Avalon Care Center Federal Way, L.L.C.
Medicare-certified135 SOUTH 336TH STREET, Federal Way, WA 98003
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Garden Terrace Healthcare Center of Federal Way is an assisted living community in Federal Way, WA. It is licensed by the Washington Department of Social and Health Services as an assisted living facility for up to 34 residents. Call the community to ask about availability, pricing and tours.
Capacity
34 residents
State license
#1631, Open
Location
Federal Way, WA
Status
Listed in a public registry
491 S 338th Street, Federal Way, Washington 98003
Garden Terrace Healthcare Center of Federal Way includes Garden Terrace Healthcare Center of Federal Way, a Medicare-certified nursing home at the same address. Everything below is Medicare's record for that nursing home. It does not rate Garden Terrace Healthcare Center of Federal Way's other levels of care, which the state licenses and inspects separately.
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on June 16, 2025, state inspectors cited 16 health deficiencies (the Washington average is 15.8).
Nurses and nurse aides spend 5 hours 27 minutes with each resident a day, above the Washington average of 4 hours 22 minutes.
Medicare has not fined Garden Terrace Healthcare Center of Federal Way in the last three years.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 27 minutesAbove the Washington average |
| Registered nurse time per resident, per day | 1 hour 31 minutesAbove the Washington average |
| Nursing staff who left in the past year | 31%Below the Washington average |
1 administrator has left the home in the past year.
38 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
September 12, 2025 · Complaint investigation · 1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
June 16, 2025 · Standard inspection · 15 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide and implement an infection prevention and control program.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Provide safe, appropriate pain management for a resident who requires such services.
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.
Provide activities to meet all resident's needs.
Respond appropriately to all alleged violations.
Provide or get specialized rehabilitative services as required for a resident.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Provide safe, appropriate pain management for a resident who requires such services.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Provide or get specialized rehabilitative services as required for a resident.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dispose of garbage and refuse properly.
Ensure each resident receives an accurate assessment.
Provide enough food/fluids to maintain a resident's health.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide safe and appropriate respiratory care for a resident when needed.
491 S 338th StreetFederal Way, WA 98003
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Yes. Garden Terrace Healthcare Center of Federal Way is a Medicare-certified nursing home on the same campus. Its Medicare record of inspections, staffing and fines is below. That record covers the nursing home only, not Garden Terrace Healthcare Center of Federal Way's other levels of care.
State inspectors visited on June 16, 2025 and cited 16 health deficiencies, 4 of them from complaint investigations. The Washington average is 15.8.
Nurses and aides spend 5 hours 27 minutes with each resident per day, including 1 hour 31 minutes from registered nurses. 31% of nursing staff left over the past year.
Medicare's records show no fines against Garden Terrace Healthcare Center of Federal Way in the last three years.
The national median is around $6,200 per month, though it ranges from roughly $4,500 to $11,800 depending on location, apartment size, and level of care.
Medicare does not cover the room-and-board cost of assisted living. Medicaid may help in many states through waivers, and VA benefits can offset costs for eligible veterans.
Assisted living is for people who need help with daily tasks but are largely independent. Nursing homes (skilled nursing) provide 24-hour medical and rehabilitative care.