All citations for Avamere Transitional Care of Puget Sound

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 Avamere Transitional Care of Puget Sound

Last standard health inspection on record

November 25, 2025

Showing 1 to 25 of 35 citations

  1. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 19, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 13, 2026).

  2. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2025).

  3. 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 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Establish methods for sharing information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2025).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  14. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  15. 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 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  16. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  19. 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 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2025).

  20. 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.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2025).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2025).

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

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

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

    Fire safety citation K-0232, Egress Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 24, 2025).

  23. 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 August 12, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 19, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 13, 2026).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of November 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2025).

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.