Washington › King County › Des Moines
Puget Sound Transitional Care
2800 South 224th Street,, Des Moines, WA 98198
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 165 beds, Puget Sound Transitional Care serves Des Moines in King County, Washington and has taken Medicare and Medicaid residents since 2004.
CMS gives it 2 of 5 stars overall, below the Washington median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 63 health deficiencies across the three most recent survey cycles (24, 22, 17 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 38.2 per 100 beds, fewer than the state median of 50.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.8 RN), close to the Washington median of 4.1; nursing staff turnover is 32.4%.
Compared with county, state and nation
| Measure | This facility | King Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 63 | 54 | 46 | 28.7 |
| Citations per 100 beds | 38.2 | 51.7 | 50.0 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.2 | 4.1 | 3.9 |
| RN hours per resident day | 0.8 | 1.0 | 0.9 | 0.7 |
| Nursing staff turnover | 32.4% | 41.0% | 43.2% | 45.8% |
| Fines listed | $0 | $8,278 | $17,388 | — |
County and state figures are medians across facilities (47 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Aug 2025, 12 Jun 2024.
Severity mix: J ×1 D ×40 E ×19 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 May 2026 |
| 5 Mar 2026 | F0693 | 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. | E | Complaint investigation | 31 Mar 2026 |
| 5 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 31 Mar 2026 |
| 27 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0887 | 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. | E | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0761 | 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. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 9 Oct 2025 |
| 27 Aug 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 9 Oct 2025 |
| 1 Jul 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 31 Jul 2025 |
| 1 Jul 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 31 Jul 2025 |
| 1 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Jul 2025 |
| 1 Jul 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 31 Jul 2025 |
| 12 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0584 | 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. | D | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 17 Jul 2024 |
| 12 Jun 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0688 | 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. | D | Standard survey | 17 Jul 2024 |
| 12 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Jul 2024 |
| 12 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Jul 2024 |
| 19 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Jul 2023 |
| 19 May 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 14 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 32.4%, RNs 60.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.7% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 49.0% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.5% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: River Otter Healthcare Llc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pennant Healthcare LLC | Direct ownership interest | NOT APPLICABLE | 11/21/2022 |
| The Ensign Group Inc | Indirect ownership interest | NOT APPLICABLE | 11/21/2022 |
| Actriv Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2023 |
| Eastside Healthcare Staffing LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2023 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
| Saltwater Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
| Standard Bearer Healthcare Op LP | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in King County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Briarwood At Timber Ridge | Issaquah | 45 | 5 | 4 | 5 | 19 | 42.2 | — | 16 Dec 2025 |
| Covenant Shores Health Center | Mercer Island | 43 | 5 | 4 | 5 | 35 | 81.4 | — | 11 Feb 2026 |
| Fircrest Nursing Facility | Seattle | 110 | 5 | 4 | 4 | 36 | 32.7 | — | 7 Nov 2025 |
| Garden Terrace Healthcare Center of Federal Way | Federal Way | 70 | 5 | 3 | 5 | 46 | 65.7 | — | 12 Sep 2025 |
| Judson Park Health Center | Des Moines | 96 | 5 | 3 | 5 | 57 | 59.4 | — | 28 Aug 2025 |
| Mirabella | Seattle | 46 | 5 | 3 | 5 | 48 | 104.3 | $23K | 29 Apr 2026 |
| Queen Anne Healthcare | Seattle | 120 | 5 | 5 | 5 | 30 | 25.0 | — | 5 May 2026 |
| Redmond Care and Rehabilitation Center | Redmond | 139 | 5 | 4 | 4 | 26 | 18.7 | — | 13 Feb 2026 |
All 47 facilities in King County
Questions and answers
How many deficiencies has Puget Sound Transitional Care been cited for?
63 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Puget Sound Transitional Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Puget Sound Transitional Care compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Puget Sound Transitional Care?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Pennant Healthcare LLC, The Ensign Group Inc and Actriv Healthcare LLC. Individual owners and managers are not listed on this site.
When was Puget Sound Transitional Care last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 27 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.