The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Avamere Heritage Rehabilitation of Tacoma
Registered name: Avalon Healthcare - Tacoma
TACOMA, WA · Medicare-certified · 81 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
Avamere Heritage Rehabilitation of Tacoma has a 2-star overall rating, with 2 stars for health inspections and quality measures but 4 stars for staffing; reported nurse staffing is 4.42 hours per resident per day, slightly above the 4.1 federal benchmark. The facility has had $24,814 in fines in the last 24 months and a recent federal penalty, with recent inspection citations for accident hazards/supervision, food temperature/palatability, and Medicare/Medicaid notice issues.
Facility ratings
Health inspections
Staffing
4.4218 hrs/resident/day
Quality measures
Last inspection: July 1, 2026Penalties, last 24 months: $24,814recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4218.
Staffing detail
- Registered nurses
- 0.96
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.61
- Weekend nursing
- 3.68
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 54%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—39.1%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
10.3%2.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.6%8.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.8%9.1%No change
Residents whose ability to walk got worse
—23%—
Long-stay residents on antianxiety or sleep medication
17.9%15.4%Improving
Short-stay residents newly given an antipsychotic
1.4%2.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.9%15.9%Worsening
Residents with depressive symptoms
3.4%4.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
86%100%Improving
Short-stay residents given the seasonal flu vaccine
—62.3%—
Short-stay residents given the pneumonia vaccine
50.7%89%Improving
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $24,814 was recorded.
- PENALTY
A federal fine of $38,175 was recorded.
- INSPECTION
Health inspection found 24 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $24,814 in total fines.
- $24,814
Federal fine
Jul 30, 2025
Operator & ownership
Recent ownership change · Mar 12, 2025
Now operated by Avalon Healthcare - Tacoma, previously Avamere Heritage Rehabilitation of Tacoma.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVALON HEALTH CARE · 16 homes · 3.4 stars avg
- Occupancy
- 53.2 residents on an average day (66% of 81 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.