GoodStanding

Nursing home report

PUGET SOUND TRANSITIONAL CARE

DES MOINES, WA · Medicare-certified · 165 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Puget Sound Transitional Care in Des Moines, WA has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and the lowest-overall-rating flag. Staffing is 3 stars with reported nurse staffing at 3.85 hours per resident per day, below the federal benchmark of 4.1; quality measures are 4 stars, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.8463 hrs/resident/day

Quality measures

Last inspection: April 30, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8463.

Staffing detail

Registered nurses
0.76
Licensed practical nurses
0.87
Nurse aides
2.22
Weekend nursing
3.39

Hours per resident per day.

Total staff turnover: 32%
Registered nurse turnover: 60%

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

13.3%13.5%No change

Residents with a fall causing major injury

1.7%3%Worsening

Residents with pressure ulcers (bedsores)

1.5%2.3%Worsening

Residents with a urinary tract infection

1.8%1.5%No change

Residents who lost too much weight

0%1.6%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

20.8%11.5%Improving

Residents whose ability to walk got worse

49%

Long-stay residents on antianxiety or sleep medication

7.1%9.2%Worsening

Short-stay residents newly given an antipsychotic

0%1.7%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

22.5%20.6%Improving

Residents with depressive symptoms

39.3%81.4%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

96.6%97%No change

Short-stay residents given the seasonal flu vaccine

95.8%

Short-stay residents given the pneumonia vaccine

87.6%92.3%Improving

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 1 health deficiency.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 21 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · Aug 1, 2023

Now operated by Puget Sound Transitional Care, previously Stafford Healthcare.

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 346 homes · 3.2 stars avg
Occupancy
81.1 residents on an average day (49% 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.