• CMS rates this facility 4/5 stars (above average)
• Has 120 certified beds with an average of 96.3 residents per day (80% occupancy)
• Last health inspection found 12 deficiencies (inspected Nov 21, 2025)
• No fines on record
• Total nursing staff: 4.55 hours per resident per day
• Staff turnover rate: 36.1%
• Part of the Avalon Health Care chain (13 facilities)
Avalon Care Center - Federal Way is a 4-star Medicare and Medicaid certified nursing home in Federal Way, Washington with 120 certified beds. It has been operating since 2002. The facility scored above average compared to Washington facilities.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide activities to meet all resident's needs.
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.
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.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Ensure medication error rates are not 5 percent or greater.
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.
Provide and implement an infection prevention and control program.
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Assess the resident when there is a significant change in condition
PASARR screening for Mental disorders or Intellectual Disabilities
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
+ 18 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| AVALON OF WASHINGTON LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Jul 20, 2004 |
| AVALON CARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Aug 1, 2004 |
| AVALON HEALTH CARE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2003 |
| AVALON HOLDING, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2003 |
| HYRUM A KIRTON INDIVIDUAL TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2025 |
| K-TEAM LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2025 |
| SPENCER K KIRTON INDIVIDUAL TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2025 |
| THE BYRON A KIRTON INDIVIDUAL TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Oct 1, 2025 |
| KIRTON, BYRON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Oct 1, 2025 |
| KIRTON, HYRUM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Oct 1, 2025 |
| KIRTON, SPENCER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Oct 1, 2025 |
| AVALON HEALTH CARE MANAGEMENT, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2003 |
| AVALON HEALTH CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 1, 2003 |
| AHMAD, ATIQUE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 26, 2025 |
| BORISEVICH, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 8, 2024 |
| HASH, ALAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 15, 2017 |
| KIRTON, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 23, 2012 |
| KIRTON, HYRUM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 29, 2022 |
| SMITH, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2023 |
| STOA, INGA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 10, 2025 |
| WACHOWSKI, SAMANTHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 29, 2022 |
| DANGERFIELD, DAVID | CORPORATE DIRECTOR | Individual | N/A | Apr 5, 2007 |
| KIRTON, BYRON | CORPORATE DIRECTOR | Individual | N/A | Aug 27, 2024 |
| KIRTON, CHARLES | CORPORATE DIRECTOR | Individual | N/A | Dec 1, 2003 |
| KIRTON, HYRUM | CORPORATE DIRECTOR | Individual | N/A | Aug 27, 2024 |
| KIRTON, SPENCER | CORPORATE DIRECTOR | Individual | N/A | Aug 27, 2024 |
| WOLTIL, ROBERT | CORPORATE DIRECTOR | Individual | N/A | May 23, 2012 |
| BORISEVICH, MARIA | CORPORATE OFFICER | Individual | N/A | Jan 8, 2024 |
| HASH, ALAN | CORPORATE OFFICER | Individual | N/A | Aug 15, 2017 |
| KIRTON, CHARLES | CORPORATE OFFICER | Individual | N/A | Oct 23, 2012 |
| KIRTON, HYRUM | CORPORATE OFFICER | Individual | N/A | Mar 29, 2022 |
| SMITH, NICOLE | CORPORATE OFFICER | Individual | N/A | Mar 1, 2023 |
This chain operates 13 facilities. View all →