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Nursing homes in Pierce County, Washington
Pierce County, Washington, has 21 Medicare-certified nursing homes with 2,333 certified beds.
52% of them are rated 1 or 2 stars overall, a larger share than the state (36%). Inspectors recorded 1,189 health deficiencies over three cycles, 51.0 per 100 beds against 50.9 statewide.
Fines in the period covered total $1.5M across 30 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Pierce County | Washington | US |
|---|---|---|---|
| Facilities | 21 | 193 | 14690 |
| Rated 1–2 stars overall | 52% | 36% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 51.0 | 50.9 | 26.8 |
| Median nurse hours per resident day | 4.3 | 4.1 | 3.7 |
| Fines listed | $1.5M | $10M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Heron'S Key | Gig Harbor | 30 | 5 | 5 | 5 | 19 | 63.3 | $15K | 13 Feb 2026 |
| Life Care Center of South Hill | Puyallup | 100 | 5 | 4 | 4 | 29 | 29.0 | $17K | 21 Nov 2025 |
| Rainier Rehabilitation | Puyallup | 117 | 5 | 5 | 3 | 5 | 4.3 | — | 12 Aug 2025 |
| Tacoma Nursing and Rehabilitation Center | Tacoma | 150 | 5 | 4 | 3 | 19 | 12.7 | $36K | 22 Jun 2026 |
| The Oaks At Lakewood | Tacoma | 80 | 5 | 5 | 4 | 28 | 35.0 | — | 29 Jan 2026 |
| Avamere Transitional Care of Puget Sound | Tacoma | 60 | 4 | 3 | 5 | 45 | 75.0 | $23K | 19 Mar 2026 |
| Cottesmore of Life Care | Gig Harbor | 108 | 4 | 3 | 4 | 38 | 35.2 | $30K | 27 Feb 2026 |
| Agility Health and Rehabilitation | University Place | 120 | 3 | 3 | 3 | 41 | 34.2 | — | 9 Jun 2026 |
| Eliseo | Tacoma | 187 | 3 | 2 | 3 | 53 | 28.3 | — | 22 Apr 2026 |
| Washington Soldiers Home | Orting | 97 | 3 | 3 | 4 | 31 | 32.0 | $10K | 19 May 2026 |
| Avalon Healthcare - Tacoma | Tacoma | 81 | 2 | 2 | 4 | 83 | 102.5 | $25K | 1 Jul 2026 |
| Avamere At Pacific Ridge | Tacoma | 102 | 2 | 2 | 4 | 69 | 67.6 | $58K | 24 Apr 2026 |
| Gig Harbor Health and Rehabilitationabuse icon | Gig Harbor | 120 | 2 | 1 | 3 | 118 | 98.3 | $128K | 18 Jun 2026 |
| Life Care Center of Puyallup | Puyallup | 102 | 2 | 2 | 4 | 38 | 37.3 | — | 1 Jul 2026 |
| Park Rose Care Center | Tacoma | 139 | 2 | 2 | 2 | 75 | 54.0 | $242K | 2 Jul 2025 |
| Alaska Gardens Health and Rehabilitation | Tacoma | 123 | 1 | 1 | 3 | 65 | 52.8 | $170K | 5 Jun 2026 |
| Birch Creek Post Acute & Rehabilitation | Tacoma | 124 | 1 | 1 | 3 | 78 | 62.9 | $30K | 18 Jun 2026 |
| Heartwood Extended Healthcare | Tacoma | 120 | 1 | 1 | 4 | 85 | 70.8 | $383K | 24 Jun 2026 |
| Linden Grove Health Care Centerabuse icon | Puyallup | 130 | 1 | 1 | 3 | 103 | 79.2 | $181K | 17 Jun 2026 |
| Orchard Park Health Care & Rehab Centerabuse icon | Tacoma | 147 | 1 | 1 | 4 | 113 | 76.9 | $136K | 1 Jun 2026 |
| Puyallup Post Acute | Puyallup | 96 | 1 | 2 | 1 | 54 | 56.3 | — | 20 May 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 67 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 52 |
| F0880 | Provide and implement an infection prevention and control program. | 34 |
| F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 33 |
| F0641 | Ensure each resident receives an accurate assessment. | 33 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 18 |
| Non profit | 2 |
| Government | 1 |
Chains present: Life Care Centers Of America (3), Avamere (2), Hill Valley Healthcare (2), Genesis Healthcare (2), Regency Pacific Management (2), The Ensign Group (2), Vertical Health Services (1), Evergreen Healthcare Group (1).
Questions and answers
How many nursing homes are in Pierce County, Washington?
21 Medicare-certified nursing homes with 2,333 certified beds.
Which nursing homes in Pierce County have the highest CMS ratings?
Heron'S Key (5 stars), Life Care Center of South Hill (5 stars), Rainier Rehabilitation (5 stars)
How do Pierce County nursing homes compare with Washington?
52% are rated 1–2 stars overall against 36% statewide; citations run at 51.0 per 100 beds against 50.9 statewide.