Nursing HomeInspections

Avalon Care Center Federal Way, L.L.C.

Nursing home in Federal Way, WA

Medicare & Medicaid certified4★ overall (CMS)

Call (253) 835-7453Send a messageMap ↗

Public-record details

Address
135 South 336th Street, Federal Way, WA 98003
Phone
(253) 835-7453
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
505510
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
120
Average residents per day
110
Ownership
For-profit, corporation
Legal business name
Avalon Care Center - Federal Way, LLC
Chain
Avalon Health Care (16 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 2, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 505510. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 21, 2025. CMS lists 48 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 28, 2023 to Nov 21, 2025): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 21, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 21, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 21, 2025Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 21, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 21, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 21, 2025Provide 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 21, 2025Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 21, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 21, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 21, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Nov 21, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Nov 21, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 48. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.28 hours
Registered nurse (RN) time per resident per day
0.90 hours
Nurse aide time per resident per day
2.45 hours
Total nurse staffing on weekends
3.75 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Federal Way

Garden Terrace Healthcare Center of Federal Way491 South 338th Street · Federal Way, WA 98003 · (253) 661-2226 · For-profit46 health citations in 3 inspection cycles · last standard inspection Jun 16, 2025 · no CMS fines in 3 yrsMedicare-certified5★ overall (CMS)Hallmark Manor32300 First Avenue South · Federal Way, WA 98003 · (253) 874-3580 · For-profit60 health citations in 3 inspection cycles · last standard inspection May 13, 2025 · $32,175 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Life Care Center Of Federal Way1045 South 308th Street · Federal Way, WA 98003 · (253) 946-2273 · For-profit82 health citations in 3 inspection cycles · last standard inspection Mar 18, 2025 · $98,970 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 4 in Federal Way →