PUGET SOUND TRANSITIONAL CARE – DES MOINES, WA

CMS Verified | 2026-03-01

Puget Sound Transitional Care

2800 SOUTH 224TH STREET,, Des Moines, WA 98198
(206) 824-0600
165 beds
All Des Moines facilities
2.0*
Overall
2.0*
Health Inspection
4.0*
Quality Care
3.0*
Staffing
74.39
Score /100
#6207
National Rank

#6207
of 14703 facilities
National
57.8% position
#105
of 194 in WA
State Rank
#29
of 47 in King
County Rank
#3
of 3 in Des Moines
City Rank
#3
of 3 in ZIP 98198
ZIP Rank






About Puget Sound Transitional CarePuget Sound Transitional Care is located at 2800 South 224Th Street,, Des Moines, WA, reachable at (206) 824-0600. This For profit – Corporation facility operates 165.0 certified beds and serves an average of 77 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 2004-02-02. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Puget Sound Transitional Care

Address

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

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 165 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: THE ENSIGN GROUP

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 9 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
74.39
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#6207 of 14703 nationally – #105 of 194 in Washington

Who Is This Facility Best For?

Puget Sound Transitional Care may be considered for families with limited options in Des Moines, WA, but its lower CMS ratings suggest careful due diligence is warranted. It scores well for both long-term residents and short-stay rehabilitation patients.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightPuget Sound Transitional Care currently provides 3 hours 58 minutes of total nurse staffing per resident per day, including 50 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover is 26.2%, near the national average.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 58 minutes
Nurse Aide Hours2 hours 23 minutes
Licensed Practical Nurse (LPN) Hours45 minutes
Registered Nurse (RN) Hours50 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 22 minutes
Weekend Registered Nurse (RN) Hours38 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 9 fine(s) over the 5-year period, totaling $298,240. 27 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 178.25 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#6,207
of 14,703
National
Top 42%
#105
of 194
WA State
Bottom 46% in WA
#29
of 47
️ King County
#29 of 47
#3
of 3
️ Des Moines
#3 of 3
#3
of 3
ZIP 98198
#3 of 3

Nationally, Puget Sound Transitional Care ranks 6207th out of 14,703 facilities (composite score: 74.4/100), placing it in the above average nationwide. Within WA, it ranks 105th out of 194 nursing homes. In Des Moines, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #4,998 nationally and RN hours rank #3,251 nationally (#90 in WA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank WA State Rank Note
2022 #14,124 / 14,703 #182 / 194 ⚠️ Bottom 5%
2023 4.15 #3,318 / 14,703 #87 / 194 Top 25%
2024 4.52 #2,103 / 14,703 #47 / 194 Top 25%
2025 3.63 #7,598 / 14,703 #174 / 194 Below average
2026 3.97 #4,998 / 14,703 #117 / 194 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank WA State Rank Note
2022 #14,124 / 14,703 #182 / 194 ⚠️ Bottom 5%
2023 0.70 #4,606 / 14,703 #120 / 194 Above average
2024 0.85 #2,817 / 14,703 #78 / 194 Top 25%
2025 0.87 #2,838 / 14,703 #85 / 194 Top 25%
2026 0.84 #3,251 / 14,703 #90 / 194 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Puget Sound Transitional Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2004-02-02. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (206) 824-0600 or your local Medicaid office to verify current eligibility.

Puget Sound Transitional Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 74.4/100, placing it #6207 of 14703 facilities nationally and #105 of 194 in Washington. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Puget Sound Transitional Care receives a reported average of 3 hours 58 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 50 minutes; Licensed Practical Nurse (LPN) — 45 minutes; Nurse Aide — 2 hours 23 minutes. On weekends, total nurse staffing is 3 hours 22 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 26.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 9 fine(s) over the 5-year period, totaling $298,240. 27 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 178.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Puget Sound Transitional Care ranks 6207th out of 14,703 facilities (composite score: 74.4/100), placing it in the above average nationwide. Within WA, it ranks 105th out of 194 nursing homes. In Des Moines, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #4,998 nationally and RN hours rank #3,251 nationally (#90 in WA). Our composite quality score of 74.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Des Moines, visit: https://nursinghomesnearme.org/washington/des-moines/

Contact and Location

ADR
Address

2800 SOUTH 224TH STREET,, Des Moines, WA 98198
Get directions on Google Maps

TEL
LLC
Legal Name

RIVER OTTER HEALTHCARE LLC

MAP
Browse by Location

All Washington ·
King County ·
Des Moines ·
ZIP 98198

Facility Details

Number of Certified Beds 165
Average Residents / Day 77 (47% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County King County, WA
City Des Moines, WA
ZIP Code 98198
Approved Since February 2, 2004
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 505513
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org