Puget Sound Transitional Care
Nursing home in Des Moines, Washington, CMS certification number 505513
2800 South 224th Street,, Des Moines, WA 98198 · King County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 165
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 27, 2025
- Deficiencies at that inspection
- 25
- Fines in 3 years
- No fines
Does Puget Sound Transitional Care take Medicare and Medicaid?
Yes to both. Puget Sound Transitional Care is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours Puget Sound Transitional Care reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.75
- Registered nurse hours
- 0.84
- Licensed practical nurse hours
- 0.77
- Nurse aide hours
- 2.14
- Weekend total hours
- 3.37
- Nursing staff turnover
- 27.9%
- Registered nurse turnover
- 38.5%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 27, 2025 and cited 25 deficiencies, plus 4 from complaint visits.
The visit before, on June 12, 2024, found 18.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Puget Sound Transitional Care in the past 3 years.
Beds and residents
On an average day 84.1 residents live here, about 51% of its 165 certified beds.
- Certified beds
- 165
- Average residents per day
- 84.1
- Certified since
- February 2, 2004
- Resident or family council
- Resident
Who owns Puget Sound Transitional Care
- Legal business name
- River Otter Healthcare LLC
- Ownership type
- For profit - Corporation
- Chain
- 347 homes nationally under The Ensign Group, 3.3-star chain average
Other nursing homes near Puget Sound Transitional Care
- Wesley Homes Des Moines Health Center826 South 218th Street, Des Moines 98198
- Judson Park Health Center23620 Marine View Drive South, Des Moines 98198
- Benson Heights Rehabilitation Center22410 Benson Road SE, Kent 98031
- Valley View Skilled Nursing and Rehabilitation4430 Talbot Road South, Renton 98055
- Life Care Center Of Federal Way1045 South 308th Street, Federal Way 98003
Who inspects nursing homes in Washington
Washington's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Washington, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Puget Sound Transitional Care, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Puget Sound Transitional Care
What is the CMS star rating of Puget Sound Transitional Care?
2 out of 5 stars overall.
Does Puget Sound Transitional Care accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Puget Sound Transitional Care?
25 cited at the last standard visit.
Who owns Puget Sound Transitional Care?
River Otter Healthcare LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.