Nursing homeActive
Avalon Healthcare Bellingham
3121 Squalicum Parkway, Bellingham, WA 982253607346760105 certified beds · 66 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2024
Deficiencies
29
● 0● 27● 2
Penalties · 3 yrs
$32,298
1 fine
Last survey
2025-12-05
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 4
Quality 5
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-05 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2025-04-24 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-01-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-06 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-09-03 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-03-25 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-11 | Standard | 070 | CMS-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.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-05Record 505296-20251205-F605
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-05Record 505296-20251205-F655
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 2026-01-05Record 505296-20251205-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 2026-01-05Record 505296-20251205-F686
F688Provide 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-05Record 505296-20251205-F688
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 2026-01-05Record 505296-20251205-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-05Record 505296-20251205-F695
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 2026-01-05Record 505296-20251205-F761
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 2026-01-05Record 505296-20251205-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 DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-05Record 505296-20251205-F887
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-15Record 505296-20250424-F686
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 2025-01-29Record 505296-20250113-F580
F551Give the resident's representative the ability to exercise the resident's rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 505296-20241206-F551
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 2025-01-03Record 505296-20241206-F656
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 2025-01-03Record 505296-20241206-F677
F680Ensure the activities program is directed by a qualified professional.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 505296-20241206-F680
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-03Record 505296-20241206-F684
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 2025-01-03Record 505296-20241206-F690
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-19Record 505296-20240903-F689
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 505296-20240903-F583
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-19Record 505296-20240903-F610
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 DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-09Record 505296-20240325-F584
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-01Record 505296-20240111-F573
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 2024-02-01Record 505296-20240111-F636
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 2024-02-01Record 505296-20240111-F658
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-01Record 505296-20240111-F697
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-01Record 505296-20240111-F757
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-01Record 505296-20240111-F825
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-01Record 505296-20240111-F882
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-04-24 | Civil money penalty | $32,298 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.21
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day4.50
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours3.84
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover52%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover41%
Facility
Washington
National
Washington 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Washington | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.6% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.9% | 2.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.9% | 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 | 15.2% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.8% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.8% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Avalon Health Care Management Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Avalon Holding Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hash, Alan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Johnson, Allen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Nelson, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Avalon Health Care Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Avalon Health Care Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Avalon Health Care Management Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Avalon Holdco Equities, L.L.C. Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Avalon Holdco Equities, L.L.C. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Avalon Holding Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Avalon Holding Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Avalon Real Estate LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dangerfield, David Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hash, Alan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hyrum A Kirton Individual Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Hyrum A Kirton Individual Tr Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Allen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| K-Team LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| K-Team LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirton, Byron Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kirton, Byron Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirton, Byron Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kirton, Hyrum Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kirton, Spencer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirton, Spencer Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kirton, Spencer Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nelson, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peacehealth Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Spencer K Kirton Individual Tr Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Spencer K Kirton Individual Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| The Byron A Kirton Individual Tr Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| The Byron A Kirton Individual Tr Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Woltil, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Avalon Health Care — 16 facilities
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 Whatcom.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Rock Hill Health & Rehabilitation Bellingham | 1.6 mi | 2026-03-18 | 0435 |
| Alderwood Park Health And Rehab Of Cascadia Bellingham | 1.5 mi | 2026-01-16 | 0400 |
| North Cascades Health and Rehabilitation Bellingham | 3.1 mi | 2026-06-23 | 18610 |
| Mt Baker Care Center Bellingham | 4.1 mi | 2026-05-12 | 0150 |
| Highland Health And Rehabilitation Of Cascadia Bellingham | 4.3 mi | 2026-02-13 | 0314 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |