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Data / Nursing homes / Washington / Puget Sound Transitional Care

Puget Sound Transitional Care, Des Moines, WA: 2 star rating, no fines

Puget Sound Transitional Care in Des Moines, WA is owned by Pennant Healthcare LLC, is rated 2 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 47 health citations from inspections in that time, the latest survey on July 30, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
2800 South 224th Street,, Des Moines, WA 98198
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5
Certified beds
165
Residents per day
84 on average
Ownership type
For profit, corporation
Legal business name
River Otter Healthcare LLC
Chain
The Ensign Group, 347 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
47, of which 1 with actual harm or immediate jeopardy
Latest survey
July 30, 2026
CMS Certification Number
505513
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 30, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2026data.cms.gov
April 30, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 29, 2026data.cms.gov
March 5, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 31, 2026data.cms.gov
March 5, 2026F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 31, 2026data.cms.gov
August 27, 2025F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F881Implement a program that monitors antibiotic use.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
August 27, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 9, 2025data.cms.gov
July 1, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J: isolated, immediate jeopardyCorrectedJuly 31, 2025data.cms.gov
July 1, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2025data.cms.gov
July 1, 2025F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2025data.cms.gov
July 1, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2025data.cms.gov
June 12, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov
June 12, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 17, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (6 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Pennant Healthcare LLCDirect ownerNot listedNovember 21, 2022data.cms.gov
The Ensign Group IncIndirect ownerNot listedNovember 21, 2022data.cms.gov
Actriv Healthcare LLCOperational or managerial controlNot listedAugust 1, 2023data.cms.gov
Eastside Healthcare Staffing LLCOperational or managerial controlNot listedAugust 1, 2023data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedAugust 1, 2023data.cms.gov
Saltwater Health Holdings LLCAdditional disclosable partyNot listedAugust 1, 2023data.cms.gov
Standard Bearer Healthcare OP LPAdditional disclosable partyNot listedAugust 1, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.