About Puget Sound Transitional Care
Puget Sound Transitional Care, located in DES MOINES, WA, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Puget Sound Transitional Care
- More Nursing Time: Staff spends 3.89 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.89 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the THE ENSIGN GROUP network. This chain operates 338 facilities.
Chain Performance Overview
For AI Users, Agents, and Developers
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Puget Sound Transitional Care provides less care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 4 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 207 | Aug 27, 2025 |
| Weighted Average | 187 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 20.8% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 11.2% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.2% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.7% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 25.6% |
| Percentage of long-stay residents who lose too much weight (QM404) | 7.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.9% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 47.7% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 1.3% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 96.2% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 90.6% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 48.3% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 6.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 89.5% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 95.8% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 1.4% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 26.2% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 13.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 2 complaints
- 2024: 2 complaints
- 2025: 6 complaints
- 2026: 2 complaints
- Total: 12 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 31, 2026 | 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. |
| Mar 31, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Oct 09, 2025 | Have properly installed electrical wiring and gas equipment. |
| Oct 09, 2025 | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| Jul 31, 2025 | 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. |
| Jul 31, 2025 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. |
| Jul 31, 2025 | Respond appropriately to all alleged violations. |
| Jul 31, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Jul 17, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Jul 17, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 14, 2023 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| Jul 14, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
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Owner & Operator Information
Business Entity
RIVER OTTER HEALTHCARE LLC
Ownership Structure
Management & Direction
- ACTRIV HEALTHCARE LLC OPERATIONAL/MANAGERIAL CONTROL
- SOON BURNAM MANAGING CONTROL - GOVERNING BODY
- SOON BURNAM OPERATIONAL/MANAGERIAL CONTROL
- JOSEPH DENOR MANAGING CONTROL - GOVERNING BODY
- JOSEPH DENOR ADP OF THE SNF
- EASTSIDE HEALTHCARE STAFFING LLC OPERATIONAL/MANAGERIAL CONTROL
- ENSIGN SERVICES INC ADP OF THE SNF
- STEPHEN FARNSWORTH MANAGING CONTROL - GOVERNING BODY
- TRACY JENKINS OPERATIONAL/MANAGERIAL CONTROL
- TRACY JENKINS ADP OF THE SNF
- CHAD KEETCH MANAGING CONTROL - GOVERNING BODY
- BARRY PORT CORPORATE DIRECTOR
- SALTWATER HEALTH HOLDINGS LLC ADP OF THE SNF
- STANDARD BEARER HEALTHCARE OP LP ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Rainier Rehabilitation | N/A | 5 |
| Tacoma Nursing and Rehabilitation Center | N/A | 5 |
| Bainbridge Island Health and Rehab Center | N/A | 5 |
| The Oaks at Lakewood | N/A | 5 |
| Heron's Key | N/A | 5 |
| Life Care Center of Port Orchard | N/A | 5 |
| Redmond Care and Rehabilitation Center | N/A | 5 |
| Queen Anne Healthcare | N/A | 5 |
| Life Care Center of South Hill | N/A | 5 |
| Avamere Rehabilitation at Ridgemont | N/A | 4 |
Related Analysis
Best Nursing Homes in DES MOINES, WA
Compare Puget Sound Transitional Care to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Puget Sound Transitional Care directly at 2068240600. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.