Puget Sound Transitional Care
Nursing Home · Des Moines, WA
CMS certification number505513
Contact & location
2800 South 224Th Street,Des Moines, WA 98198
King County
- Phone
- (206) 824-0600
- ZIP code
- 98198 – all care providers
Facility details
- Certified beds
- 165
- Residents per day
- 81.1 (49% occupied)
- Ownership
- For profit - Corporation
- Legal name
- River Otter Healthcare LLC
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- February 2, 2004
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.85 (state 4.37 · U.S. 3.86)
- Registered nurses (RN)
- 0.76 (state 0.94 · U.S. 0.69)
- Licensed practical nurses
- 0.87 (state 0.77 · U.S. 0.86)
- Nurse aides
- 2.22 (state 2.66 · U.S. 2.32)
- Weekend total
- 3.39 (state 3.81 · U.S. 3.42)
- Nursing staff turnover
- 32.4 (state 45.1 · U.S. 45.8)%
- RN turnover
- 60.0 (state 45.4 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- August 27, 2025
- Health deficiencies (last cycle)
- 24.0 (state 16.1 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 63 health · 17 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-29 |
| 2026-03-05 | Ensure 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-31 |
| 2026-03-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-31 |
| 2025-08-27 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Educate 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. F0887 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Honor 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Try 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. F0700 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Ensure 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-08-27 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-10-09 |
| 2025-07-01 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-07-31 |
| 2025-07-01 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-31 |
| 2025-07-01 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-31 |
| 2025-07-01 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-31 |
| 2024-06-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Honor 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Honor 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Provide 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2024-06-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-17 |
| 2023-05-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-07-14 |
| 2023-05-19 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-07-14 |
| 2023-05-19 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-14 |
| 2023-05-19 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-14 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Denor, Joseph (individual) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Jenkins, Tracy (individual) | Administrator · NOT APPLICABLE | |
| Saltwater Health Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Standard Bearer Healthcare Op LP (organization) | Administrator · NOT APPLICABLE | |
| Port, Barry (individual) | Corporate Director · NOT APPLICABLE | |
| Pennant Healthcare LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| The Ensign Group INC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Burnam, Soon (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Denor, Joseph (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Farnsworth, Stephen (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Keetch, Chad (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Actriv Healthcare LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Burnam, Soon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Eastside Healthcare Staffing LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Jenkins, Tracy (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Puget Sound Transitional Care?
Puget Sound Transitional Care has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Washington.
How many beds does Puget Sound Transitional Care have?
It has 165 certified beds and cares for about 81 residents per day.
Has Puget Sound Transitional Care been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Puget Sound Transitional Care?
It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Puget Sound Transitional Care?
(206) 824-0600. The facility is located at 2800 South 224Th Street,, Des Moines, WA 98198.
Other nursing homes in Des Moines
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Judson Park Health Center
Nursing Home · Des Moines, WA · 96 beds
★★★★★ -
Wesley Homes Des Moines Health Center
Nursing Home · Des Moines, WA · 148 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.