Lilisity

Nursing home

Avalon Care Center Federal Way

135 South 336Th Street, Federal Way, WA 98003 · Map
For profit - Corporation · Part of Avalon Health Care (13 facilities) · 120 certified beds

Medicare and Medicaid certified
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Avalon Care Center Federal Way is a Medicare-certified nursing home in Federal Way, Washington. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.55 hours per resident per day, above the Washington average of 4.39. Its most recent inspection on Nov 21, 2025 cited 12 deficiencies.

4 out of 5Overall CMS rating
3 out of 5Health inspections
4 out of 5Staffing
120 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating4/5
Health inspections3/5
Staffing4/5
Quality measures5/5
Long-stay quality4/5
Short-stay quality5/5

How Avalon Care Center Federal Way compares

This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityWashington avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)4.554.393.89above avg
RN staffing (hrs/resident/day)0.900.880.68above avg
Aide staffing (hrs/resident/day)2.652.692.34below avg
Nursing staff turnover36.1%46.7%46.4%below avg
Deficiencies cited, last inspection12.017.19.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

4.55Total nurse hrs/resident/day
0.90RN hrs/resident/day
1.00LPN hrs/resident/day
2.65Aide hrs/resident/day
4.01Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff36.1%
Registered nurses29.2%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Nov 21, 2025Most recent inspection
12Deficiencies found
60Health inspection score
0Fines
  • Every deficiency from the November 21, 2025 inspection was corrected by January 4, 2026

What inspectors found at Avalon Care Center Federal Way

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Resident Assessment and Care Planning Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for 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.

    Pharmacy Service Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pharmacy Service Deficiencies · Nov 21, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    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.

    Quality of Life and Care Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Quality of Life and Care Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    Provide activities to meet all resident's needs.

    Quality of Life and Care Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Quality of Life and Care Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning Deficiencies · Nov 21, 2025 · Full report (PDF)
  • Potential for harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Resident Assessment and Care Planning Deficiencies · Nov 21, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
135 South 336Th Street
Federal Way, WA 98003
CMS certification #
505510
Ownership
For profit - Corporation
Certified beds
120
Avg residents/day
96.3
Provider type
Medicare and Medicaid
First certified
2002-08-02
Chain
Avalon Health Care (13 facilities)
Setting
Urban

Part of Avalon Health Care

Avalon Health Care operates 13 nursing facilities across the United States. View all Avalon Health Care facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Avalon Care Center Federal Way using Google Maps.

Other public records

  • Website says Nurse 24 hours a day
Full public records, with dates and sources

Care and services

From the community’s website

What Avalon Care Center Federal Way says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Nurse on site: 24 hours a day. Avalon Care Center – Federal Way offers more than just 24-hour nursing care, we cater to both the physical and emotional health of our residents and patients. (page, checked Oct 15, 2026)

Location and nearby care

Nearest hospital with an emergency room
St Francis Community Hospital, Federal Way. 0.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
Nearest Medicare nursing home
Garden Terrace Healthcare Center of Federal Way, Federal Way. 0.1 miles away, straight line.
Nearest home health agency office
Signature Healthcare At Home, Federal Way. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Key Compounding Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 98003 as metropolitan (metropolitan core).
Dialysis within 15 miles
Nkc Federal Way West Campus, Federal Way, 0.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Davita Federal Way Community Dialysis Center, Federal Way, 0.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Davita Redondo Heights Dialysis, Federal Way, 1.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Hospice
16 Medicare hospices tell CMS they serve ZIP code 98003.
Multicare Hospice, office in Tacoma, 6.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Envision Hospice, office in Tacoma, 8.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Puget Sound Hospice, office in Tacoma, 8.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
South Sound Inpatient Physicians PLLC, Puyallup. 8.6 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Public Health - Seattle & King County kitchen inspectionsOct 15, 2026No kitchen matched
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Avalon Care Center Federal Way a good nursing home?

CMS gives Avalon Care Center Federal Way an overall rating of 4 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Avalon Care Center Federal Way staffed?

Avalon Care Center Federal Way reports 4.55 total nurse hours per resident per day, compared with the Washington average of 4.39.

Has Avalon Care Center Federal Way had inspection problems?

Its most recent CMS inspection cited 12 deficiencies.

How many beds does Avalon Care Center Federal Way have?

Avalon Care Center Federal Way is certified for 120 beds.