AVAMERE TRANSITIONAL CARE OF PUGET SOUND

TACOMA, WA · 60 beds · For profit - Limited Liability company

99 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 5-star staffing rating
  • No fines or penalties on record
  • Above-average RN staffing (1.33 hrs vs 0.84 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
13
0.8x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

November 24, 2025

11 deficiencyies
F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0677 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: F

Pharmacy Service Deficiencies

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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.

F0803 No Harm Scope/Severity: C

Nutrition and Dietary Deficiencies

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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

September 14, 2025

1 deficiency
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

March 12, 2025

1 deficiency
F0808 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

July 30, 2024

7 deficiencyies
F0610 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0641 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0656 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0757 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

See full violation history →

Staffing

1.33
RN hrs/res/day
0.61
LPN hrs/res/day
2.23
CNA hrs/res/day
3.66
Weekend hrs/res/day
32%
Total nurse turnover
28%
RN turnover

A nurse checks on each resident roughly every 5.8 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Limited Liability company Chain: AVAMERE
  • ARISO LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2007

    100% Organization
  • ARI OPERATIONS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2006

    NO PERCENTAGE PROVIDED Organization
  • AVAMERE GROUP LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2006

    NO PERCENTAGE PROVIDED Organization
  • MILLER, KARL

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 10/16/2014

    NO PERCENTAGE PROVIDED Individual
  • AVAMERE HEALTH SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2006

    Organization
  • KOFSTAD, MARY

    CORPORATE OFFICER

    Since since 02/13/2024

    Individual
  • SIMPSON, ANDREW

    CORPORATE OFFICER

    Since since 06/01/2024

    Individual
  • SCHMITZ, BRADLEY

    CONTRACTED MANAGING EMPLOYEE

    Since since 09/01/2023

    Individual
  • OKOLI, IKE

    W-2 MANAGING EMPLOYEE

    Since since 03/01/2023

    Individual

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