CCN 505264 · Pierce County, Washington
Avamere at Pacific Ridge
3625 East B Street, Tacoma, WA 98404
Avamere at Pacific Ridge is a 102-bed for-profit nursing home in Tacoma, Washington, first certified for Medicare or Medicaid in 1982. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 65.4 residents a day, about 64% 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
- 102
- Average residents per day
- 65.4 (64.1% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Tacoma Rehab, LLC
- Certified since
- Apr 1, 1982
- Chain or affiliated group
- Avamere (27 facilities, chain average 3.0 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 | 5.16 | 4.10 | 3.68 |
| RN hours per resident per day | 0.75 | 0.91 | 0.58 |
| Weekend nurse hours per resident per day | 4.57 | ||
| Nursing staff turnover | 36.0% | 43.1% | 44.9% |
| Occupancy (residents / beds) | 64.1% | 81.8% | 85.7% |
| Fines reported by CMS | 4 totaling $68,411 | ||
| Health deficiencies, latest standard survey | 23 (Apr 24, 2026) | ||
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). Avamere at Pacific Ridge 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 |
|---|---|---|---|
| Midcap Finco LLCOrganization | Security Interest | n/a | 01/22/2010 |
| Avamere Health Services LLCOrganization | Operational / Managerial Control | n/a | 01/01/2005 |
| Avamere Skilled Advisors LLCOrganization | Operational / Managerial Control | n/a | 01/01/2005 |
| Midcap Finco LLCOrganization | Operational / Managerial Control | n/a | 01/22/2010 |
| Brooks, AnthonyIndividual | Operational / Managerial Control | n/a | 10/16/2024 |
| Fanunal, LorielIndividual | Operational / Managerial Control | n/a | 01/02/2023 |
| Fowler, KatherineIndividual | Operational / Managerial Control | n/a | 02/28/2025 |
| Kofstad, MaryIndividual | Operational / Managerial Control | n/a | 02/13/2024 |
| Kretchmar, JoshuaIndividual | Operational / Managerial Control | n/a | 07/01/2023 |
| McKinney, MaryIndividual | Operational / Managerial Control | n/a | 04/27/2023 |
| Munro, JolynnIndividual | Operational / Managerial Control | n/a | 09/01/2023 |
| Poirier, StacyIndividual | Operational / Managerial Control | n/a | 01/01/2024 |
| Polson, JustinIndividual | Operational / Managerial Control | n/a | 02/10/2025 |
| Powelson, MicheleIndividual | Operational / Managerial Control | n/a | 03/25/2015 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
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.