All citations for Avalon Healthcare - Tacoma

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 Healthcare - Tacoma

Last standard health inspection on record

July 30, 2025

Showing 1 to 25 of 29 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

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

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

  8. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

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

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

  11. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

  12. 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 September 1, 2023. Found during a complaint inspection.

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

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 26, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 27, 2024).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 21, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

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

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 6, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.