Nursing homeActive
Avamere Transitional Care Of Puget Sound
630 South Pearl Street, Tacoma, WA 98465253671730060 certified beds · 54 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
45
● 1● 43● 1
Penalties · 3 yrs
$23,319
1 fine
Last survey
2026-03-19
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-19 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-11-25 | Standard | 1100 | CMS-2567 (Care Compare) | — |
| 2025-09-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-07-31 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2023-08-18 | Standard | 0200 | 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.
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 2026-04-13Record 505529-20260319-F686
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-13Record 505529-20260319-F641
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 505529-20251125-F561
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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 505529-20251125-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 505529-20251125-F677
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 2025-10-30Record 505529-20251125-F684
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 2025-10-30Record 505529-20251125-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 505529-20251125-F725
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 2025-10-30Record 505529-20251125-F756
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 2025-10-30Record 505529-20251125-F757
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 FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-30Record 505529-20251125-F761
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 2025-10-30Record 505529-20251125-F880
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2025-10-30Record 505529-20251125-F803
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 2025-10-01Record 505529-20250915-F609
F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-07Record 505529-20250313-F808
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 505529-20240731-F610
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 505529-20240731-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 505529-20240731-F656
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 2024-09-11Record 505529-20240731-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 505529-20240731-F689
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 505529-20240731-F757
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-11Record 505529-20240731-F761
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 2024-09-11Record 505529-20240731-F880
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 2024-09-11Record 505529-20240731-F882
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 2024-09-11Record 505529-20240731-F887
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 2023-09-28Record 505529-20230818-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F623
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 2023-09-28Record 505529-20230818-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F645
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 2023-09-28Record 505529-20230818-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F656
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 DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F657
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 2023-09-28Record 505529-20230818-F658
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 2023-09-28Record 505529-20230818-F677
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 2023-09-28Record 505529-20230818-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F686
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 2023-09-28Record 505529-20230818-F689
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 2023-09-28Record 505529-20230818-F693
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F694
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 2023-09-28Record 505529-20230818-F757
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 2023-09-28Record 505529-20230818-F758
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F761
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 2023-09-28Record 505529-20230818-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-28Record 505529-20230818-F881
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-19 | Civil money penalty | $23,319 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.87
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day5.17
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours4.35
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover34%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover38%
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 | 20.7% | 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 | 0.0% | 15.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.6% | 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 | 24.0% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 14.3% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 0.0% | 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 |
|---|---|---|---|---|
| Avamere Health Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Avamere Skilled Advisors LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fanunal, Loriel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Feakin, Cody Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fisher, Tonya Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fowler, Katherine Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Garcia, Roberto Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Johnson, Catherine Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kofstad, Mary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Midcap Finco LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Okoli, Ike Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Presley, Yolanda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Reid, Misty Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Roderick, Glen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schmitz, Bradley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Simpson, Andrew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Avamere Health Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Avamere Skilled Advisors LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cavallo, Glen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Davis, Julie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fanunal, Loriel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Feakin, Cody Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Feakin, Cody Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fowler, Katherine Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Funderberg, Michelle Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Funderberg, Michelle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Games, Kim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Garcia, Roberto Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Garcia, Roberto Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Inskeep, Todd Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Inskeep, Todd Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Johnson, Catherine Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kofstad, Mary Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kofstad, Mary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kofstad, Mary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Midcap Finco LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Okoli, Ike Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Presley, Yolanda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Reid, Misty Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Reid, Misty Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Roderick, Glen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schmitz, Bradley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Snapmedtech,Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Staples, Carolyn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Staples, Carolyn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Strunk, Colby Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Strunk, Colby Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Throne, Cindy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vanderzanden, Carrie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vanderzanden, Carrie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wagner, Sherrie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Avamere — 27 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 Pierce.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Eliseo Tacoma | 0.5 mi | 2026-04-22 | 1421 |
| Park Rose Care Center Tacoma | 1.6 mi | 2025-07-02 | 2473 |
| Orchard Park Health Care & Rehab Center Tacoma | 3.0 mi | 2026-06-01 | 01094 |
| Agility Health And Rehabilitation University Place | 3.4 mi | 2026-06-09 | 1371 |
| Cottesmore Of Life Care Gig Harbor | 2.8 mi | 2026-02-27 | 2322 |
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 |