RAINIER REHABILITATION in Puyallup, WA has an overall 5-star rating, with 5 stars for health inspections and quality measures and 3 stars for staffing. It reported 5.30 nurse staffing hours per resident day, above the 4.1 federal benchmark, and had $0 in 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 5.3012.
Staffing detail
Registered nurses
1.24
Licensed practical nurses
0.82
Nurse aides
3.23
Weekend nursing
4.46
Hours per resident per day.
Total staff turnover: 21%
Registered nurse turnover: 15%
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
2.8%1.4%Improving
Residents with a fall causing major injury
2.1%2%No change
Residents with pressure ulcers (bedsores)
1.9%0.5%Improving
Residents with a urinary tract infection
0%1%Worsening
Residents who lost too much weight
1.2%2.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.9%15.4%Improving
Residents whose ability to walk got worse
—5.2%—
Long-stay residents on antianxiety or sleep medication
14.6%14.6%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
19.6%8.6%Improving
Residents with depressive symptoms
1.3%3.8%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.3%—
Short-stay residents given the pneumonia vaccine
97.5%98.8%Improving
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 · 346 homes · 3.2 stars avg
Occupancy
111 residents on an average day (95% of 117 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 40 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.