Nursing homes › Washington › Avamere Transitional Care of Puget Sound
630 South Pearl Street, Tacoma, WA 98465 · 2536717300 · 60 certified beds
Per CMS filings, this facility is affiliated with Avamere, a group operating 28 facilities in 2 states. Group record: average rating 3.1/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $726,594 in federal fines. This facility rates above its group average (3.1/5).
Total nurse staffing: 5.17 (Washington median: 4.15). RN hours: 1.87. Weekend total: 4.35. Nursing staff turnover: 34%.
All-time on record: 45 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2026-04-13 |
| 2026-03-19 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-04-13 |
| 2025-11-25 | 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. | F | Health | corrected 2025-10-30 |
| 2025-11-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-10-30 |
| 2025-11-25 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2025-10-30 |
| 2025-11-25 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2025-10-30 |
| 2025-11-25 | 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 2025-10-30 |
| 2025-11-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-10-30 |
| 2025-11-25 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-10-30 |
| 2025-11-25 | 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 2025-10-30 |
| 2025-11-25 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-10-30 |
| 2025-11-25 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-10-30 |
| 2025-11-25 | 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. | C | Health | corrected 2025-10-30 |
| 2025-09-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-10-01 |
| 2025-03-13 | 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. | D | complaint | corrected 2025-03-07 |
| 2024-07-31 | Respond appropriately to all alleged violations. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | 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. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Health | corrected 2024-09-11 |
| 2024-07-31 | 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. | E | Health | corrected 2024-09-11 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | 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. | E | Health | corrected 2023-09-28 |
| 2023-08-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2023-09-28 |
| 2023-08-18 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Health | corrected 2023-09-28 |
| 2023-08-18 | 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. | E | Health | corrected 2023-09-28 |
| 2023-08-18 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-09-28 |
| 2023-08-18 | Implement a program that monitors antibiotic use. | E | Health | corrected 2023-09-28 |
| 2023-08-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-09-28 |
| 2023-08-18 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-09-28 |
| 2023-08-18 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2023-09-28 |
| 2023-08-18 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-09-28 |
| 2023-08-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-09-28 |
| 2023-08-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-09-28 |
| Date | Type | Amount |
|---|---|---|
| 2026-03-19 | Fine | $35,875 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CAVALLO, GLEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| FEAKIN, CODY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| FUNDERBERG, MICHELLE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| GARCIA, ROBERTO | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2026 |
| INSKEEP, TODD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| KOFSTAD, MARY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| REID, MISTY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| STAPLES, CAROLYN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/01/2025 |
| STRUNK, COLBY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| VANDERZANDEN, CARRIE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2025 |
| AVAMERE HEALTH SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2005 |
| AVAMERE SKILLED ADVISORS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2005 |
| MIDCAP FINCO LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/22/2010 |
| FANUNAL, LORIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2023 |
| FEAKIN, CODY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/15/2025 |
| FISHER, TONYA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/19/2026 |
| FOWLER, KATHERINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/28/2025 |
| GARCIA, ROBERTO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2026 |
| JOHNSON, CATHERINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/09/2023 |
| KOFSTAD, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/13/2024 |
| OKOLI, IKE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/06/2023 |
| PRESLEY, YOLANDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/2025 |
| REID, MISTY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/02/2025 |
| RODERICK, GLEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| SCHMITZ, BRADLEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505529. Corrections: data@carerecords.org.