Nursing homeFAID #12880
Puget Sound Transitional Care
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare
Photo via Google · Mikey Mike
Public record summary
What we can show you for free.
Bed capacity
165
CMS facility ID
505513
Care type
Nursing home
County
King
Facility name
Puget Sound Transitional Care
Street address
2800 SOUTH 224TH STREET,
City / state / ZIP
Des Moines, WA 98198
Phone
(206) 824-0600
Website
About this facility — Puget Sound Transitional Care
Puget Sound Transitional Care is a Medicare/Medicaid-certified skilled nursing facility in Des Moines, Washington. It is licensed for 165 beds — well above the median for skilled nursing facilities in Washington (97 beds).
It is one of 8 senior care facilities in Des Moines and 193 skilled nursing facilities across Washington. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Puget Sound Transitional Care 101 times across 11 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
The Ensign Group
Ownership type
For profit - Corporation
Registered owners & officers
Actriv Healthcare Llc
Operational control — since 2023
Burnam, Soon
Governing body · Operational control — since 2022
Denor, Joseph
Governing body · Additional disclosable party — since 2023
Eastside Healthcare Staffing Llc
Operational control — since 2023
Ensign Services Inc
Additional disclosable party — since 2023
Farnsworth, Stephen
Governing body — since 2023
Jenkins, Tracy
Operational control · Additional disclosable party — since 2022
Keetch, Chad
Governing body — since 2011
Pennant Healthcare Llc
Direct owner — since 2022
Port, Barry
Director — since 2023
Saltwater Health Holdings Llc
Additional disclosable party — since 2023
Standard Bearer Healthcare Op Lp
Additional disclosable party — since 2023
The Ensign Group Inc
Indirect owner — since 2022
Regulatory standing
Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2004-02-02
CMS overall rating
2 of 5 stars
Health deficiencies
24 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-08-27
Nurse staffing
3.8 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$430 per day (≈ $13,070/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
75% Medicaid · 7% Medicare · 18% private/other
Occupancy
59% (fiscal year 2023)
Vs. state median
10% below the WA median of $480/day — full state cost breakdown
Services & coverage
Licensed beds
165
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-30Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-29
2026-03-05Health inspectionComplaint-triggered2 citations
F-0693
E · No harm foundFrom a complaint
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.
Corrected 2026-03-31
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-03-31
8 earlier / fire-safety inspections (98 citations)
2025-08-27Health inspection21 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-10-09
F-0578
D · No harm found
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.
Corrected 2025-10-09
F-0628
E · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-09
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-10-09
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-10-09
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-10-09
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-09
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-09
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-10-09
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-09
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-10-09
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-09
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-10-09
F-0700
D · No harm found
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.
Corrected 2025-10-09
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-09
F-0761
D · No harm found
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.
Corrected 2025-10-09
F-0801
E · No harm foundFood safety
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.
Corrected 2025-10-09
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-09
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2025-10-09
F-0887
E · No harm found
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.
Corrected 2025-10-09
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2025-10-09
2025-07-01Health inspectionComplaint-triggered4 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-31
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-07-31
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-07-31
F-0726
E · No harm foundFrom a complaint
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.
Corrected 2025-07-31
2024-06-12Health inspectionComplaint-triggered18 citations
F-0578
E · No harm found
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.
Corrected 2024-07-17
F-0584
D · No harm found
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.
Corrected 2024-07-17
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-07-17
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-07-17
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-07-17
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-17
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-07-17
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-17
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-17
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-07-17
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-17
F-0688
D · No harm found
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.
Corrected 2024-07-17
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-17
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-17
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-17
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-17
F-0847
E · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-07-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-07-17
2023-05-19Health inspection17 citations
F-0553
E · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-07-14
F-0567
D · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-07-14
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-07-14
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-07-14
F-0645
E · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-07-14
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-07-14
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-14
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-14
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-07-14
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2023-07-14
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-07-14
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-07-14
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-14
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-07-14
F-0850
E · No harm found
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2023-07-14
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-07-14
F-0881
D · No harm found
Implement a program that monitors antibiotic use.
Corrected 2023-07-14
2025-09-26Fire-safety inspectionComplaint-triggered2 citations
K-0211
F · No harm foundFrom a complaint
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-10-09
K-0511
D · No harm foundFrom a complaint
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-09
2025-08-27Fire-safety inspection3 citations
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-19
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-19
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-19
2024-06-12Fire-safety inspection11 citations
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2024-07-08
E-0018
F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-07-08
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2024-07-08
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2024-07-08
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2024-07-08
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-08
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-08
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-07-08
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-07-08
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-08
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-08
2023-05-19Fire-safety inspection22 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-06-19
E-0018
F · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2023-06-19
E-0036
F · No harm found
Establish emergency prep training and testing.
Corrected 2023-06-19
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2023-06-19
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-06-19
K-0100
D · No harm found
Meet other general requirements.
Corrected 2023-05-25
K-0281
D · No harm found
Install proper backup exit lighting.
Corrected 2023-05-25
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-29
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-05-30
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-05-31
K-0346
F · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-05-25
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-25
K-0354
F · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-05-25
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-06-19
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-19
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-06-19
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-19
K-0531
F · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-06-19
K-0541
D · No harm found
Install properly constructed and protected linen or trash chutes.
Corrected 2023-06-19
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-19
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-06-19
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2023-06-19
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 505513.
Visitor reviews
What people say on Google.
4.0★★★★★56 ratings on Google
★★★★Judy Jones · 2026-06-29 · via Google“I’ve been living at PST CARE for 8 years and I’m 79. The only reason I gave them a 4 rating is because of the kitchen/meals. Meals aren’t always delivered to rooms at a specific time and since this new staff took over, it’s hard to know what will be on the menu. The staff is very gracious and listens to whatever you have to say. Rooms, & halls, are mopped every morning by friendly staff that say h…”
★★★★★Carl Moody · 2026-04-24 · via Google“Puget Sound has undergone a monumental change in quality since being acquired by the new owners. 5 star quality measures and growing team of staff and specialty service providers. It’s worth a visit to meet and see for yourself.”
★★★★★Crew Moody · 2026-07-22 · via Google“Just wanted to leave a little review here. Puget sound really does feel like one big family with the staff and residents all treat each other! You can tell that the staff really gives their all every day and is willing to work with the residents to give them the best care they can”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 101 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered