Nursing Home in Des Moines, WA · CMS Data August 2026

Puget Sound Transitional Care

How Does Puget Sound Transitional Care Rate?

Puget Sound Transitional Care is a 165-bed for-profit nursing home in Des Moines, WA. CMS rates it 2 out of 5 stars overall (August 2026), with 2 for health inspections, 3 for staffing and 4 for quality measures. Residents got an average of 3.8 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on August 27, 2025, cited 24 health deficiencies.

CMS overall rating
2 of 5
Nursing per resident per day
3.8 hours
Deficiencies at last inspection
24
Certified beds
165

2800 South 224th Street,
Des Moines, WA 98198

2 of 5 CMS overall · Below average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

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Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for Puget Sound Transitional Care
RatingStarsCMS label
Overall rating2 of 5Below average
Health inspections2 of 5Below average
Staffing3 of 5Average
Quality measures4 of 5Above average
Quality for long-stay residents4 of 5Above average
Quality for short-stay residents5 of 5Much above average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at Puget Sound Transitional Care and the national median
MeasureThis homeNational median
Total nursing hours per resident per day3.8 hours3.7 hours
Registered nurse hours per resident per day0.8 hours0.6 hours
Nurse aide hours per resident per day2.2 hours2.2 hours
Total nursing hours per resident on weekends3.4 hours3.3 hours
Nursing staff turnover (past year)32%45%
Registered nurse turnover (past year)60%42%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for Puget Sound Transitional Care
Last standard health inspectionAugust 27, 2025
Health deficiencies cited at that inspection24
Deficiencies from complaint inspections (same rating cycle)3
Fines in the past 3 yearsNone
Payment denials in the past 3 years0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at Puget Sound Transitional Care who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for Puget Sound Transitional Care
Residents whoThis homeNational medianCompared
Received an antipsychotic medication15%13%Higher than the national median
Received an antianxiety or hypnotic medication7.0%18%Lower than the national median
Had a fall with major injury2.0%2.8%Lower than the national median
Have pressure ulcers1.6%4.2%Lower than the national median
Lost too much weight3.8%4.7%Lower than the national median
Were physically restrained0.0%0.0%At the national median
Have depressive symptoms58%3.6%Higher than the national median
Needed more help with daily activities over time17%13%Higher than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about Puget Sound Transitional Care
Certified beds165
Average residents per day81
OwnershipFor profit - Corporation
Legal business nameRIVER OTTER HEALTHCARE LLC
Chain or affiliated groupTHE ENSIGN GROUP (342 homes)
Certified forMedicare and Medicaid
First certifiedFebruary 2004
CouncilsResident council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Washington's Washington State Long-Term Care Ombudsman Program (1-800-562-6028) can answer questions about residents' rights. See all nursing homes and senior care in Washington.

Other Nursing Homes Near Puget Sound Transitional Care

Measured by straight-line distance. See every home on the Des Moines nursing homes page.

Sources

  1. CMS Care Compare: Puget Sound Transitional Care
  2. CMS Provider Data Catalog: Nursing Home Provider Information (processed August 1, 2026)
  3. CMS Provider Data Catalog: MDS Quality Measures

If someone is in danger now, call 911. To report suspected abuse or neglect in a nursing home or assisted living, contact your state's Long-Term Care Ombudsman or Adult Protective Services. For free help finding local aging services, call the Eldercare Locator at 1-800-677-1116. seniorcare.help is an independent guide, not a care provider or referral service, and doesn't give medical or legal advice.