Home›Browse›Washington›Federal Way›Avalon Care Center Federal Way

Nursing homeFAID #12878

Avalon Care Center Federal Way

135 SOUTH 336TH STREET, FEDERAL WAY, WA, 98003

(253) 835-7453

120 licensed beds

CMS rates Avalon Care Center Federal Way 4 out of 5 overall. Federal inspectors issued 88 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo of Avalon Care Center Federal Way, L.L.C.

Photo via Google · Avalon Federal Way Care Center

Address

135 South 336th Street

Federal Way, WA 98003

Get directions

Map facilities in this area

All facilities in Federal Way

Public record summary

What we can show you for free.

Bed capacity

120

CMS facility ID

505510

Care type

Nursing home

County

King

Facility name

Avalon Care Center Federal Way

Street address

135 SOUTH 336TH STREET

City / state / ZIP

Federal Way, WA 98003

Phone

(253) 835-7453

Website

avalonhealthcare.com

About this facility — Avalon Care Center Federal Way

Avalon Care Center Federal Way is a Medicare/Medicaid-certified skilled nursing facility in Federal Way, Washington. It is licensed for 120 beds — above the median for skilled nursing facilities in Washington (97 beds).

It is one of 38 senior care facilities in Federal Way and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avalon Health Care, a group of 16 facilities on this site.

Federal inspectors have cited Avalon Care Center Federal Way 88 times across 7 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avalon Health Care

Ownership type

For profit - Corporation

Registered owners & officers

Avalon Care Llc

Indirect owner — 100% stake — since 2004

Ahmad, Atique

Operational control · Additional disclosable party — since 2025

Avalon Health Care Inc

Operational control · Additional disclosable party — since 2003

Avalon Health Care Management Inc

Operational control · Additional disclosable party — since 2003

Dangerfield, David

Governing body · Director — since 2007

Derrick, Michael

Governing body — since 2026

Harris, Bradford

Officer · Operational control · Additional disclosable party — since 2026

Hash, Alan

Officer · Operational control · Additional disclosable party — since 2017

Kirton, Byron

Governing body · Director — since 2024

Kirton, Hyrum

Governing body · Director · Officer · Operational control · Additional disclosable party — since 2022

Kirton, Spencer

Governing body · Director — since 2024

Smith, Nicole

Officer · Operational control · Additional disclosable party — since 2023

Stoa, Inga

Operational control · Additional disclosable party — since 2025

Wachowski, Samantha

Operational control · Additional disclosable party — since 2022

Woltil, Robert

Governing body · Director — since 2012

Regulatory standing

Federal court records

15 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2002-08-02

CMS overall rating

4 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-11-21

Nurse staffing

4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$728 per day (≈ $22,130/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

63% Medicaid · 13% Medicare · 24% private/other

Occupancy

82% (fiscal year 2023)

Vs. state median

52% above the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2025-11-21Health inspection12 citations

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-01-04

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-01-04

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-04

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2026-01-04

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-04

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-01-04

F-0688

D · No harm found

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.

Corrected 2026-01-04

F-0693

D · No harm found

Ensure 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.

Corrected 2026-01-04

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-04

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-04

F-0761

D · No harm found

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.

Corrected 2026-01-04

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-04

2024-11-05Health inspectionComplaint-triggered1 citation

F-0700

D · No harm foundFrom a complaint

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-12-06

5 earlier / fire-safety inspections (75 citations)

2024-07-24Health inspection24 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-08-29

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-08-29

F-0585

D · No harm found

Honor 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.

Corrected 2024-08-29

F-0622

D · No harm found

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-08-29

F-0623

E · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-29

F-0625

D · No harm found

Notify 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.

Corrected 2024-08-29

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2024-08-29

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-08-29

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-08-29

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-29

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-08-29

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-29

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-29

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-08-29

F-0688

E · No harm found

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.

Corrected 2024-08-29

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-29

F-0700

D · No harm found

Corrected 2024-08-29

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-08-29

F-0758

D · No harm found

Implement 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.

Corrected 2024-08-29

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-08-29

F-0761

D · No harm found

Corrected 2024-08-29

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-08-29

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-09-05

F-0881

F · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-09-05

2023-04-28Health inspection11 citations

F-0569

E · No harm found

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2023-06-07

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-06-20

F-0623

E · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-06-07

F-0625

E · No harm found

Notify 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.

Corrected 2023-06-20

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-06-22

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-06-20

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-06-07

F-0758

D · No harm found

Corrected 2023-06-07

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-06-20

F-0908

F · No harm found

Keep all essential equipment working safely.

Corrected 2023-06-07

F-0940

E · No harm found

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2023-06-22

2025-11-21Fire-safety inspection14 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-12-24

E-0009

F · No harm found

Include a process for Emergency Preparedness collaboration.

Corrected 2025-12-24

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-12-24

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2025-12-24

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-12-24

K-0346

F · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-12-24

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-24

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-12-24

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-12-24

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-12-24

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-12-24

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-12-24

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-12-24

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2025-12-24

2024-07-24Fire-safety inspection7 citations

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2024-08-19

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2024-08-19

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-07-19

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-02

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-07-17

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-17

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-08-19

2023-04-28Fire-safety inspection19 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-05-03

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2023-05-03

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2023-05-03

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2023-05-03

K-0293

E · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2023-05-03

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2023-05-03

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-03

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-03

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2023-05-03

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-05-03

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-05-03

K-0521

D · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-05-03

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-05-03

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-05-03

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-05-03

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-05-03

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-05-03

K-0921

F · No harm found

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-05-03

K-0926

F · No harm found

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-05-03

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 505510.

Quality of care & staffing

How it compares in Washington.

Inspection citations, 3 years

More than 61% of nursing homes in the state

State median: 78

Federal fines, 3 years

No federal fines on record

State median: $13,065

Nurse staffing, hours per resident per day

4.3

Higher than 62% of nursing homes in the state

State median: 4.1

Nursing staff turnover, annual

38%

Higher than 33% of nursing homes in the state

State median: 43%

Resident outcomes

On 19 federal quality measures, this facility does better than the Washington average on 12 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	9.3%	13.8%	13.5%	Better than state
Lose too much weight	5.9%	5.6%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.0%	0.8%	0.7%	Better than state
With a urinary tract infection	0.0%	1.7%	1.5%	Better than state
Have depressive symptoms	0.8%	17.9%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	2.6%	2.6%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	97.4%	96.2%	93.7%	Near state average
Ability to walk independently worsened	18.9%	15.6%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	7.8%	12.5%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	94.3%	95.3%	Near state average
With pressure ulcers	6.3%	4.4%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	14.1%	21.6%	18.3%	Better than state
Received an antipsychotic medication	9.4%	15.0%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	95.1%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.4%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	96.9%	84.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	17.2%	19.7%	23.4%	Better than state
Had an outpatient emergency department visit	6.3%	13.0%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0921 3 inspections. Ensure that testing and maintenance of electrical equipment is performed.
F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-0658 2 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0676 2 inspections. Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F-0677 2 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.

What its owners also hold

Avalon Care Llc has an ownership stake on file at 8 nursing homes, averaging 3.3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Washington

Licensing: Washington State Department of Social and Health Services (DSHS), Residential Care Services (RCS)
File a complaint: 800-562-6078 · Online
Long-Term Care Ombudsman: 800-562-6028. A free advocate for residents and families.
Adult Protective Services: 877-734-6277. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

St Francis Community Hospital, about 0.6 miles. CMS rating 4 of 5.
Multicare Auburn Medical Center, about 4.7 miles. CMS rating 2 of 5.
Tacoma General Allenmore Hospital, about 6.4 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Garden Terrace Healthcare Center of Federal Way, Federal Way, less than 0.1 miles. CMS rating 5 of 5.
Hallmark Manor, Federal Way, about 0.8 miles. CMS rating 2 of 5.
Life Care Center of Federal Way, Federal Way, about 1.9 miles. CMS rating 3 of 5.
Auburn Post Acute, Auburn, about 5.2 miles. CMS rating 1 of 5.
Canterbury House, Auburn, about 5.3 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

3.9124 ratings on Google

★★★★★Lorraine Korsmeyer · 2026-04-06 · via Google
“I came into Avalon Care Center on a Wednesday. The wonderful people working there immediately helped put me at ease. When the physical therapist came in to evaluate me, I was willing to stand up, but taking steps was terrifying. I did take about 7 steps with a walker before I wanted to sit down again. I came home 9 days later. Because of PT I can walk all around my house with my walker. Due to the…”

★★★★Steve Coccia · 2026-04-04 · via Google
“Wife recently stayed here for rehab pt post surgery. W can't say enough about the staff, from admissions to discharge and everyone in between. We had to do some leg work to get admitted but the admissions folks were very , very helpful. The nurses that were assigned to care for my wife were excellent and very attentive. The PT staff was very helpful and patient with my wife. They made sure I was …”

★DeOpera Moody · 2025-11-17 · via Google
“11/17/2025 My husband was a resident at Avalon Care Center of Federal Way from October 7, 2025 to October 24, 2025 (17 days). I would like to begin by expressing my sincere appreciation to the following staff members: Administrator Samantha Wachowski Kaliedh Write Sherry Becker Each of you demonstrated patience, kindness, and a genuine willingness to help. Your professionalism and customer se…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 88 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered