Grays Harbor Health & Rehabilitation Center

Name: Grays Harbor Health & Rehabilitation Center: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Aberdeen, Grays Harbor County, Washington · CCN 505016 · For-profit (LLC) · part of Avalon Health Care (16 facilities, chain average 3.4 stars)

CMS rates Grays Harbor Health & Rehabilitation Center 4 of 5 overall as of August 2026. 105 certified beds, 67 residents a day on average. 26 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★★★★☆ 4 of 5
Health inspections	★★★★☆ 4 of 5
Staffing	★★★★☆ 4 of 5
Quality measures	★★★★☆ 4 of 5
Quality: long-stay / short-stay	4 / 4 of 5

Staffing

Total nurse staffing	4.16654 hours per resident per day
Registered nurses	0.4226 hours per resident per day
Weekend total	3.76765 hours per resident per day
Nursing staff turnover	44.6% (registered nurses 33.3%)
Administrators who left	0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-05-07	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-05-28
2026-05-07	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-28
2026-05-07	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-28
2026-05-07	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-28
2026-05-07	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-28
2026-05-07	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 · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-28
2026-05-07	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-28
2026-05-07	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-28
2026-05-07	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-28
2026-05-07	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732	C No actual harm, with potential for minimal harm; widespread	Deficient, Provider has date of correction 2026-05-28
2026-03-24 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-08
2026-03-24 complaint survey	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · tag F0825	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-08
2025-09-03 complaint survey	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-16
2025-08-07 complaint survey	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-21
2025-03-19	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-22
2025-03-19	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-22
2025-03-19	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-22
2025-03-19	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-22
2025-03-19	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-22
2025-03-19	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · tag F0909	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-22
2024-02-23 complaint survey	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · tag F0553	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-19
2024-02-23	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 · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-19
2024-02-23	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-19
2024-02-23 complaint survey	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · tag F0947	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-19
2023-08-29 complaint survey	Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · tag F0624	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-18
2023-08-15 complaint survey	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-06

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Avalon Care LLC Organization	5% or greater indirect ownership interest	100%	2003-08-26
920 Anderson Drive, L.L.C. Organization	adp of the snf	—	2024-11-30
Avalon Health Care Inc. Organization	adp of the snf	—	2003-12-01
Avalon Health Care Management Inc. Organization	adp of the snf	—	2025-04-07
Avalon Health Care Inc. Organization	operational/managerial control	—	2003-12-01
Avalon Health Care Management Inc. Organization	operational/managerial control	—	2003-12-01
Chheda, Neel Individual	adp of the snf	—	2023-06-01
Clevenger, Keli Individual	adp of the snf	—	2023-03-12
Harris, Bradford Individual	adp of the snf	—	2026-03-16
Hash, Alan Individual	adp of the snf	—	2017-08-15
Kirton, Hyrum Individual	adp of the snf	—	2022-03-29
Nwankwo, Chukwuemeka Individual	adp of the snf	—	2026-04-14
Smith, Nicole Individual	adp of the snf	—	2023-03-01
Dangerfield, David Individual	corporate director	—	2007-04-05
Kirton, Byron Individual	corporate director	—	2024-08-27
Kirton, Hyrum Individual	corporate director	—	2024-08-27
Kirton, Spencer Individual	corporate director	—	2024-08-27
Woltil, Robert Individual	corporate director	—	2012-05-23
Harris, Bradford Individual	corporate officer	—	2026-03-16
Hash, Alan Individual	corporate officer	—	2017-08-15
Kirton, Hyrum Individual	corporate officer	—	2022-03-29
Smith, Nicole Individual	corporate officer	—	2023-03-01
Dangerfield, David Individual	managing control - governing body	—	2007-04-05
Kirton, Byron Individual	managing control - governing body	—	2024-08-27
Kirton, Hyrum Individual	managing control - governing body	—	2024-08-27
Kirton, Spencer Individual	managing control - governing body	—	2024-08-27
Woltil, Robert Individual	managing control - governing body	—	2012-05-23
Chheda, Neel Individual	operational/managerial control	—	2023-06-01
Clevenger, Keli Individual	operational/managerial control	—	2023-03-12
Harris, Bradford Individual	operational/managerial control	—	2026-03-16
Hash, Alan Individual	operational/managerial control	—	2017-08-15
Kirton, Hyrum Individual	operational/managerial control	—	2022-03-29
Nwankwo, Chukwuemeka Individual	operational/managerial control	—	2026-04-14
Smith, Nicole Individual	operational/managerial control	—	2023-03-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Grays Harbor Health & Rehabilitation Center.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Grays Harbor County.