Nursing homeFAID #12893
Avamere Transitional Care of Puget Sound
★★★★★4/5CMS Five-Star overall3/5 health inspections5/5 staffing4/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
60
CMS facility ID
505529
Care type
Nursing home
County
Pierce
Facility name
Avamere Transitional Care of Puget Sound
Street address
630 SOUTH PEARL STREET
City / state / ZIP
Tacoma, WA 98465
Phone
(253) 671-7300
Website
About this facility — Avamere Transitional Care of Puget Sound
Avamere Transitional Care of Puget Sound is a Medicare/Medicaid-certified skilled nursing facility in Tacoma, Washington. It is licensed for 60 beds — below the median for skilled nursing facilities in Washington (97 beds).
It is one of 78 senior care facilities in Tacoma and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Avamere Transitional Care of Puget Sound 95 times across 10 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $23,319 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 August 31, 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
Avamere
Ownership type
For profit - Limited Liability company
Registered owners & officers
Avamere Health Services Llc
Operational control · Additional disclosable party — since 2005
Avamere Skilled Advisors Llc
Operational control · Additional disclosable party — since 2005
Cavallo, Glen
Governing body — since 2025
Davis, Julie
Additional disclosable party — since 2024
Fanunal, Loriel
Operational control · Additional disclosable party — since 2023
Feakin, Cody
Governing body · Operational control · Additional disclosable party — since 2025
Fisher, Tonya
Operational control — since 2026
Fowler, Katherine
Operational control · Additional disclosable party — since 2025
Funderberg, Michelle
Governing body · Additional disclosable party — since 2024
Games, Kim
Additional disclosable party — since 2024
Garcia, Roberto
Governing body · Operational control · Additional disclosable party — since 2026
Inskeep, Todd
Governing body · Additional disclosable party — since 2022
Johnson, Catherine
Operational control · Additional disclosable party — since 2023
Kofstad, Mary
Governing body · Operational control · Owner of a disclosable party · Additional disclosable party — since 2024
Midcap Finco Llc
Security-interest holder · Operational control — since 2010
Okoli, Ike
Operational control · Additional disclosable party — since 2023
Presley, Yolanda
Operational control · Additional disclosable party — since 2025
Reid, Misty
Governing body · Operational control · Additional disclosable party — since 2025
Roderick, Glen
Operational control · Additional disclosable party — since 2024
Schmitz, Bradley
Operational control · Additional disclosable party — since 2023
Simpson, Andrew
Operational control — since 2024
Snapmedtech,inc.
Additional disclosable party — since 2025
Staples, Carolyn
Governing body · Additional disclosable party — since 2023
Strunk, Colby
Governing body · Additional disclosable party — since 2022
Throne, Cindy
Additional disclosable party — since 2025
Vanderzanden, Carrie
Governing body · Additional disclosable party — since 2025
Wagner, Sherrie
Additional disclosable party — since 2025
Regulatory standing
Federal court records
12 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2017-03-27
CMS overall rating
4 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
$23,319 total
Last standard inspection
2025-11-25
Nurse staffing
5.2 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$770 per day (≈ $23,410/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
15% Medicaid · 32% Medicare · 53% private/other
Occupancy
94% (fiscal year 2023)
Vs. state median
60% above the WA median of $480/day — full state cost breakdown
Services & coverage
Licensed beds
60
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. 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.
2026-03-19Health inspectionComplaint-triggered2 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-04-13
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-04-13
2025-11-25Health inspection11 citations
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-10-30
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 2025-10-30
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-30
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-30
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-30
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-10-30
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 2025-10-30
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-10-30
F-0761
F · 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 2025-10-30
F-0803
C · No harm foundFood safety
Ensure 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.
Corrected 2025-10-30
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-10-30
7 earlier / fire-safety inspections (82 citations)
2025-09-15Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-01
2025-03-13Health inspectionComplaint-triggered1 citation
F-0808
D · No harm foundFood safetyFrom a complaint
Ensure 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.
Corrected 2025-03-07
2024-07-31Health inspection10 citations
F-0610
E · No harm found
Respond appropriately to all alleged violations.
Corrected 2024-09-11
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-09-11
F-0656
E · 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 2024-09-11
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-11
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-11
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-09-11
F-0761
E · 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 2024-09-11
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-11
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 2024-09-11
F-0887
E · 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 2024-09-11
2023-08-18Health inspectionComplaint-triggered20 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-09-28
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 2023-09-28
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 2023-09-28
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-09-28
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-28
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 2023-09-28
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-28
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 2023-09-28
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-28
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-28
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-28
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-28
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 2023-09-28
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 2023-09-28
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-09-28
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-09-28
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 2023-09-28
F-0761
E · 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 2023-09-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-09-28
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2023-09-28
2025-11-25Fire-safety inspection21 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-24
E-0007
F · No harm found
Address patient/client population and determine types of services needed.
Corrected 2025-10-24
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-10-24
E-0018
F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-10-24
E-0020
F · No harm found
Establish policies and procedures including evacuation.
Corrected 2025-10-24
E-0022
F · No harm found
Establish policies and procedures for sheltering.
Corrected 2025-10-24
E-0033
F · No harm found
Establish methods for sharing information.
Corrected 2025-10-24
E-0034
F · No harm found
Provide a means of sharing information on occupancy/needs.
Corrected 2025-10-24
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2025-10-24
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2025-11-25
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-10-24
K-0232
E · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-10-24
K-0321
D · 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 2025-10-24
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2025-10-24
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-24
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2025-10-24
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-10-24
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-24
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-10-24
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 2025-10-24
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-11-25
2024-07-31Fire-safety inspection12 citations
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2024-08-26
E-0023
F · No harm found
Establish policies and procedures for medical documentation.
Corrected 2024-08-26
E-0032
F · No harm found
Provide primary/alternate means for communication.
Corrected 2024-08-26
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2024-08-26
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-08-26
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-26
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-26
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-26
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-08-26
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-08-26
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-26
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-26
2023-08-18Fire-safety inspection17 citations
E-0001
F · No harm found
Establish an Emergency Preparedness Program (EP).
Corrected 2023-09-19
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-09-19
E-0013
F · No harm found
Develop Emergency Preparedness policies and procedures.
Corrected 2023-09-19
E-0026
F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2023-09-19
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2023-09-19
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2023-09-19
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-10-11
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-10-11
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-13
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-09-19
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-10-11
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-19
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-13
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-10-11
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-11
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-11
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-10-11
Federal penalties
2026-03-19Fine$23,319
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 505529.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 95 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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