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Nursing homeFAID #12781

Avalon Healthcare Bellingham

3121 SQUALICUM PARKWAY, BELLINGHAM, WA, 98225

(360) 734-6760

105 licensed beds

CMS rates Avalon Healthcare Bellingham 5 out of 5 overall. Federal inspectors issued 43 citations across 11 inspections in the last three years, with $32,298 in fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall4/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · Avalon Healthcare - Bellingham

Address

3121 Squalicum Parkway

Bellingham, WA 98225

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Public record summary

What we can show you for free.

Bed capacity

105

CMS facility ID

505296

Care type

Nursing home

County

Whatcom

Facility name

Avalon Healthcare Bellingham

Street address

3121 SQUALICUM PARKWAY

City / state / ZIP

Bellingham, WA 98225

Phone

(360) 734-6760

Website

avalonhealthcare.com

About this facility — Avalon Healthcare Bellingham

Avalon Healthcare Bellingham is a Medicare/Medicaid-certified skilled nursing facility in Bellingham, Washington. It is licensed for 105 beds — close to the median for skilled nursing facilities in Washington (97 beds).

It is one of 26 senior care facilities in Bellingham 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 Healthcare Bellingham 43 times across 11 inspections in the last three years, and CMS has imposed $32,298 in fines. 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 Health Care Inc

Indirect owner · Additional disclosable party — since 2024

Avalon Health Care Management Inc

Operational control · Additional disclosable party — since 2024

Avalon Holdco Equities, L.l.c.

Direct owner · Additional disclosable party — since 2026

Avalon Holding Inc

Indirect owner · Operational control · Additional disclosable party — since 2024

Avalon Real Estate Llc

Additional disclosable party — since 2025

Dangerfield, David

Governing body — since 2025

Hash, Alan

Operational control · Additional disclosable party — since 2024

Hyrum a Kirton Individual Tr

Indirect owner · Additional disclosable party — since 2025

Johnson, Allen

Operational control · Additional disclosable party — since 2025

K-team Llc

Indirect owner · Additional disclosable party — since 2025

Kirton, Byron

Indirect owner · Governing body · Additional disclosable party — since 2025

Kirton, Hyrum

Indirect owner · Governing body · Operational control · Additional disclosable party — since 2024

Kirton, Spencer

Indirect owner · Governing body · Additional disclosable party — since 2025

Nelson, Melissa

Operational control · Additional disclosable party — since 2025

Peacehealth

Additional disclosable party — since 2025

Spencer K Kirton Individual Tr

Indirect owner · Additional disclosable party — since 2025

The Byron a Kirton Individual Tr

Indirect owner · Additional disclosable party — since 2025

Woltil, Robert

Governing body — since 2025

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

1986-03-01

CMS overall rating

5 of 5 stars

Health deficiencies

10 at the last standard inspection

Federal fines

$32,298 total

Last standard inspection

2025-12-05

Nurse staffing

4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$429 per day (≈ $13,040/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

84% Medicaid · 2% Medicare · 14% private/other

Occupancy

53% (fiscal year 2023)

Vs. state median

11% below the WA median of $480/day — full state cost breakdown

Services & coverage

Licensed beds

105

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

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2025-12-05Health inspection10 citations

F-0605

D · No harm found

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-01-05

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-01-05

F-0684

D · No harm found

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

Corrected 2026-01-05

F-0686

D · No harm found

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

Corrected 2026-01-05

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 2026-01-05

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 2026-01-05

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-05

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 2026-01-05

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2026-01-05

F-0887

D · No harm found

Educate 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.

Corrected 2026-01-05

2025-04-24Health inspectionComplaint-triggered1 citation

F-0686

G · Actual harmFrom a complaint

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

Corrected 2025-05-15

8 earlier / fire-safety inspections (32 citations)

2025-01-13Health inspectionComplaint-triggered1 citation

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-01-29

2024-12-06Health inspection6 citations

F-0551

D · No harm found

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2025-01-03

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-03

F-0677

D · No harm found

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

Corrected 2025-01-03

F-0680

E · No harm found

Ensure the activities program is directed by a qualified professional.

Corrected 2025-01-03

F-0684

E · No harm found

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

Corrected 2025-01-03

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 2025-01-03

2024-09-03Health inspectionComplaint-triggered3 citations

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2024-09-17

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-09-19

F-0689

G · Actual harmFrom a complaint

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

Corrected 2024-09-19

2024-03-25Health inspectionComplaint-triggered1 citation

F-0584

D · No harm foundFrom a complaint

Honor 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.

Corrected 2024-04-09

2024-01-11Health inspectionComplaint-triggered7 citations

F-0573

D · No harm foundFrom a complaint

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2024-02-01

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-02-01

F-0658

D · No harm found

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

Corrected 2024-02-01

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-02-01

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-02-01

F-0825

D · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2024-02-01

F-0882

E · No harm found

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-02-01

2025-12-05Fire-safety inspection5 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-12-31

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-31

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-12-31

K-0372

D · No harm found

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

Corrected 2025-12-31

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-12-31

2024-12-06Fire-safety inspection6 citations

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2025-01-16

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-16

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-01-16

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-01-16

K-0918

F · No harm found

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

Corrected 2025-01-16

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-16

2024-01-11Fire-safety inspection3 citations

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-02-12

K-0345

D · No harm found

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

Corrected 2024-02-12

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-14

Federal penalties

2025-04-24Fine$32,298

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 505296.

Quality of care & staffing

How it compares in Washington.

Inspection citations, 3 years

More than 12% of nursing homes in the state

State median: 78

Federal fines, 3 years

$32,298

More than 62% of nursing homes in the state

State median: $13,065

Nurse staffing, hours per resident per day

4.2

Higher than 53% of nursing homes in the state

State median: 4.1

Nursing staff turnover, annual

49%

Higher than 65% 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 9 and worse on 4. 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	19.1%	13.8%	13.5%	Worse than state
Lose too much weight	1.8%	5.6%	5.1%	Better than state
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	32.2%	17.9%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	2.3%	2.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.2%	93.7%	Near state average
Ability to walk independently worsened	25.5%	15.6%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	11.7%	12.5%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	94.4%	94.3%	95.3%	Near state average
With pressure ulcers	2.0%	4.4%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	25.8%	21.6%	18.3%	Worse than state
Received an antipsychotic medication	4.4%	15.0%	15.4%	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	97.0%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.2%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	91.5%	84.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	18.7%	19.7%	23.4%	Near state average
Had an outpatient emergency department visit	8.1%	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.
F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0686 2 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0355 2 inspections. Properly select, install, inspect, or maintain portable fire extinguishes.
K-0920 2 inspections. Ensure proper usage of power strips and extension cords.

What its owners also hold

Avalon Health Care Inc has an ownership stake on file at 14 nursing homes, averaging 3.8 of 5 on CMS's overall rating.
Avalon Holding Inc has an ownership stake on file at 4 nursing homes, averaging 3.5 of 5 on CMS's overall rating.
The Byron a Kirton Individual Tr has an ownership stake on file at 3 nursing homes, averaging 3.3 of 5 on CMS's overall rating.
Spencer K Kirton Individual Tr has an ownership stake on file at 3 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

Island Hospital, about 20 miles. CMS rating 4 of 5.
Peacehealth United General Medical Center, about 21 miles. CMS rating 3 of 5.
Skagit Valley Hospital, about 25 miles. CMS rating 3 of 5.

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

Nearby facilities with inspection records

Alderwood Park Health and Rehab of Cascadia, Bellingham, about 1.5 miles. CMS rating 5 of 5.
Rock Hill Health & Rehabilitation, Bellingham, about 1.6 miles. CMS rating 2 of 5.
North Cascades Health and Rehabilitation, Bellingham, about 3.1 miles. CMS rating 2 of 5.
Mt Baker Care Center, Bellingham, about 4.1 miles. CMS rating 5 of 5.
Highland Health and Rehabilitation of Cascadia, Bellingham, about 4.3 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

4.061 ratings on Google

★★★★★Robin Staggs · 2026-05-19 · via Google
“Avalon Nursing Facilty is clean, professional and attentive to their clients/patients. Preet has been our RN/Floor nurse much of the time. She is kind, caring and knowledgeable. She is very empathetic and compassionate in the care of her people. I love always seeing her when I come to visit. Thank you, Robin”

★★★★★Gary P · 2026-02-13 · via Google
“My stay at Avalon truly changed my life. When I first arrived, I was bedridden, in constant pain, and unsure of what my future would look like. Today, I’m walking out independently and heading back home stronger than I ever thought possible. I owe so much of that to the incredible team here. From the very beginning, Tosha, the admission nurse, showed such compassion on my first day and helped eas…”

★★Lauren Scheffer · 2026-02-15 · via Google
“Two starts from me ONLY because there were 2 or 3 truly caring nurses there. I had a family member go here after their stay in the hospital for rehabilitation. The physical therapy side was ok but some of the nurses were not caring and understanding to my family members situation at all. On top of it all the place is just filthy. It reeks like stale pee covered up by bleach. It just gets worse and…”

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

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 43 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

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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