Avalon Healthcare Bellingham
Bellingham, Whatcom County, Washington · CCN 505296 · For-profit (Corporation) · part of Avalon Health Care (16 facilities, chain average 3.4 stars)
CMS rates Avalon Healthcare Bellingham 5 of 5 overall as of August 2026. 105 certified beds, 66 residents a day on average. 29 citations on record from the current inspection cycles, 2 involving actual harm; 1 fine totalling $32,298.
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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 4.50227 hours per resident per day |
|---|---|
| Registered nurses | 1.20685 hours per resident per day |
| Weekend total | 3.83537 hours per resident per day |
| Nursing staff turnover | 52.3% (registered nurses 41.2%) |
| 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 |
|---|---|---|---|
| 2025-12-05 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · tag F0688 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-05 |
| 2025-12-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-05 |
| 2025-12-05 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-05 |
| 2025-12-05 | 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 2026-01-05 |
| 2025-12-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-05 |
| 2025-12-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-05 |
| 2025-12-05 | 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 2026-01-05 |
| 2025-12-05 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-05 |
| 2025-12-05 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-05 |
| 2025-12-05 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-05 |
| 2025-04-24 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-05-15 |
| 2025-01-13 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-29 |
| 2024-12-06 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · tag F0680 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-03 |
| 2024-12-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-03 |
| 2024-12-06 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · tag F0551 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-03 |
| 2024-12-06 | 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 2025-01-03 |
| 2024-12-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-03 |
| 2024-12-06 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-03 |
| 2024-09-03 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-09-19 |
| 2024-09-03 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-17 |
| 2024-09-03 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-19 |
| 2024-03-25 complaint survey |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-09 |
| 2024-01-11 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · tag F0882 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-01 |
| 2024-01-11 complaint survey |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · tag F0573 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-01 |
| 2024-01-11 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-01 |
| 2024-01-11 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-01 |
| 2024-01-11 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-01 |
| 2024-01-11 | 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 2024-02-01 |
| 2024-01-11 | 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 2024-02-01 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-24 | Fine | $32,298 |
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 Health Care Inc. Organization | adp of the snf | — | 2024-08-01 |
| Avalon Health Care Management Inc. Organization | adp of the snf | — | 2026-03-30 |
| Avalon Holdco Equities, L.L.C. Organization | adp of the snf | — | 2026-04-15 |
| Avalon Holding Inc. Organization | adp of the snf | — | 2024-08-01 |
| Avalon Real Estate LLC Organization | adp of the snf | — | 2025-03-17 |
| Hyrum A Kirton Individual Tr Organization | adp of the snf | — | 2025-10-01 |
| K-Team LLC Organization | adp of the snf | — | 2025-10-01 |
| Peacehealth Organization | adp of the snf | — | 2025-03-17 |
| Spencer K Kirton Individual Tr Organization | adp of the snf | — | 2025-10-01 |
| The Byron A Kirton Individual Tr Organization | adp of the snf | — | 2025-10-01 |
| Avalon Holdco Equities, L.L.C. Organization | direct ownership interest | — | 2026-04-15 |
| Avalon Health Care Inc. Organization | indirect ownership interest | — | 2025-03-17 |
| Avalon Holding Inc. Organization | indirect ownership interest | — | 2026-04-15 |
| Hyrum A Kirton Individual Tr Organization | indirect ownership interest | — | 2025-10-01 |
| K-Team LLC Organization | indirect ownership interest | — | 2025-10-01 |
| Spencer K Kirton Individual Tr Organization | indirect ownership interest | — | 2025-10-01 |
| The Byron A Kirton Individual Tr Organization | indirect ownership interest | — | 2025-10-01 |
| Avalon Health Care Management Inc. Organization | operational/managerial control | — | 2024-08-01 |
| Avalon Holding Inc. Organization | operational/managerial control | — | 2025-03-17 |
| Hash, Alan Individual | adp of the snf | — | 2024-08-01 |
| Johnson, Allen Individual | adp of the snf | — | 2025-06-10 |
| Kirton, Byron Individual | adp of the snf | — | 2025-10-01 |
| Kirton, Hyrum Individual | adp of the snf | — | 2024-08-01 |
| Kirton, Spencer Individual | adp of the snf | — | 2025-10-01 |
| Nelson, Melissa Individual | adp of the snf | — | 2025-06-10 |
| Kirton, Byron Individual | indirect ownership interest | — | 2025-10-01 |
| Kirton, Hyrum Individual | indirect ownership interest | — | 2025-10-01 |
| Kirton, Spencer Individual | indirect ownership interest | — | 2025-10-01 |
| Dangerfield, David Individual | managing control - governing body | — | 2025-03-17 |
| Kirton, Byron Individual | managing control - governing body | — | 2025-03-17 |
| Kirton, Hyrum Individual | managing control - governing body | — | 2025-03-17 |
| Kirton, Spencer Individual | managing control - governing body | — | 2025-03-17 |
| Woltil, Robert Individual | managing control - governing body | — | 2025-03-17 |
| Hash, Alan Individual | operational/managerial control | — | 2024-08-01 |
| Johnson, Allen Individual | operational/managerial control | — | 2025-03-17 |
| Kirton, Hyrum Individual | operational/managerial control | — | 2024-08-01 |
| Nelson, Melissa Individual | operational/managerial control | — | 2025-03-17 |
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 Avalon Healthcare Bellingham.
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 Whatcom County.