All citations for Avalon Care Center Federal Way, L.L.C.

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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

Last standard health inspection on record

November 21, 2025

Showing 1 to 25 of 48 citations

  1. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Widespread (many residents). CMS level F.

    Health citation F-0881, Infection Control Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  2. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of April 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  3. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  4. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  6. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  7. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  8. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  9. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  11. No harm, with potential for more than minimal harm

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0569, Resident Rights Deficiencies. Inspection of April 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  12. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of April 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 7, 2023).

  13. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of April 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

  14. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of April 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 20, 2023).

  15. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0940, Administration Deficiencies. Inspection of April 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2023).

  16. No harm, with potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  17. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  18. No harm, with potential for more than minimal harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  19. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  20. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  21. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  23. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  24. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  25. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of November 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 6, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.