CCN 505529 · Pierce County, Washington
Avamere Transitional Care of Puget Sound
630 South Pearl Street, Tacoma, WA 98465
Avamere Transitional Care of Puget Sound is a 60-bed for-profit nursing home in Tacoma, Washington, first certified for Medicare or Medicaid in 2017. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 53.9 residents a day, about 90% 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
- 60
- Average residents per day
- 53.9 (89.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Georgian Rehab LLC
- Certified since
- Mar 27, 2017
- 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 | 4 of 5 | State spread: 22 at 1, 46 at 2, 36 at 3, 38 at 4, 50 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 5.17 | 4.10 | 3.68 |
| RN hours per resident per day | 1.87 | 0.91 | 0.58 |
| Weekend nurse hours per resident per day | 4.35 | ||
| Nursing staff turnover | 34.3% | 43.1% | 44.9% |
| Occupancy (residents / beds) | 89.8% | 81.8% | 85.7% |
| Fines reported by CMS | 1 totaling $23,319 | ||
| Health deficiencies, latest standard survey | 14 (Nov 25, 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). Avamere Transitional Care of Puget Sound meets that part today: 4 stars overall, 3 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 |
| Fanunal, LorielIndividual | Operational / Managerial Control | n/a | 01/02/2023 |
| Feakin, CodyIndividual | Operational / Managerial Control | n/a | 07/15/2025 |
| Fisher, TonyaIndividual | Operational / Managerial Control | n/a | 01/19/2026 |
| Fowler, KatherineIndividual | Operational / Managerial Control | n/a | 02/28/2025 |
| Garcia, RobertoIndividual | Operational / Managerial Control | n/a | 02/01/2026 |
| Johnson, CatherineIndividual | Operational / Managerial Control | n/a | 10/09/2023 |
| Kofstad, MaryIndividual | Operational / Managerial Control | n/a | 02/13/2024 |
| Okoli, IkeIndividual | Operational / Managerial Control | n/a | 03/06/2023 |
| Presley, YolandaIndividual | Operational / Managerial Control | n/a | 01/06/2025 |
| Reid, MistyIndividual | Operational / Managerial Control | n/a | 01/02/2025 |
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.
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