Nursing Home Alerts

Puget Sound Transitional Care

2800 South 224th Street,, Des Moines, WA 98198

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Puget Sound Transitional Care is a nursing home in Des Moines, Washington. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(206) 824-0600
Last standard health inspection
August 27, 2025 (1 year ago)
Certified beds
165
Residents per day, on average
84.1
Ownership type
For profit - Corporation
Legal business name
River Otter Healthcare LLC
Chain
The Ensign Group
Takes part in
Medicare and Medicaid

More health citations than the Washington average (64 vs 50).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 8, 2026

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  2. 1 citation

    Health inspection on July 30, 2026

    CMS lists this as a complaint inspection.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on September 10, 2026.

      CMS has cited this home for F0610 2 times since 2025.

    See this home on CMS Care Compare

  3. CMS update of May 27, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  4. 1 citation

    Health inspection on April 30, 2026

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on May 29, 2026.

    See this home on CMS Care Compare

  5. 2 citations

    Health inspection on March 5, 2026

    CMS lists this as a complaint inspection.

    • Citation F0693. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 31, 2026.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on March 31, 2026.

    See this home on CMS Care Compare

  6. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  7. CMS update of November 20, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  8. 2 citations

    Fire safety inspection on September 26, 2025

    CMS lists this as a complaint inspection.

    • Citation K0211. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on October 9, 2025.

    • Citation K0511. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for K0511 2 times since 2023.

    See this home on CMS Care Compare

  9. 21 citations

    Health inspection on August 27, 2025

    CMS lists this as a standard inspection.

    • Citation F0628. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0657. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0657 2 times since 2024.

    • Citation F0801. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0812 3 times since 2023.

    • Citation F0887. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0578 2 times since 2024.

    • Citation F0636. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0641 3 times since 2023.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0658 2 times since 2024.

    • Citation F0676. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0677 3 times since 2023.

    • Citation F0679. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0679 2 times since 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0684 3 times since 2023.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0700. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0759 2 times since 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 9, 2025.

    • Citation F0881. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on October 9, 2025.

      CMS has cited this home for F0881 2 times since 2023.

    • Citation F0908. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep all essential equipment working safely.

      CMS lists it as corrected on October 9, 2025.

    See this home on CMS Care Compare

  10. 3 citations

    Fire safety inspection on August 27, 2025

    CMS lists this as a standard inspection.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on September 19, 2025.

      CMS has cited this home for K0920 2 times since 2024.

    • Citation K0372. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on September 19, 2025.

      CMS has cited this home for K0372 3 times since 2023.

    • Citation K0741. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on September 19, 2025.

    See this home on CMS Care Compare

  11. 4 citations

    Health inspection on July 1, 2025

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    16 of 193 Washington homes (8%) got a citation at the immediate jeopardy level in 2025.

    • Citation F0678. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

      CMS lists it as corrected on July 31, 2025.

    • Citation F0726. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 31, 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on July 31, 2025.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on July 31, 2025.

    See this home on CMS Care Compare

  12. CMS update of April 30, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  13. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

  14. CMS update of September 26, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

  15. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 4.5 to 3.7 hours per resident per day.

  16. 18 citations

    Health inspection on June 12, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0578. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0657. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0658. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0698. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0847. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0640. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0679. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on July 17, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 17, 2024.

      CMS has cited this home for F0880 2 times since 2023.

    See this home on CMS Care Compare

  17. 11 citations

    Fire safety inspection on June 12, 2024

    CMS lists this as a standard inspection.

    • Citation E0015. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Address subsistence needs for staff and patients.

      CMS lists it as corrected on July 8, 2024.

    • Citation E0018. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.

      CMS lists it as corrected on July 8, 2024.

      CMS has cited this home for E0018 2 times since 2023.

    • Citation E0030. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: List the names and contact information of those in the facility.

      CMS lists it as corrected on July 8, 2024.

    • Citation E0036. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish emergency prep training and testing.

      CMS lists it as corrected on July 8, 2024.

      CMS has cited this home for E0036 2 times since 2023.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on July 8, 2024.

      CMS has cited this home for E0037 2 times since 2023.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on July 8, 2024.

      CMS has cited this home for K0353 2 times since 2023.

    • Citation K0355. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on July 8, 2024.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on July 8, 2024.

      CMS has cited this home for K0363 2 times since 2023.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on July 8, 2024.

    • Citation K0372. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on July 8, 2024.

    • Citation K0374. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on July 8, 2024.

      CMS has cited this home for K0374 2 times since 2023.

    See this home on CMS Care Compare

  18. CMS update of April 25, 2024

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  19. CMS update of February 29, 2024

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS ownership records list new owners for this home.

  20. CMS update of January 31, 2024

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Changed ownership in the last 12 months

      CMS records show a change of ownership in the past 12 months.

    • Ownership

      CMS lists this home under a new chain.

  21. CMS update of December 21, 2023

    • Name

      CMS lists a new name for this home. It was STAFFORD HEALTHCARE.

  22. 17 citations

    Health inspection on May 19, 2023

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0835. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0553. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Allow resident to participate in the development and implementation of his or her person-centered plan of care.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0641. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0645. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on July 14, 2023.

    • Citation F0655. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on July 14, 2023.

    • Citation F0850. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Hire a qualified full-time social worker in a facility with more than 120 beds.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0567. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to manage his or her financial affairs.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0582. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0740. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 14, 2023.

    • Citation F0881. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on July 14, 2023.

    See this home on CMS Care Compare

  23. 22 citations

    Fire safety inspection on May 19, 2023

    CMS lists this as a standard inspection.

    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on June 19, 2023.

    • Citation E0018. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.

      CMS lists it as corrected on June 19, 2023.

    • Citation E0036. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish emergency prep training and testing.

      CMS lists it as corrected on June 19, 2023.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on June 19, 2023.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0291. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on May 29, 2023.

    • Citation K0324. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on May 31, 2023.

    • Citation K0346. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Follow proper procedures when the fire alarm was out of service for more than 4 hours.

      CMS lists it as corrected on May 25, 2023.

    • Citation K0354. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

      CMS lists it as corrected on May 25, 2023.

    • Citation K0531. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have elevators that firefighters can control in the event of a fire.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0926. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on May 25, 2023.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0100. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Meet other general requirements.

      CMS lists it as corrected on May 25, 2023.

    • Citation K0281. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install proper backup exit lighting.

      CMS lists it as corrected on May 25, 2023.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on May 30, 2023.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0372. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0374. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0541. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install properly constructed and protected linen or trash chutes.

      CMS lists it as corrected on June 19, 2023.

    • Citation K0923. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on June 19, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Puget Sound Transitional Care last inspected?

CMS lists August 27, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Puget Sound Transitional Care have?

CMS lists 64 health citations since May 19, 2023. CMS also calls these deficiencies.

Has Puget Sound Transitional Care been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Puget Sound Transitional Care?

Its CMS overall star rating is 2 of 5.

Is Puget Sound Transitional Care a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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