01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-30 | 26 | 2025-07-30 | 41 |
| Cycle 2 | 2024-10-09 | 37 | 2024-10-09 | 17 |
| Cycle 3 | 2023-11-09 | 20 | 2023-11-09 | 9 |
CMS CCN 5051832026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avalon Healthcare - Tacoma
7411 Pacific Avenue · Tacoma, WA 98408 · Pierce County
Certified beds81CMS provider file
Recent citation rows150current 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
150 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 41 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-07-01 · 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 plan of correction · 2026-08-10 · complaint2026-03-06 · 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 · 2026-04-07 · complaint2025-07-30 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · 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 · 2025-08-282025-07-30 · FIREE0009Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0018Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · 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 · 2025-08-282025-07-30 · FIREE0022Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0023Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures for medical documentation.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0024Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · 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 · 2025-08-282025-07-30 · FIREE0026Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · 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 · 2025-08-282025-07-30 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0032Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0033Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish methods for sharing information.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0034Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · FIREE0035Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · 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 · 2025-08-282025-07-30 · 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 · 2025-08-282025-07-30 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-08-282025-07-30 · HEALTHF0582Severity E · pattern; 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 · 2025-09-1003 / 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 |
|---|---|---|---|
| 2025-07-30 | Fine | $24,814 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AVALON CARE CENTER - TACOMA, L.L.C.Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- MULTICARE HEALTH SYSTEMOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2024
- AVALON HOLDCO EQUITIES, L.L.C.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/14/2026
- 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 03/12/2012
- IRWIN, MARTINAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/12/2025
- KIRTON, BYRONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/12/2025
- KIRTON, HYRUMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/27/2024
- KIRTON, SPENCERIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/12/2025
- NELSON, RYANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/12/2025
- WOLTIL, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/12/2025
- KIRTON, HYRUMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/27/2024
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 hours4.42per resident day
RN hours0.96per resident day
Weekend nurse hours3.68per resident day
Staff turnover47.1%CMS reported field
06 / LOCAL RECORDS
Open the Tacoma ledger →Other published facilities nearby
Avamere At Pacific Ridge102 beds · CMS overall 2/5122 citation rowsAvamere Transitional Care Of Puget Sound60 beds · CMS overall 4/595 citation rowsAlaska Gardens Health And Rehabilitation123 beds · CMS overall 1/588 citation rowsBirch Creek Post Acute & Rehabilitation124 beds · CMS overall 1/5109 citation rowsEliseo187 beds · CMS overall 3/5125 citation rowsHeartwood Extended Healthcare120 beds · CMS overall 1/5109 citation rowsOrchard Park Health Care & Rehab Center147 beds · CMS overall 1/5158 citation rowsPark Rose Care Center139 beds · CMS overall 2/5132 citation rows