Avalon Healthcare Bellingham – Nursing Home, BELLINGHAM, Washington
Medicare and Medicaid
Nursing homes in BELLINGHAM, WA → · Recently updated in WA →
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
20 substantiated complaints
Last cited survey: 5 December 2025 · 100 health and 42 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
3121 SQUALICUM PARKWAY
BELLINGHAM, WA 98225
Phone: (360) 734-6760
Compare to WA average
See how this facility compares to the WA state average among rated nursing homes (205 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | WA average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 5 | 3.31 | 5 |
| Health inspection | 4 | 2.84 | 5 |
| Staffing | 4 | 3.48 | 5 |
| Quality measures | 5 | 4.1 | 5 |
| Certified beds | 105 | 94.9 | — |
| Citations on file (health + fire) | 154 | ~21.2 health* | — |
- ALDERWOOD PARK HEALTH AND REHAB OF CASCADIA — 5★ overall
- AVAMERE BELLINGHAM HEALTH CARE & REHAB SERVICES — 2★ overall
- HIGHLAND HEALTH AND REHABILITATION OF CASCADIA — 3★ overall
- MT BAKER CARE CENTER — 5★ overall
- North Cascades Health and Rehabilitation — 2★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| NELSON, MELISSA J | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| NELSON, MELISSA J | ADP OF THE SNF | Individual | - | 06/10/2025 |
| - | ADP OF THE SNF | Organization | - | 03/17/2025 |
| THE BYRON A KIRTON INDIVIDUAL TR | ADP OF THE SNF | Organization | - | 10/01/2025 |
| THE BYRON A KIRTON INDIVIDUAL TR | INDIRECT OWNERSHIP INTEREST | Organization | 26.67 | 10/01/2025 |
| WOLTIL, ROBERT D | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| WOLTIL, ROBERT D | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| WOLTIL, ROBERT D | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
| KIRTON, CHARLES R | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| KIRTON, CHARLES R | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| KIRTON, CHARLES R | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
| HYRUM A KIRTON INDIVIDUAL TR | ADP OF THE SNF | Organization | - | 10/01/2025 |
| HYRUM A KIRTON INDIVIDUAL TR | INDIRECT OWNERSHIP INTEREST | Organization | 33.33 | 10/01/2025 |
| KIRTON, SPENCER | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| KIRTON, SPENCER | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| KIRTON, SPENCER | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
| AVALON HEALTH CARE INC | ADP OF THE SNF | Organization | - | 03/17/2025 |
| AVALON HEALTH CARE INC | INDIRECT OWNERSHIP INTEREST | Organization | 100.00 | 03/17/2025 |
| NELSON, RYAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| NELSON, RYAN | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| NELSON, RYAN | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
| KIRTON, BYRON A | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| KIRTON, BYRON A | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| KIRTON, BYRON A | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
| AVALON REAL ESTATE LLC | ADP OF THE SNF | Organization | - | 03/17/2025 |
| PEACEHEALTH | ADP OF THE SNF | Organization | - | 03/17/2025 |
| KIRTON, HYRUM | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| KIRTON, HYRUM | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| KIRTON, HYRUM | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
| GONZALES, CHARLES H | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| GONZALES, CHARLES H | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| GONZALES, CHARLES H | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
| JOHNSON, ALLEN L | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| JOHNSON, ALLEN L | ADP OF THE SNF | Individual | - | 06/10/2025 |
| DANGERFIELD, DAVID E | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2025 |
| DANGERFIELD, DAVID E | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| DANGERFIELD, DAVID E | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
| AVALON HOLDING INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 03/17/2025 |
| AVALON HOLDING INC | ADP OF THE SNF | Organization | - | 03/17/2025 |
| AVALON HOLDING INC | DIRECT OWNERSHIP INTEREST | Organization | 100.00 | 03/17/2025 |
| HASH, ALAN B | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 03/17/2020 |
| HASH, ALAN B | MANAGING CONTROL - GOVERNING BODY | Individual | - | 03/17/2025 |
| HASH, ALAN B | INDIRECT OWNERSHIP INTEREST | Individual | 20.80 | 03/17/2025 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
142 citations on file · Latest survey: 5 December 2025 · 100 health · 42 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-12-05 | F887 | D — Minimal harm, isolated | Health | 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. |
| 2025-12-05 | F887 | D — Minimal harm, isolated | Health | 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. |
| 2025-12-05 | F887 | D — Minimal harm, isolated | Health | 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. |
| 2025-12-05 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2025-12-05 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2025-12-05 | F883 | D — Minimal harm, isolated | Health | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2025-12-05 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-12-05 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-12-05 | F761 | D — Minimal harm, isolated | Health | 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. |
| 2025-12-05 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-12-05 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-12-05 | F695 | D — Minimal harm, isolated | Health | Provide safe and appropriate respiratory care for a resident when needed. |
| 2025-12-05 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-12-05 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-12-05 | F689 | D — Minimal harm, isolated | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2025-12-05 | F688 | E — Minimal harm, pattern | Health | 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. |
| 2025-12-05 | F688 | E — Minimal harm, pattern | Health | 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. |
| 2025-12-05 | F688 | E — Minimal harm, pattern | Health | 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. |
| 2025-12-05 | F686 | D — Minimal harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2025-12-05 | F686 | D — Minimal harm, isolated | Health | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-12-05 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-12-05 | K355 | E — Minimal harm, pattern | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2025-12-05 | K372 | D — Minimal harm, isolated | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2025-12-05 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-12-05 | K372 | D — Minimal harm, isolated | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2025-12-05 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-12-05 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-12-05 | K355 | E — Minimal harm, pattern | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2025-12-05 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2025-12-05 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-12-05 | K355 | E — Minimal harm, pattern | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2025-12-05 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-12-05 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2025-12-05 | K372 | D — Minimal harm, isolated | Fire Safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2025-12-05 | K321 | E — Minimal harm, pattern | Fire Safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. |
| 2024-12-06 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2024-12-06 | E20 | F — Minimal harm, widespread | Fire Safety | Establish policies and procedures including evacuation. |
| 2024-12-06 | K353 | F — Minimal harm, widespread | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2024-12-06 | K355 | F — Minimal harm, widespread | Fire Safety | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2024-12-06 | K374 | E — Minimal harm, pattern | Fire Safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 5 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) | 4 |
| Staffing Rating | 4 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.96513 |
| Reported LPN Staffing Hours per Resident per Day | 0.71284 |
| Reported RN Staffing Hours per Resident per Day | 1.23272 |
| Reported Licensed Staffing Hours per Resident per Day | 1.94556 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.48246 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.0986 |
| Casemix CNA Staffing Hours per Resident per Day | 1.99039 |
| Casemix LPN Staffing Hours per Resident per Day | 0.64991 |
| Casemix RN Staffing Hours per Resident per Day | 0.27898 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.91929 |
| Adjusted CNA Staffing Hours per Resident per Day | 3.07543 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.62128 |
| Adjusted RN Staffing Hours per Resident per Day | 1.07439 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.90673 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2018-12-04 |
Date of Standard Health Survey (Cycle 2) | 2017-09-06 |
Total Number of Health Deficiencies (Cycle 1) | 36 |
Number of Standard Health Deficiencies (Cycle 1) | 24 |
Number of Complaint Health Deficiencies (Cycle 1) | 17 |
Health Deficiency Score (Cycle 1) | 377 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 377 |
Total Number of Health Deficiencies (Cycle 2) | 42 |
Number of Standard Health Deficiencies (Cycle 2) | 15 |
Number of Complaint Health Deficiencies (Cycle 2) | 42 |
Health Deficiency Score (Cycle 2) | 379 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 379 |
Date of Standard Health Survey (Cycle 3) | 2016-06-11 |
Total Number of Health Deficiencies (Cycle 3) | 33 |
Number of Standard Health Deficiencies (Cycle 3) | 29 |
Number of Complaint Health Deficiencies (Cycle 3) | 4 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 244 |
Total Health Score (Cycle 3) | 244 |
Total Weighted Health Survey Score | 63 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 57 |
Number of Substantiated Complaints | 20 |
Number of Fines | 2 |
Total Amount of Fines in Dollars | 106024 |
Number of Payment Denials | 1 |
Total Number of Penalties | 3 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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