01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-27 | 32 | 2025-05-27 | 18 |
| Cycle 2 | 2024-04-23 | 34 | 2024-04-23 | 22 |
| Cycle 3 | 2023-05-17 | 25 | 2023-05-17 | 7 |
CMS CCN 5051262026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avalon Health & Rehabilitation Center - Pasco
2004 N 22Nd Avenue · Pasco, WA 99301 · Franklin County
Certified beds108CMS provider file
Recent citation rows138current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
138 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 33 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-30 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2026-05-20 · complaint2026-04-07 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-04-28 · complaint2026-03-19 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2026-04-14 · complaint2026-03-19 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-04-14 · complaint2026-03-19 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2026-04-14 · complaint2026-03-19 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-04-14 · complaint2026-03-19 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-04-14 · complaint2026-03-19 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-04-14 · complaint2026-03-19 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-04-14 · complaint2025-12-23 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint2025-12-23 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint2025-09-17 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-08 · complaint2025-08-05 · HEALTHF0559Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Correction field: Deficient, Provider has date of correction · 2025-08-15 · complaint2025-05-27 · FIREE0001Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-27 · FIREE0007Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-27 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-27 · FIREE0025Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-27 · FIREE0030Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-27 · FIREE0036Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-27 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-06-182025-05-27 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-05-27 · HEALTHF0572Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-05-27 · HEALTHF0574Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-05-27 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-07-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AVALON CARE LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 08/26/2003
- DANGERFIELD, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/05/2007
- KIRTON, BYRONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/27/2024
- KIRTON, HYRUMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/27/2024
- KIRTON, SPENCERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/27/2024
- WOLTIL, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/23/2012
- KIRTON, BYRONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/27/2024
- KIRTON, HYRUMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/27/2024
- KIRTON, SPENCERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/27/2024
- WOLTIL, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/23/2012
- HARRIS, BRADFORDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/16/2026
- HASH, ALANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/15/2017
- KIRTON, HYRUMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/29/2022
- SMITH, NICOLEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2023
- AVALON HEALTH CARE MANAGEMENT INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/26/2003
- DURHAM, CANDICEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/08/2025
- HARRIS, BRADFORDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/16/2026
- HASH, ALANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/15/2017
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.93per resident day
RN hours0.96per resident day
Weekend nurse hours3.43per resident day
Staff turnover47.6%CMS reported field
06 / LOCAL RECORDS
Open the Washington ledger →Other published facilities nearby
No second facility in the same city met the directory rule.