ElderGrade
C

62.5/100

Average

Avalon Healthcare - Tacoma

7411 Pacific Avenue, Tacoma, WA 98408

CMS 1/5 stars #13 of 21 in Pierce County (253) 474-8456
Certified beds
81
Occupancy
66%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $24,814 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

16/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 82 total citations against a national median of 17

Staffing

24.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.61 total nurse hours per resident per day (national median 3.77)
  • 0.96 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 47% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $24,814 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.42 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.96 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.68 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 47.10%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 82 citations

Last standard health inspection: July 30, 2025 (1 year ago).

D Mar 6, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

F Jul 30, 2025 F0804

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Jul 30, 2025 F0582

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

E Jul 30, 2025 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Jul 30, 2025 F0604

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

No actual harm, potential for more than minimal harm

E Jul 30, 2025 F0645

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

No actual harm, potential for more than minimal harm

E Jul 30, 2025 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

E Jul 30, 2025 F0757

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVALON HEALTH CARE, which operates 16 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
AVALON CARE CENTER - TACOMA, L.L.C. Organization DIRECT OWNERSHIP INTEREST
MULTICARE HEALTH SYSTEM Organization DIRECT OWNERSHIP INTEREST
AVALON HOLDCO EQUITIES, L.L.C. Organization INDIRECT OWNERSHIP INTEREST
HYRUM A KIRTON INDIVIDUAL TR Organization INDIRECT OWNERSHIP INTEREST
K-TEAM LLC Organization INDIRECT OWNERSHIP INTEREST
SPENCER K KIRTON INDIVIDUAL TR Organization INDIRECT OWNERSHIP INTEREST
THE BYRON A KIRTON INDIVIDUAL TR Organization INDIRECT OWNERSHIP INTEREST
KIRTON, BYRON Individual INDIRECT OWNERSHIP INTEREST
KIRTON, HYRUM Individual INDIRECT OWNERSHIP INTEREST
KIRTON, SPENCER Individual INDIRECT OWNERSHIP INTEREST
DANGERFIELD, DAVID Individual MANAGING CONTROL - GOVERNING BODY
IRWIN, MARTINA Individual MANAGING CONTROL - GOVERNING BODY

What families say

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Common questions about Avalon Healthcare - Tacoma

What is the ElderGrade for Avalon Healthcare - Tacoma? +

Avalon Healthcare - Tacoma holds an ElderGrade of C (62.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avalon Healthcare - Tacoma? +

Residents receive an average of 4.42 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avalon Healthcare - Tacoma been cited for harming residents? +

Yes. 1 of the 82 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Avalon Healthcare - Tacoma accept Medicaid? +

Yes, Avalon Healthcare - Tacoma is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.