to nearest hospital (St. Francis Hospital)
Add your location
Avalon Federal Way Care Center is located in Federal Way, Washington.
Here are the financial assistance programs available to residents in Washington.
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
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| 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 (South 338Th Street) | 34 | 65.2% | -10% | 4.88 | +35% | +16% | $0 | 46 | 6.6 | - | 61 | - | 46 | Megan Larson | $15.3M | $7.9M | 51.8% | 505512 | ||||
| Judson Park |
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. |
Des Moines (Marine View Drive South) | 52 | 98.3% | +36% | 4.06 | +30% | -4% | $6.5k | 57 | 19.0 | - | 76 | A+ | 19 | Humangood Washington | $35.2M | $17.1M | 48.5% | 505455 | ||||
| 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 | +15% | -3% | $0 | 78 | 19.5 | - | 106 | A- | 49 | Avalon Health Care Centers, LLC | $26.4M | $9.9M | 37.4% | 505510 | ||||
| Life Care Center of 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 (Lake Easter Estates) | 157 | 58.2% | -20% | 4.01 | -5% | -5% | $99.0k | 81 | 10.1 | 5 | 88 | - | 48 | Tom Zwicker | $17.6M | $8.7M | 49.6% | 505188 |
Avalon Federal Way Care Center has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
(253) 835-7453 will put you in contact with the team at Avalon Federal Way Care Center.
Yes — Avalon Federal Way Care Center is a CMS-certified provider of Medicare and Medicaid.
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