Puget Sound Transitional Care
2800 South 224Th Street,, Des Moines, WA, 98198
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 165 · avg 79 residents/day
- Total nursing staff turnover
- 27.1% — lower than most Washington nursing homesWashington avg: 45.9% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Washington nursing homesWashington avg: 46.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Washington averageWashington avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 505513
- Certified beds
- 165 beds · avg 79 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- River Otter Healthcare Llc
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (13 on record)
- Joseph c Denor
Adp of The Snf · since 2025
- Tracy Jenkins
Adp of The Snf · since 2025
- Actriv Healthcare Llc
Operational/managerial Control · since 2023
- Barry Port
Corporate Director · since 2023
- Eastside Healthcare Staffing Llc
Operational/managerial Control · since 2023
- Ensign Services Inc
Adp of The Snf · since 2023
+ 7 additional owners on the federal record.
Recent change of ownership
August 2023 (2 years ago) · acquired from Stafford Healthcare
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 63)
- D0600·Apr 30, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0842·Mar 5, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0693·Mar 5, 2026Complaint
Quality of Life and Care Deficiencies
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.
- D0908·Aug 27, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- E0887·Aug 27, 2025
Infection Control Deficiencies
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.
- D0881·Aug 27, 2025
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
- E0812·Aug 27, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0801·Aug 27, 2025
Nutrition and Dietary Deficiencies
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.
Fire-safety citations
38 Life-Safety-Code citations on file. Most recent: Sep 26, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Puget Sound Transitional Careinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.