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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
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.