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
TACOMA, WA · Medicare-certified · 60 beds
AVAMERE TRANSITIONAL CARE OF PUGET SOUND has an overall rating of 4 out of 5 stars. Staffing is strong at 5 out of 5 stars with 5.17 nurse hours per resident per day, above the 4.1 federal benchmark, while health inspections are lower at 3 out of 5 stars; it also has $35,875 in fines in the last 24 months and a recent federal penalty.
Health inspections
Staffing
5.1654 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1654.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to properly label and securely store medications and biologicals. Cited November 2025 — widespread issue, potential for harm.
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.
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.
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.
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
A federal fine of $35,875 was recorded.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 2 health deficiencies.
Health inspection found 11 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $35,875 in total fines.
Federal fine
Mar 19, 2026
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.