Nursing homeActive

Avalon Health & Rehabilitation Center - Pasco

2004 N 22nd Avenue, Pasco, WA 993015095478811108 certified beds · 63 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
19
since 2023
Deficiencies
91
0883
Penalties · 3 yrs
none on file
Last survey
2026-04-30
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Washington DSHS Aging and Long-Term Support · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-30Complaint010CMS-2567 (Care Compare)
2026-04-07Complaint010CMS-2567 (Care Compare)
2026-03-19Complaint070CMS-2567 (Care Compare)
2025-12-23Complaint020CMS-2567 (Care Compare)
2025-09-17Complaint010CMS-2567 (Care Compare)
2025-08-05Complaint010CMS-2567 (Care Compare)
2025-05-27Standard0190CMS-2567 (Care Compare)
2025-01-29Complaint040CMS-2567 (Care Compare)
2024-12-19Complaint010CMS-2567 (Care Compare)
2024-10-23Complaint020CMS-2567 (Care Compare)
2024-09-25Complaint010CMS-2567 (Care Compare)
2024-04-23Standard0260CMS-2567 (Care Compare)
2024-03-28Complaint020CMS-2567 (Care Compare)
2024-03-15Complaint021CMS-2567 (Care Compare)
2024-02-14Infection control031CMS-2567 (Care Compare)
2024-01-23Complaint010CMS-2567 (Care Compare)
2023-10-26Complaint010CMS-2567 (Care Compare)
2023-08-23Complaint010CMS-2567 (Care Compare)
2023-05-17Standard0121CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Washington DSHS Aging and Long-Term Support publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-30Complaint survey · 1 deficiencyOfficial report
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-20Record 505126-20260430-F627
2026-04-07Complaint survey · 1 deficiencyOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505126-20260407-F658
2026-03-19Complaint survey · 7 deficienciesOfficial report
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-14Record 505126-20260319-F585
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-14Record 505126-20260319-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-14Record 505126-20260319-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-14Record 505126-20260319-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-14Record 505126-20260319-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-14Record 505126-20260319-F689
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-14Record 505126-20260319-F880
2025-12-23Complaint survey · 2 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 505126-20251223-F607
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-19Record 505126-20251223-F684
2025-09-17Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-08Record 505126-20250917-F689
2025-08-05Complaint survey · 1 deficiencyOfficial report
F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 505126-20250805-F559
2025-05-27Standard survey · 19 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F550
F572Give residents a notice of rights, rules, services and charges.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F572
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F574
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F582
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F584
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F585
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F610
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F628
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F645
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F658
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F690
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F761
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F791
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F804
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F847
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 505126-20250527-F849
2025-01-29Complaint survey · 4 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 505126-20250129-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 505126-20250129-F609
F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 505126-20250129-F729
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 505126-20250129-F880
2024-12-19Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 505126-20241219-F689
2024-10-23Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-18Record 505126-20241023-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-18Record 505126-20241023-F686
2024-09-25Complaint survey · 1 deficiencyOfficial report
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 505126-20240925-F625
2024-04-23Standard survey · 26 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F552
F555Honor the resident's right to choose his or her attending physician.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F555
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F582
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F584
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F625
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F636
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F690
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F693
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F698
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F726
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F849
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F867
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F883
F887Educate 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.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F887
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-15Record 505126-20240423-F921
2024-03-28Complaint survey · 2 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 505126-20240328-F658
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 505126-20240328-F842
2024-03-15Complaint survey · 3 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-30Record 505126-20240315-F684
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 505126-20240315-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 505126-20240315-F610
2024-02-14Infection control survey · 4 deficienciesOfficial report
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-03-11Record 505126-20240214-F697
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-11Record 505126-20240214-F656
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-11Record 505126-20240214-F730
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-11Record 505126-20240214-F880
2024-01-23Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-14Record 505126-20240123-F580
2023-10-26Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-20Record 505126-20231026-F580
2023-08-23Complaint survey · 1 deficiencyOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-12Record 505126-20230823-F686
2023-05-17Standard survey · 13 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-06-23Record 505126-20230517-F684
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F554
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F569
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F610
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F637
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F677
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F756
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F883
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 505126-20230517-F921

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.96
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day3.93
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours3.43
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover48%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover53%
Facility
Washington
National
Washington 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWashingtonNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.3%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%2.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
18.3%15.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
20.0%14.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.8%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
15.7%12.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Avalon Care LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Avalon Health Care Management Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Durham, Candice
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Harris, Bradford
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hash, Alan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kirton, Hyrum
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Smith, Nicole
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Watson, Brooks
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
2004 North 22nd Avenue, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Avalon Health Care Management Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Dangerfield, David
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Durham, Candice
Individual
ADP OF THE SNFNOT APPLICABLE
Harris, Bradford
Individual
CORPORATE OFFICERNOT APPLICABLE
Harris, Bradford
Individual
ADP OF THE SNFNOT APPLICABLE
Hash, Alan
Individual
ADP OF THE SNFNOT APPLICABLE
Hash, Alan
Individual
CORPORATE OFFICERNOT APPLICABLE
Kirton, Byron
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kirton, Byron
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Kirton, Hyrum
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kirton, Hyrum
Individual
ADP OF THE SNFNOT APPLICABLE
Kirton, Hyrum
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Kirton, Hyrum
Individual
CORPORATE OFFICERNOT APPLICABLE
Kirton, Spencer
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Kirton, Spencer
Individual
CORPORATE DIRECTORNOT APPLICABLE
Smith, Nicole
Individual
CORPORATE OFFICERNOT APPLICABLE
Smith, Nicole
Individual
ADP OF THE SNFNOT APPLICABLE
Watson, Brooks
Individual
ADP OF THE SNFNOT APPLICABLE
Woltil, Robert
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Woltil, Robert
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Avalon Health Care16 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Washington.

No county cost figures on file for Franklin.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Life Care Center Of Kennewick
Kennewick
3.2 mi2026-04-130375
Regency Canyon Lakes Rehab And Nursing Center
Kennewick
4.7 mi2025-04-10052
Life Care Center Of Richland
Richland
7.7 mi2026-05-060605
Richland Post Acute
Richland
8.5 mi2025-07-020311
Regency Hermiston Nursing & Rehab Center
Hermiston
29.7 mi2025-04-110201
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01