Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AVAMERE TRANSITIONAL CARE OF PUGET SOUND

TACOMA, WA · 60 certified beds · Last Life Safety survey November 25, 2025

CMS Certification Number 505529 · first certified March 2017

Ownership

Operated by AVAMERE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within WA

50 citations — more than 85% of the 193 certified nursing homes in WA. Compared within WA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 21 citations; the earlier surveys in the window averaged 14.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 1 month from now. This facility’s last Life Safety survey was November 2025. Facilities in WA are typically surveyed 12–15 months after the last one (median 13), measured over 320 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

23 of the 50 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 50 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in WA, and nationally. Surveyors differ markedly between states, so the WA figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	50
Median facility in WA	31
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
August 18, 2023	17
July 31, 2024	12
November 25, 2025	21

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0712	Have simulated fire drills held at unexpected times.	3	2025-11-25
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2025-11-25
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	3	2025-11-25
E-0037	Establish staff and initial training requirements.	3	2025-11-25
K-0363	Install corridor and hallway doors that block smoke.	2	2025-11-25
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-07-31
K-0511	Have properly installed electrical wiring and gas equipment.	2	2025-11-25
E-0015	Address subsistence needs for staff and patients.	2	2025-11-25

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 23
Smoke Deficiencies 12
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 4
Other 5

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	23
Smoke Deficiencies	12
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	4
Services Deficiencies	3
Egress Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 25, 2025 — 21 citations

Citations issued on November 25, 2025
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (October 24, 2025)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (October 24, 2025)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 24, 2025)
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (October 24, 2025)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (October 24, 2025)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (October 24, 2025)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (October 24, 2025)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (October 24, 2025)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (October 24, 2025)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (November 25, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 24, 2025)
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	Deficient, Provider has date of correction (October 24, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (October 24, 2025)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (October 24, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 24, 2025)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (October 24, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 24, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (October 24, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 24, 2025)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (October 24, 2025)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (November 25, 2025)

July 31, 2024 — 12 citations

Citations issued on July 31, 2024
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (August 26, 2024)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (August 26, 2024)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (August 26, 2024)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (August 26, 2024)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (August 26, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (August 26, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 26, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 26, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 26, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 26, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 26, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (August 26, 2024)

August 18, 2023 — 17 citations

Citations issued on August 18, 2023
Tag	What the surveyor checks	Status
E-0001	Establish an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (September 19, 2023)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (September 19, 2023)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (September 19, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (September 19, 2023)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (September 19, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (September 19, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (October 11, 2023)
K-0324	Provide properly protected cooking facilities.	Waiver has been granted (October 11, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 13, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (September 19, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (October 11, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (September 19, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (October 13, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (October 11, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (October 11, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 11, 2023)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (October 11, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.