Nursing HomeInspections

Puget Sound Transitional Care

Nursing home in Des Moines, WA

Medicare & Medicaid certified2★ overall (CMS)

Call (206) 824-0600Send a messageMap ↗

Public-record details

Address
2800 South 224th Street,, Des Moines, WA 98198
Phone
(206) 824-0600
Listed under
For-profit, No fines in 3 years
Medicare CCN
505513
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
165
Average residents per day
81
Ownership
For-profit, corporation
Legal business name
River Otter Healthcare LLC
Chain
The Ensign Group (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 2, 2004
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 505513. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 27, 2025. CMS lists 63 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 19, 2023 to Apr 30, 2026): 9 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 30, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 5, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 5, 2026Ensure 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.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 27, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 27, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 27, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 27, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 27, 2025Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 27, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 27, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 63. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.85 hours
Registered nurse (RN) time per resident per day
0.76 hours
Nurse aide time per resident per day
2.22 hours
Total nurse staffing on weekends
3.39 hours
Nursing staff turnover (yearly)
32%
RN turnover (yearly)
60%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Des Moines

Judson Park Health Center23620 Marine View Drive South · Des Moines, WA 98198 · (206) 824-4000 · Nonprofit57 health citations in 3 inspection cycles · last standard inspection Aug 28, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Wesley Homes Des Moines Health Center826 South 218th Street · Des Moines, WA 98198 · (206) 824-3663 · Nonprofit52 health citations in 3 inspection cycles · last standard inspection Feb 12, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

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