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.
#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.
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).
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/
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.