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Nursing HomeMedicaid Investigative

Avalon Health & Rehabilitation Center - Pasco

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2004 N 22nd Avenue, Pasco, WA 99301108 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 53 Google reviews

5
4
3
2
1
Avalon Health & Rehabilitation Center - Pasco Nursing Home in Pasco, WA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (23 vs median 14)
  • High RN turnover (69%)

Bottom 25% in WA · Meets national RN staffing standard · Above recommended total nurse staffing · Below chain average · $63,388 in fines

Source: Medicare data

What this means for your family

While the facility's physical and occupational therapy departments are frequently praised for helping patients regain mobility, the facility has a concerning pattern of administrative communication failures and slow response times to patient needs. Families should conduct an in-person tour, specifically asking about the current nurse-to-patient ratios and the process for escalating concerns when administrative communication breaks down.

Google Reviews

Google Reviews

53 reviews on Google
Avalon Health & Rehabilitation Center in Pasco receives highly polarized feedback, with many families praising the physical and occupational therapy teams for successful recovery outcomes. However, there are recurring, serious reports of poor communication, slow response times to call buttons, and allegations of neglect or mistreatment that suggest significant inconsistency in care quality.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean6.0Activities9.0Meds3.0MemoryN/AComms2.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Dedicated and compassionate bedside nursing staff
  • Well-maintained and clean facility environment
  • Engaging daily activities program

Concerns

  • Slow or unresponsive call button response times (mentioned by 5 reviewers)
  • Poor communication from administration regarding patient status and discharge (mentioned by 4 reviewers)
  • Allegations of physical mistreatment or abuse (mentioned by 3 reviewers)
  • Inconsistent quality of care and staffing issues (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'18(1)'20(3)'22(6)'24(12)'26(3)

Distribution · 51 analyzed

5
29
4
2
3
1
2
2
1
17

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that the facility has a very active therapy program; could you walk us through how the physical and occupational therapy teams coordinate with the nursing staff to support a resident's recovery?
  • 2We understand that timely assistance is important for peace of mind; what is your current protocol for managing call buttons, and how do you ensure residents receive a prompt response?
  • 3Clear communication between the facility and family is a priority for us. What is your standard process for keeping families updated on a loved one's health status and any changes in their care plan?
  • 4Given the recent focus on improving administrative communication, what specific steps is the leadership team taking to ensure families feel well-informed and supported?
  • 5It is great to see that you are so active in responding to feedback online. How do you use that resident and family input to make tangible improvements to the daily care experience here?
  • 6We saw that the activities program is a highlight for many residents; could you share what a typical week of social engagement looks like for someone living here?

Personalized based on this facility's data


Key Review Excerpts

The skilled nursing was very attentive,response time from aids was speedy and their nice maintenance man helped me with info on a hospital bed. My mom improved with the provided physical therapy.

Rehab patient's family · 2023★★★★★

It took over half an hour for anyone to answer the call button. I watched one of the staff members walk past the room multiple times while the light was on.

Long-term resident's family · 2025☆☆☆☆

Avalon went out of their way to calm my fears, it started with a call from management welcoming from my hospital bed and telling me about their facility and their goals for me.

Rehab patient · 2024★★★★★
Source: 53 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.99hrs
OK
Registered nurses for medical care
Total Nursing
4.25hrs
OK
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility35.3%
Worse than Avg
Here
35.3%
US
15.3%
WA
18.8%
Franklin
15.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
12.1%
WA
17.2%
Franklin
12.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.0%
Mixed vs Avgs
Here
14.0%
US
19.5%
WA
12.2%
Franklin
22.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.9%
Worse than Avg
Here
27.9%
US
19.4%
WA
23.0%
Franklin
19.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
93.4%
WA
95.9%
Franklin
95.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.2%
Worse than Avg
Here
18.2%
US
14.4%
WA
15.0%
Franklin
14.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.2%
Better than Avg
Here
93.2%
US
81.8%
WA
87.8%
Franklin
85.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.3%
Mixed vs Avgs
Here
79.3%
US
79.8%
WA
82.0%
Franklin
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.3%
Worse than Avg
Here
2.3%
US
1.6%
WA
1.3%
Franklin
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

32deficiencies
Well above state avg (17.1)
33 complaint-triggered
$63,388 in fines

This facility shows persistent care quality concerns, with families filing 24 complaints that led to federal citations. The most recurring problems involve treatment and care according to physician orders, accident prevention and safety supervision, and infection control practices. Many of these same issues have repeated across multiple years despite reported corrections, suggesting ongoing challenges in maintaining consistent care standards, which should prompt careful evaluation during any visit.

Apr 30, 2026Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Apr 7, 2026Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Mar 19, 2026Complaint
7
0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Dec 23, 2025Complaint
2
0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Sep 17, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 5, 2025Complaint
1
0559Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avalon Health & Rehabilitation Center - Pasco

Organization Type

for profit

Chain Affiliation

Chain Name

Avalon Health Care

Chain Size

16 facilities nationwide

Chain avg rating: 3.6/5 · Rank 12 of 13

Ownership & Management

Owners

Avalon Care LLC

Owner (parent company) · Organization

100%

Avalon Health Care INC

Owner (parent company) · Organization

Key personnel

Dangerfield, DavidManaging Control - Governing BodyKirton, ByronManaging Control - Governing BodyKirton, CharlesManaging Control - Governing BodyKirton, HyrumManaging Control - Governing BodyKirton, SpencerManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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