RAINIER REHABILITATION in Puyallup, WA has a 5-star overall rating, with 5 stars for health inspections and quality measures. Staffing is rated 3 stars, but reported nurse staffing is 5.25 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: August 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.2514.
Staffing detail
Registered nurses
1.18
Licensed practical nurses
0.82
Nurse aides
3.24
Weekend nursing
4.43
Hours per resident per day.
Total staff turnover: 21%
Registered nurse turnover: 11%
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
1.3%1.5%No change
Residents with a fall causing major injury
0%2.1%Worsening
Residents with pressure ulcers (bedsores)
0.6%0.6%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.6%5.6%Improving
Residents whose ability to walk got worse
—13.4%—
Long-stay residents on antianxiety or sleep medication
12.5%11.5%Improving
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
27.6%23%Improving
Residents with depressive symptoms
2.4%0%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
99%100%Improving
Short-stay residents given the seasonal flu vaccine
—98.3%—
Short-stay residents given the pneumonia vaccine
100%93.5%Worsening
What the inspectors found
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
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 — widespread issue, minimal harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: C
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 5 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
109.9 residents on an average day (94% of 117 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 39 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.