01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-05 | 10 | 2025-12-05 | 5 |
| Cycle 2 | 2024-12-06 | 11 | 2024-12-06 | 6 |
| Cycle 3 | 2024-01-11 | 8 | 2024-01-11 | 3 |
CMS CCN 5052962026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avalon Healthcare Bellingham
3121 Squalicum Parkway · Bellingham, WA 98225 · Whatcom County
Certified beds105CMS provider file
Recent citation rows43current CMS citation release
Penalty rows1current 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
43 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-05 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-05 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-05 · 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 · 2026-01-052025-12-05 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-05 · HEALTHF0688Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-05 · 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 · 2026-01-052025-12-05 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-05 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-05 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-05 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2026-01-052025-12-05 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-12-312025-12-05 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-12-312025-12-05 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-12-312025-12-05 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-12-312025-12-05 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-12-312025-04-24 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint2025-01-13 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-01-29 · complaint2024-12-06 · FIREE0020Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2025-01-162024-12-06 · HEALTHF0551Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-12-06 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-12-06 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-12-06 · HEALTHF0680Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Correction field: Deficient, Provider has date of correction · 2025-01-032024-12-06 · HEALTHF0684Severity E · pattern; 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 · 2025-01-032024-12-06 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-01-0303 / 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 |
|---|---|---|---|
| 2025-04-24 | Fine | $32,298 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AVALON HOLDCO EQUITIES, L.L.C.Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/15/2026
- AVALON HEALTH CARE INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/17/2025
- AVALON HOLDING INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/15/2026
- HYRUM A KIRTON INDIVIDUAL TROrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- K-TEAM LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- SPENCER K KIRTON INDIVIDUAL TROrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- THE BYRON A KIRTON INDIVIDUAL TROrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- KIRTON, BYRONIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- KIRTON, HYRUMIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- KIRTON, SPENCERIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2025
- DANGERFIELD, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/17/2025
- KIRTON, BYRONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/17/2025
- KIRTON, HYRUMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/17/2025
- KIRTON, SPENCERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/17/2025
- WOLTIL, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/17/2025
- AVALON HEALTH CARE MANAGEMENT INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2024
- AVALON HOLDING INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/17/2025
- HASH, ALANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/2024
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 hours4.50per resident day
RN hours1.21per resident day
Weekend nurse hours3.84per resident day
Staff turnover52.3%CMS reported field
06 / LOCAL RECORDS
Open the Bellingham ledger →Other published facilities nearby
Alderwood Park Health And Rehab Of Cascadia102 beds · CMS overall 5/573 citation rowsHighland Health And Rehabilitation Of Cascadia44 beds · CMS overall 3/572 citation rowsMt Baker Care Center70 beds · CMS overall 5/543 citation rowsNorth Cascades Health And Rehabilitation122 beds · CMS overall 2/5124 citation rowsRock Hill Health & Rehabilitation52 beds · CMS overall 2/5134 citation rows