CCN 505183 · Pierce County, Washington
Avalon Healthcare - Tacoma
7411 Pacific Avenue, Tacoma, WA 98408
Avalon Healthcare - Tacoma is a 81-bed for-profit nursing home in Tacoma, Washington, first certified for Medicare or Medicaid in 1968. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 53.2 residents a day, about 66% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 81
- Average residents per day
- 53.2 (65.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Avalon Healthcare - Tacoma LLC
- Certified since
- Feb 8, 1968
- Chain or affiliated group
- Avalon Health Care (16 facilities, chain average 3.4 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Washington median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 22 at 1, 46 at 2, 36 at 3, 38 at 4, 50 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 4.42 | 4.10 | 3.68 |
| RN hours per resident per day | 0.96 | 0.91 | 0.58 |
| Weekend nurse hours per resident per day | 3.68 | ||
| Nursing staff turnover | 47.1% | 43.1% | 44.9% |
| Occupancy (residents / beds) | 65.7% | 81.8% | 85.7% |
| Fines reported by CMS | 1 totaling $24,814 | ||
| Health deficiencies, latest standard survey | 26 (Jul 30, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Avalon Healthcare - Tacoma meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Avalon Care Center - Tacoma, L.L.C.Organization | Operational / Managerial Control | n/a | 08/01/2024 |
| Avalon Health Care Management IncOrganization | Operational / Managerial Control | n/a | 08/01/2024 |
| Hash, AlanIndividual | Operational / Managerial Control | n/a | 03/12/2025 |
| Irwin, MartinaIndividual | Operational / Managerial Control | n/a | 03/12/2025 |
| Kirton, HyrumIndividual | Operational / Managerial Control | n/a | 08/01/2024 |
| Purtle, MollyIndividual | Operational / Managerial Control | n/a | 07/13/2026 |
| Sekeramayi, FloydIndividual | Operational / Managerial Control | n/a | 03/12/2025 |
| Siedenstrang, LynnIndividual | Operational / Managerial Control | n/a | 03/12/2025 |
| Stengel, LauraIndividual | Operational / Managerial Control | n/a | 03/12/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 12, 2025 | Avalon Healthcare - Tacoma LLC | Heritage Rehab, LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.