Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.42 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.42 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 19, 2025 cited 6 deficiencies.
View inspection evidenceCMS-published records list 80 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 16 facilities across 5 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
13 currently connected nursing homes share this CMS organization identity with AVALON HEALTH CARE INC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 26, 2003
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 30, 2024
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2003
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 7, 2025
Other facilities connected through this exact CMS organization identity: 0 across WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 12, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 16, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 15, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 29, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 14, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 5, 2007
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 27, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 27, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 27, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 23, 2012
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 16, 2026
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 15, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 29, 2022
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Apr 5, 2007
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 27, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 27, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 27, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 23, 2012
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2003
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2003
Other facilities connected through this exact CMS organization identity: 0 across WA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 12, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 16, 2026
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 15, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 29, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 14, 2026
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 20, 2004
Other facilities connected through this exact CMS organization identity: 4 across WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 26, 2003
Other facilities connected through this exact CMS organization identity: 5 across HI, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 26, 2003
CMS classifications: Parent company, Chain / home office
Other facilities connected through this exact CMS organization identity: 12 across HI, OR, UT, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 15, 2026
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 5 across UT, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 1, 2003
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 12 across HI, OR, UT, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 11 across HI, OR, UT, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 6.67%
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 11 across HI, OR, UT, WA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Oct 1, 2025
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Oct 1, 2025
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Oct 1, 2025
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 11 across HI, OR, UT, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 26.67%
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 11 across HI, OR, UT, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 30, 2024
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 1, 2003
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 12 across HI, OR, UT, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 7, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 13 across HI, OR, UT, WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 12, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 16, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 15, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 29, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 14, 2026
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 5, 2007
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 27, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 27, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 27, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 23, 2012
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 16, 2026
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 15, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 29, 2022
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Apr 5, 2007
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 27, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 27, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 27, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 23, 2012
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2003
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 12 across HI, OR, UT, WA.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2003
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 13 across HI, OR, UT, WA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 12, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 16, 2026
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 57 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 16 | 3.5 | 3.9 |
| Mon Jun | 16 | 3.4 | 3.9 |
| Fri May | 15 | 3.5 | 4.1 |
| Wed Apr | 14 | 3.8 | 4.1 |
| Sun Mar | 13 | 3.6 | 4.2 |
| Sun Feb | 13 | 3.2 | 4.2 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Provide or get specialized rehabilitative services as required for a resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 8, 2026)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 16, 2025)
Provide timely, quality laboratory services/tests to meet the needs of residents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 21, 2025)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2025)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2025)
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2025)
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 19, 2024)
Assist a resident in gaining access to vision and hearing services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 19, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Prepare residents for a safe transfer or discharge from the nursing home.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 18, 2023)
Ensure that residents are free from significant medication errors.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 14, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 14, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.329 | 3.768 |
| RN categories | 0.501 | 0.23 |
Contract staff accounted for 15.9% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.029 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.198 | 0.428 | 1.018 | 2.646 | 9.3% | 91 |
| 2025Q3 | 4.191 | 0.403 | 1.006 | 2.767 | 8.2% | 92 |
| 2025Q4 | 4.346 | 0.394 | 1.068 | 2.883 | 11.6% | 92 |
| 2026Q1 | 4.167 | 0.423 | 0.949 | 2.795 | 15.9% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.