Skilled Nursing

PUGET SOUND TRANSITIONAL CARE

2800 SOUTH 224TH STREET,, DES MOINES, WA 98198

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165beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Pricing

Regional estimate — not this community's rate

$7,600$11,400/mo

Typical skilled nursing costs in Washington range from $7,600 to $11,400/month. Contact this community directly for their specific rate.

Based on Genworth Cost of Care Survey, 2023. This is a regional benchmark, not a quote from this facility.

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CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Staffing
3/5
Quality Care
4/5

Source: Centers for Medicare & Medicaid Services (CMS). Updated nightly.

Amenities

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Chef kitchen
Private dining
Pet-friendly
Fitness center
Pool
Transportation
Wi-Fi
Outdoor spaces
Beauty salon
On-site therapy
Memory garden
Housekeeping
Activities program
24hr nursing
Memory care program

Floor Plans

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About

No description available yet.

Capacity
165 beds
CMS Provider #
505513
Data Source
cms
State
WA

Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.4h

Hrs/resident · weekday

Expected: 3.4h

2.9h

Hrs/resident · weekend

vs 3.4h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
57%
LPNs
CNAs
27%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0678Severity JJul 1, 2025

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected: Jul 31, 2025

45 standard deficiencies in the last 3 years

View all
0600Severity DApr 30, 2026

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0842Severity DMar 5, 2026

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0693Severity EMar 5, 2026

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.

0908Severity DAug 27, 2025

Keep all essential equipment working safely.

0887Severity EAug 27, 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.

0881Severity DAug 27, 2025

Implement a program that monitors antibiotic use.

0812Severity EAug 27, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0801Severity EAug 27, 2025

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.

0761Severity DAug 27, 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.

0759Severity DAug 27, 2025

Ensure medication error rates are not 5 percent or greater.

0700Severity DAug 27, 2025

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.

0690Severity DAug 27, 2025

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

0684Severity DAug 27, 2025

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

0679Severity DAug 27, 2025

Provide activities to meet all resident's needs.

0677Severity DAug 27, 2025

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

0676Severity DAug 27, 2025

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0658Severity DAug 27, 2025

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

0657Severity EAug 27, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0644Severity DAug 27, 2025

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0641Severity DAug 27, 2025

Ensure each resident receives an accurate assessment.

0636Severity DAug 27, 2025

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

0628Severity EAug 27, 2025

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0578Severity DAug 27, 2025

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.

0552Severity DAug 27, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

0726Severity EJul 1, 2025

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.

0610Severity DJul 1, 2025

Respond appropriately to all alleged violations.

0609Severity DJul 1, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0880Severity DJun 12, 2024

Provide and implement an infection prevention and control program.

0847Severity EJun 12, 2024

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0812Severity FJun 12, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0759Severity EJun 12, 2024

Ensure medication error rates are not 5 percent or greater.

0698Severity EJun 12, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0689Severity DJun 12, 2024

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

0688Severity DJun 12, 2024

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.

0684Severity DJun 12, 2024

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

0679Severity DJun 12, 2024

Provide activities to meet all resident's needs.

0677Severity EJun 12, 2024

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

0658Severity EJun 12, 2024

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

0657Severity EJun 12, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity DJun 12, 2024

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

0641Severity DJun 12, 2024

Ensure each resident receives an accurate assessment.

0640Severity DJun 12, 2024

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0623Severity DJun 12, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0584Severity DJun 12, 2024

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.

0578Severity EJun 12, 2024

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.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

RIVER OTTER HEALTHCARE LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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