Nursing homes › Washington › Avalon Care Center Federal Way, L.L.C.
135 South 336Th Street, Federal Way, WA 98003 · 2538357453 · 120 certified beds
Per CMS filings, this facility is affiliated with Avalon Health Care, a group operating 16 facilities in 5 states. Group record: average rating 3.5/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $340,178 in federal fines. This facility rates above its group average (3.5/5).
Total nurse staffing: 4.28 (Washington median: 4.15). RN hours: 0.90. Weekend total: 3.75. Nursing staff turnover: 38%.
All-time on record: 48 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-21 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2026-01-04 |
| 2025-11-21 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-01-04 |
| 2025-11-21 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-01-04 |
| 2025-11-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-01-04 |
| 2025-11-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-01-04 |
| 2025-11-21 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2026-01-04 |
| 2025-11-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-01-04 |
| 2025-11-21 | Provide activities to meet all resident's needs. | D | Health | corrected 2026-01-04 |
| 2025-11-21 | 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. | D | Health | corrected 2026-01-04 |
| 2025-11-21 | 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. | D | Health | corrected 2026-01-04 |
| 2025-11-21 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2026-01-04 |
| 2025-11-21 | 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. | D | Health | corrected 2026-01-04 |
| 2024-11-05 | 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. | D | complaint | corrected 2024-12-06 |
| 2024-07-24 | Implement a program that monitors antibiotic use. | F | Health | corrected 2024-09-05 |
| 2024-07-24 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2024-08-29 |
| 2024-07-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-08-29 |
| 2024-07-24 | 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. | E | Health | corrected 2024-08-29 |
| 2024-07-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-08-29 |
| 2024-07-24 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-09-05 |
| 2024-07-24 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | 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. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | 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. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | 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. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | 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. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-08-29 |
| 2024-07-24 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | 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. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | 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. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-08-29 |
| 2024-07-24 | 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. | D | Health | corrected 2024-08-29 |
| 2023-04-28 | Keep all essential equipment working safely. | F | Health | corrected 2023-06-07 |
| 2023-04-28 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | Health | corrected 2023-06-07 |
| 2023-04-28 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Health | corrected 2023-06-07 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| AVALON CARE LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 08/01/2004 |
| DANGERFIELD, DAVID | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/05/2007 |
| KIRTON, BYRON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, HYRUM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, SPENCER | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/27/2024 |
| WOLTIL, ROBERT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/23/2012 |
| DANGERFIELD, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 04/05/2007 |
| KIRTON, BYRON | Corporate Director | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, HYRUM | Corporate Director | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, SPENCER | Corporate Director | Individual | NOT APPLICABLE | since 08/27/2024 |
| WOLTIL, ROBERT | Corporate Director | Individual | NOT APPLICABLE | since 05/23/2012 |
| BORISEVICH, MARIA | Corporate Officer | Individual | NOT APPLICABLE | since 01/08/2024 |
| HASH, ALAN | Corporate Officer | Individual | NOT APPLICABLE | since 08/15/2017 |
| KIRTON, HYRUM | Corporate Officer | Individual | NOT APPLICABLE | since 03/29/2022 |
| SMITH, NICOLE | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2023 |
| AVALON HEALTH CARE INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2003 |
| AVALON HEALTH CARE MANAGEMENT INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2003 |
| AHMAD, ATIQUE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/26/2025 |
| BORISEVICH, MARIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/08/2024 |
| HASH, ALAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/15/2017 |
| KIRTON, HYRUM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/29/2022 |
| SMITH, NICOLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2023 |
| STOA, INGA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/10/2025 |
| WACHOWSKI, SAMANTHA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/29/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505510. Corrections: data@carerecords.org.