Avamere Transitional Care Of Puget Sound
Tacoma, Pierce County, Washington · CCN 505529 · For-profit (LLC) · part of Avamere (27 facilities, chain average 3 stars)
CMS rates Avamere Transitional Care Of Puget Sound 4 of 5 overall as of August 2026. 60 certified beds, 54 residents a day on average. 45 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $23,319.
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 | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 5.1654 hours per resident per day |
|---|---|
| Registered nurses | 1.87108 hours per resident per day |
| Weekend total | 4.35129 hours per resident per day |
| Nursing staff turnover | 34.3% (registered nurses 38.1%) |
| 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 |
|---|---|---|---|
| 2026-03-19 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 2026-04-13 |
| 2026-03-19 complaint survey |
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 2026-04-13 |
| 2025-11-25 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-10-30 |
| 2025-11-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-30 |
| 2025-11-25 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-30 |
| 2025-11-25 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-30 |
| 2025-11-25 | 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 2025-10-30 |
| 2025-11-25 | 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 2025-10-30 |
| 2025-11-25 | 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 2025-10-30 |
| 2025-11-25 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-30 |
| 2025-11-25 | 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 2025-10-30 |
| 2025-11-25 | 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 2025-10-30 |
| 2025-11-25 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · tag F0803 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-10-30 |
| 2025-09-15 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-01 |
| 2025-03-13 complaint survey |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · tag F0808 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-03-07 |
| 2024-07-31 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-11 |
| 2024-07-31 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-11 |
| 2024-07-31 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-11 |
| 2024-07-31 | 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 2024-09-11 |
| 2024-07-31 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-11 |
| 2024-07-31 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-11 |
| 2024-07-31 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-11 |
| 2024-07-31 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-11 |
| 2024-07-31 | 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 2024-09-11 |
| 2024-07-31 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-11 |
| 2023-08-18 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · tag F0694 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-28 |
| 2023-08-18 | 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 2023-09-28 |
| 2023-08-18 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-28 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-19 | Fine | $23,319 |
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 |
|---|---|---|---|
| Midcap Finco LLC Organization | 5% or greater security interest | — | 2010-01-22 |
| Avamere Health Services LLC Organization | adp of the snf | — | 2026-03-17 |
| Avamere Skilled Advisors LLC Organization | adp of the snf | — | 2025-07-07 |
| Snapmedtech,Inc. Organization | adp of the snf | — | 2025-09-08 |
| Avamere Health Services LLC Organization | operational/managerial control | — | 2005-01-01 |
| Avamere Skilled Advisors LLC Organization | operational/managerial control | — | 2005-01-01 |
| Midcap Finco LLC Organization | operational/managerial control | — | 2010-01-22 |
| Davis, Julie Individual | adp of the snf | — | 2024-08-01 |
| Fanunal, Loriel Individual | adp of the snf | — | 2023-01-02 |
| Feakin, Cody Individual | adp of the snf | — | 2025-01-01 |
| Fowler, Katherine Individual | adp of the snf | — | 2025-02-28 |
| Funderberg, Michelle Individual | adp of the snf | — | 2024-12-31 |
| Games, Kim Individual | adp of the snf | — | 2024-08-15 |
| Garcia, Roberto Individual | adp of the snf | — | 2026-02-01 |
| Inskeep, Todd Individual | adp of the snf | — | 2022-01-21 |
| Johnson, Catherine Individual | adp of the snf | — | 2023-10-09 |
| Kofstad, Mary Individual | adp of the snf | — | 2024-02-13 |
| Okoli, Ike Individual | adp of the snf | — | 2026-03-19 |
| Presley, Yolanda Individual | adp of the snf | — | 2025-01-06 |
| Reid, Misty Individual | adp of the snf | — | 2025-01-02 |
| Roderick, Glen Individual | adp of the snf | — | 2024-02-01 |
| Schmitz, Bradley Individual | adp of the snf | — | 2023-09-01 |
| Staples, Carolyn Individual | adp of the snf | — | 2023-10-05 |
| Strunk, Colby Individual | adp of the snf | — | 2022-09-06 |
| Throne, Cindy Individual | adp of the snf | — | 2025-11-10 |
| Vanderzanden, Carrie Individual | adp of the snf | — | 2025-01-01 |
| Wagner, Sherrie Individual | adp of the snf | — | 2025-12-16 |
| Kofstad, Mary Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-05-26 |
| Cavallo, Glen Individual | managing control - governing body | — | 2025-06-01 |
| Feakin, Cody Individual | managing control - governing body | — | 2025-06-01 |
| Funderberg, Michelle Individual | managing control - governing body | — | 2025-06-01 |
| Garcia, Roberto Individual | managing control - governing body | — | 2026-02-01 |
| Inskeep, Todd Individual | managing control - governing body | — | 2025-06-01 |
| Kofstad, Mary Individual | managing control - governing body | — | 2025-06-01 |
| Reid, Misty Individual | managing control - governing body | — | 2025-06-01 |
| Staples, Carolyn Individual | managing control - governing body | — | 2025-10-01 |
| Strunk, Colby Individual | managing control - governing body | — | 2025-06-01 |
| Vanderzanden, Carrie Individual | managing control - governing body | — | 2025-06-01 |
| Fanunal, Loriel Individual | operational/managerial control | — | 2023-01-02 |
| Feakin, Cody Individual | operational/managerial control | — | 2025-07-15 |
| Fisher, Tonya Individual | operational/managerial control | — | 2026-01-19 |
| Fowler, Katherine Individual | operational/managerial control | — | 2025-02-28 |
| Garcia, Roberto Individual | operational/managerial control | — | 2026-02-01 |
| Johnson, Catherine Individual | operational/managerial control | — | 2023-10-09 |
| Kofstad, Mary Individual | operational/managerial control | — | 2024-02-13 |
| Okoli, Ike Individual | operational/managerial control | — | 2023-03-06 |
| Presley, Yolanda Individual | operational/managerial control | — | 2025-01-06 |
| Reid, Misty Individual | operational/managerial control | — | 2025-01-02 |
| Roderick, Glen Individual | operational/managerial control | — | 2024-02-01 |
| Schmitz, Bradley Individual | operational/managerial control | — | 2023-09-01 |
| Simpson, Andrew Individual | operational/managerial control | — | 2024-06-01 |
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 Avamere Transitional Care Of Puget Sound.
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 Pierce County.