The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
AVAMERE TRANSITIONAL CARE OF PUGET SOUND
TACOMA, WA · Medicare-certified · 60 beds
In good standing
For-profitChain member
4 of 5 overall
Avamere Transitional Care of Puget Sound in Tacoma has an overall 4-star rating, with strong staffing at 5 stars and nurse staffing above the federal benchmark (4.92 vs. 4.1 hours per resident per day). Its inspection score is lower at 3 stars, but there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.9197 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9197.
Staffing detail
- Registered nurses
- 1.65
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.57
- Weekend nursing
- 4.25
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 35%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.8%Steady
Residents with a fall causing major injury
3.2%Steady
Residents with pressure ulcers (bedsores)
18%Steady
Residents with a urinary tract infection
3.2%Steady
Residents who lost too much weight
13.3%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
0%Steady
Short-stay residents newly given an antipsychotic
0.5%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
49.7%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
98%Steady
Short-stay residents given the pneumonia vaccine
96.6%Worsening
What the inspectors found
The home failed to properly label and securely store medications and biologicals. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVAMERE · 29 homes · 3.1 stars avg
- Occupancy
- 53.3 residents on an average day (89% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 9 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.