Washington average 7.8
Last Health inspection on Nov 2024
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).
Washington 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.
Washington average: 0.3
Washington average: 1.7
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
3,676 contractor hours this quarter
| 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.
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)
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.
Historical financial and operational data for Avalon Federal Way Care Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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)
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Info below is compiled from CMS reports & the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Washington average is: 62.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Judson Park | NH AL IL MC SNF | Des Moines (Marine View Drive South) | 52
Facility
52
WA AVG
81
Rank
#279 / 356 |
73.1%
Facility
73.1%
WA AVG
73.6
Rank
#163 / 283 | -1% | 4.45
Facility
4.45
WA AVG
4.22
Rank
#40 / 61 | +25% | +5% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 61 | 57
Facility
57
WA AVG
48.9
Rank
#41 / 61 | 19.0
Facility
19.0
WA AVG
6.9
Rank
#60 / 61 | - | 38 | A+ |
19
Facility
19
WA AVG
51
Rank
#532 / 618 | Humangood Washington | $30.8MFiscal year ending 12/2023
Facility
$30.8MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#6 / 51 | $15.8MFiscal year ending 12/2023
Facility
$15.8MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#6 / 51 | 51.4%Fiscal year ending 12/2023
Facility
51.4%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#36 / 51 | 505455 | ||||
| Garden Terrace Healthcare Center at Federal Way | NH AL HOS PC RC SNF | Federal Way | 34
Facility
34
WA AVG
81
Rank
#333 / 356 |
35.3%
Facility
35.3%
WA AVG
73.6
Rank
#274 / 283 | -52% | 4.69
Facility
4.69
WA AVG
4.22
Rank
#7 / 61 | +30% | +11% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 61 | 46
Facility
46
WA AVG
48.9
Rank
#30 / 61 | 6.6
Facility
6.6
WA AVG
6.9
Rank
#33 / 61 | - | 12 | - |
46
Facility
46
WA AVG
51
Rank
#363 / 618 | Megan Larson | $12.1MFiscal year ending 12/2023
Facility
$12.1MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#30 / 51 | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#27 / 51 | 59.8%Fiscal year ending 12/2023
Facility
59.8%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#19 / 51 | 505512 | ||||
| Avalon Federal Way Care Center | NH HOS SNF | Federal Way | 120
Facility
120
WA AVG
81
Rank
#46 / 356 |
91.3%
Facility
91.3%
WA AVG
73.6
Rank
#61 / 283 | +24% | 4.05
Facility
4.05
WA AVG
4.22
Rank
#40 / 61 | +10% | -4% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 61 | 78
Facility
78
WA AVG
48.9
Rank
#51 / 61 | 19.5
Facility
19.5
WA AVG
6.9
Rank
#61 / 61 | - | 110 | A- |
49
Facility
49
WA AVG
51
Rank
#335 / 618 | Avalon Health Care Centers, LLC | $16.4MFiscal year ending 12/2023
Facility
$16.4MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#13 / 51 | $7.9MFiscal year ending 12/2023
Facility
$7.9MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#21 / 51 | 48%Fiscal year ending 12/2023
Facility
48%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#42 / 51 | 505510 | ||||
| Hallmark Manor | NH SNF | Federal Way | 147
Facility
147
WA AVG
81
Rank
#17 / 356 |
62.6%
Facility
62.6%
WA AVG
73.6
Rank
#219 / 283 | -15% | 3.45
Facility
3.45
WA AVG
4.22
Rank
#51 / 61 | -7% | -18% | $32.2k
Facility
$32.2k
WA AVG
$87.7k
Rank
#36 / 61 | 59
Facility
59
WA AVG
48.9
Rank
#42 / 61 | 9.8
Facility
9.8
WA AVG
6.9
Rank
#49 / 61 | 1 | 92 | A+ |
43
Facility
43
WA AVG
51
Rank
#388 / 618 | Melissa Nelson | $10.7MFiscal year ending 12/2023
Facility
$10.7MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#37 / 51 | $6.8MFiscal year ending 12/2023
Facility
$6.8MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#30 / 51 | 63.5%Fiscal year ending 12/2023
Facility
63.5%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#15 / 51 | 505313 | ||||
| Life Care Center of Federal Way | NH SNF | Federal Way (Lake Easter Estates) | 157
Facility
157
WA AVG
81
Rank
#9 / 356 | - | - | 4.31
Facility
4.31
WA AVG
4.22
Rank
#44 / 61 | -9% | +2% | $99.0k
Facility
$99.0k
WA AVG
$87.7k
Rank
#52 / 61 | 81
Facility
81
WA AVG
48.9
Rank
#53 / 61 | 10.1
Facility
10.1
WA AVG
6.9
Rank
#52 / 61 | 5 | 16 | - |
48
Facility
48
WA AVG
51
Rank
#346 / 618 | Tom Zwicker | $12.5MFiscal year ending 12/2023
Facility
$12.5MFiscal year ending 12/2023
WA AVG
$15.9M
Rank
#28 / 51 | $8.2MFiscal year ending 12/2023
Facility
$8.2MFiscal year ending 12/2023
WA AVG
$9.2M
Rank
#19 / 51 | 65.4%Fiscal year ending 12/2023
Facility
65.4%Fiscal year ending 12/2023
WA AVG
62.6%
Rank
#10 / 51 | 505188 |
Avalon Federal Way Care Center is located in Federal Way, Washington State.
Here are the financial assistance programs available to residents in Washington State.
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.
Avalon Federal Way Care Center's occupancy is 81.5%.
Avalon Federal Way Care Center has been operating for approximately 23 years, based on available licensing and registration records.
No, Avalon Federal Way Care Center has a no-pet policy.
Avalon Federal Way Care Center is registered as a for-profit in WA.
Avalon Federal Way Care Center has had 41 reported deficiencies since 2023 according to records from WA Dept. of Social and Health Services (DSHS).
Yes — there are 7 photos of Avalon Federal Way Care Center in the photo gallery on this page.
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