Avalon Healthcare Bellingham

3121 Squalicum Parkway · Bellingham, WA · 98225 · 3607346760

105 certified beds For profit - Corporation Chain: Avalon Health Care

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 88
Staffing 20% 86
Federal penalties 15% 69
Trend 10% 80
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.483.48 min · 4.1 strong
RN hours / resident-day1.230.55–0.75
Weekend hours / resident-day3.95≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $32,298

Inspection citations (31 in the current record)

  • Potential for harm · D December 5, 2025

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

    Corrected January 5, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 5, 2025

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

    Corrected January 5, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 5, 2025

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

    Corrected January 5, 2026 · Quality of Life and Care

  • Potential for harm · D December 5, 2025

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

    Corrected January 5, 2026 · Quality of Life and Care

  • Potential for harm · E December 5, 2025

    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.

    Corrected January 5, 2026 · Quality of Life and Care

  • Potential for harm · D December 5, 2025

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

    Corrected January 5, 2026 · Quality of Life and Care

  • Potential for harm · D December 5, 2025

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

    Corrected January 5, 2026 · Quality of Life and Care

  • Potential for harm · D December 5, 2025

    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.

    Corrected January 5, 2026 · Pharmacy Service

  • Potential for harm · D December 5, 2025

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

    Corrected January 5, 2026 · Infection Control

  • Potential for harm · D December 5, 2025

    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.

    Corrected January 5, 2026 · Infection Control

  • Actual harm · G April 24, 2025 · found via complaint

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

    Corrected May 15, 2025 · Quality of Life and Care

  • Potential for harm · D January 13, 2025 · found via complaint

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

    Corrected January 29, 2025 · Resident Rights

  • Potential for harm · D December 6, 2024

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

    Corrected January 3, 2025 · Resident Rights

  • Potential for harm · D December 6, 2024

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

    Corrected January 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 6, 2024

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

    Corrected January 3, 2025 · Quality of Life and Care

  • Potential for harm · E December 6, 2024

    Ensure the activities program is directed by a qualified professional.

    Corrected January 3, 2025 · Quality of Life and Care

  • Potential for harm · E December 6, 2024

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

    Corrected January 3, 2025 · Quality of Life and Care

  • Potential for harm · D December 6, 2024

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

    Corrected January 3, 2025 · Quality of Life and Care

  • Actual harm · G September 3, 2024 · found via complaint

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

    Corrected September 19, 2024 · Quality of Life and Care

  • Potential for harm · D September 3, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected September 17, 2024 · Resident Rights

  • Potential for harm · D September 3, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 25, 2024 · found via complaint

    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.

    Corrected April 9, 2024 · Resident Rights

  • Potential for harm · D January 11, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected February 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2024

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

    Corrected February 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2024

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected February 1, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 24, 2025Fine$32,298

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505296 · certified since March 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.