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Nursing HomeMedicaid Top Rated

Avalon Healthcare Bellingham

Strong Medicare quality ratings; families often praise highly compassionate and skilled nursing staff. Still worth an in-person visit.

3121 Squalicum Parkway, Cornwall Park · Bellingham, WA 98225105 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 57 Google reviews

5
4
3
2
1
Avalon Healthcare Bellingham Nursing Home in Bellingham, WA — Street View
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What this means for your family

This facility has shown significant improvement under new management, with many families highlighting the exceptional dedication of the nursing staff and effective rehab services. However, families should be vigilant regarding administrative paperwork and should personally inspect the cleanliness of the specific room assigned to their loved one, as reports on facility hygiene remain inconsistent.

Google Reviews

Google Reviews

57 reviews on Google
Avalon Healthcare Bellingham, formerly known as St. Francis, has seen a significant shift in reputation following a change in administration. Recent reviews frequently praise the nursing staff—specifically highlighting individual nurses like Preet—for their compassion and professional care, while older reviews and some critical voices point to persistent issues with facility cleanliness, administrative communication, and occasional lapses in medical oversight.

Quality Themes

Tap a score for details
Food8.0Staff8.0Clean4.0Activities7.0Meds3.0MemoryN/AComms5.0ValueN/A

Strengths

  • Highly compassionate and skilled nursing staff
  • Effective physical and occupational therapy programs
  • Improved leadership and administration under the Avalon name
  • Supportive and smooth admissions process

Concerns

  • Unsanitary conditions and persistent odors (mentioned by 2 reviewers)
  • Administrative and billing incompetence (mentioned by 2 reviewers)
  • Inconsistent or poor communication regarding medical care (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(1)'22(3)'24(9)'26(13)

Distribution · 60 analyzed

5
41
4
5
3
1
2
3
1
10

How They Respond to Reviews

70%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that the facility has been working on leadership improvements; how has this transition impacted the day-to-day communication families receive regarding their loved one's medical care?
  • 2Given the importance of a clean and comfortable environment, what is your current protocol for routine housekeeping and managing odors in the resident living areas?
  • 3With your focus on physical and occupational therapy, how are these sessions integrated into a resident's daily schedule to ensure they stay active and engaged?
  • 4I see that you are very active in responding to feedback online; what is the best way for families to reach out if they have questions or concerns about billing or administrative matters?
  • 5Could you walk me through your process for medication management and how you ensure accuracy and consistency for residents with complex needs?
  • 6In the event of a medical emergency, what is your protocol for notifying family members and coordinating with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

The nursing team is truly outstanding — attentive, professional, and genuinely caring. They go above and beyond to make sure every patient feels comfortable and well looked after.

Family member · 2025★★★★★

The only downside was the smell of urine in the facility, but unfortunately that is common in many nursing homes. Overall, I was very happy with the care.

Family member · 2025★★★★★

The director of nursing and admissions coordinator were wonderful, and worked with me to ensure any concerns were listened to and addressed. PT and OT saw my mom almost every day.

Family member · 2024★★★★
Source: 57 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.23hrs
OK
Registered nurses for medical care
Total Nursing
4.48hrs
OK
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
47%
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
5/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility40.3%
Worse than Avg
Here
40.3%
US
12.1%
WA
17.1%
Whatcom
25.5%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
15.4%
WA
15.2%
Whatcom
15.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.9%
Worse than Avg
Here
21.9%
US
15.3%
WA
18.8%
Whatcom
13.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
19.4%
WA
23.0%
Whatcom
25.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WA
95.9%
Whatcom
97.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
WA
93.8%
Whatcom
99.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.7%
WA
82.0%
Whatcom
92.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
81.8%
WA
87.9%
Whatcom
93.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
WA
1.3%
Whatcom
0.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
3penalties
Near state avg (17.1)
16 complaint-triggered
$106,024 in fines

Families have filed numerous complaints against this facility, with 21 of 57 deficiencies stemming from family reports. Key recurring problems include fire safety system maintenance, resident abuse protection and incident reporting, and pressure ulcer prevention. While all violations show correction dates, the pattern of repeated issues across multiple surveys—particularly with safety systems and abuse response protocols—suggests ongoing operational challenges that warrant careful consideration before placement.

Dec 5, 2025Routine
15
0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Apr 24, 2025Complaint
2
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Jan 13, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Dec 6, 2024Routine
12
0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give the resident's representative the ability to exercise the resident's rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Sep 3, 2024Complaint
3
0689Actual 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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Mar 25, 2024Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Federal Penalties

Fine

Apr 24, 2025

$32,298

Fine

May 31, 2023

$73,726

Payment Denial

May 31, 2023

20-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avalon Healthcare Bellingham

Organization Type

for profit

Chain Affiliation

Chain Name

Avalon Health Care

Chain Size

15 facilities nationwide

Chain avg rating: 2.9/5 · Rank 9 of 33

Ownership & Management

Owners

Avalon Holding, INC.

Owner · Organization

Avalon Health Care, INC.

Owner (parent company) · Organization

Hyrum a Kirton Individual Tr

Owner (parent company) · Organization

The Byron a Kirton Individual Tr

Owner (parent company) · Organization

Dangerfield, David

Owner (parent company)

Gonzales, Charles

Owner (parent company)

Hash, Alan

Owner (parent company)

Kirton, Byron

Owner (parent company)

Kirton, Charles

Owner (parent company)

Kirton, Hyrum

Owner (parent company)

Kirton, Spencer

Owner (parent company)

Nelson, Ryan

Owner (parent company)

Woltil, Robert

Owner (parent company)

Key personnel

Dangerfield, DavidManaging Control - Governing BodyGonzales, CharlesManaging Control - Governing BodyHash, AlanManaging Control - Governing BodyKirton, ByronManaging Control - Governing BodyKirton, CharlesManaging Control - Governing Body
Source: Medicare provider data

Contact

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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.

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