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Nursing home report

PUGET SOUND TRANSITIONAL CARE

DES MOINES, WA · Medicare-certified · 165 beds

Needs attention
For-profitChain member
1 of 5 overall

Puget Sound Transitional Care in Des Moines, WA has a 1-star overall rating, with a 1-star health inspection rating and an attention flag for lowest overall rating. Staffing is 3 stars, with reported nurse staffing at 3.89 hours per resident per day versus the 4.1-hour federal benchmark; there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.8945 hrs/resident/day

Quality measures

Last inspection: March 5, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8945.

Staffing detail

Registered nurses
0.93
Licensed practical nurses
0.73
Nurse aides
2.23
Weekend nursing
3.38

Hours per resident per day.

Total staff turnover: 27%
Registered nurse turnover: 57%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

7.5%14.9%Worsening

Residents with a fall causing major injury

0%1.6%Worsening

Residents with pressure ulcers (bedsores)

1.6%1.1%No change

Residents with a urinary tract infection

2%0%Improving

Residents who lost too much weight

16%1.7%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

48.9%22.4%Improving

Residents whose ability to walk got worse

48.3%

Long-stay residents on antianxiety or sleep medication

7.8%7.9%No change

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

13.6%25.4%Worsening

Residents with depressive symptoms

40.8%69%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

89.5%

Long-stay residents given the pneumonia vaccine

100%90.6%Worsening

Short-stay residents given the seasonal flu vaccine

95.8%

Short-stay residents given the pneumonia vaccine

98.9%88.8%Worsening

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to run its operations effectively and efficiently using its available resources. Cited May 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: F

The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 693 — 42 CFR §483.25 — S/S: E

The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 21 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
79.1 residents on an average day (48% of 165 beds)
Resident voice
Resident council
Medicare history
Certified for 22 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.