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Nursing homesWashington › Puget Sound Transitional Care

Puget Sound Transitional Care

2800 South 224Th Street,, Des Moines, WA 98198 · 2068240600 · 165 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★☆☆ 3/5
Quality measures★★★★☆ 4/5

Ownership group

Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).

See all 346 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.85 (Washington median: 4.15). RN hours: 0.76. Weekend total: 3.39. Nursing staff turnover: 32%.

Inspection deficiencies

All-time on record: 63 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-30Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2026-05-29
2026-03-05Ensure 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. Ecomplaintcorrected 2026-03-31
2026-03-05Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2026-03-31
2025-08-27Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. EHealthcorrected 2025-10-09
2025-08-27Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2025-10-09
2025-08-27Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. EHealthcorrected 2025-10-09
2025-08-27Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-10-09
2025-08-27Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. EHealthcorrected 2025-10-09
2025-08-27Ensure that residents are fully informed and understand their health status, care and treatments. DHealthcorrected 2025-10-09
2025-08-27Honor 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 directive. DHealthcorrected 2025-10-09
2025-08-27Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. DHealthcorrected 2025-10-09
2025-08-27Ensure each resident receives an accurate assessment. DHealthcorrected 2025-10-09
2025-08-27Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. DHealthcorrected 2025-10-09
2025-08-27Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2025-10-09
2025-08-27Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. DHealthcorrected 2025-10-09
2025-08-27Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2025-10-09
2025-08-27Provide activities to meet all resident's needs. DHealthcorrected 2025-10-09
2025-08-27Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2025-10-09
2025-08-27Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2025-10-09
2025-08-27Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. DHealthcorrected 2025-10-09
2025-08-27Ensure medication error rates are not 5 percent or greater. DHealthcorrected 2025-10-09
2025-08-27Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. DHealthcorrected 2025-10-09
2025-08-27Implement a program that monitors antibiotic use. DHealthcorrected 2025-10-09
2025-08-27Keep all essential equipment working safely. DHealthcorrected 2025-10-09
2025-07-01Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Jcomplaintcorrected 2025-07-31
2025-07-01Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Ecomplaintcorrected 2025-07-31
2025-07-01Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-07-31
2025-07-01Respond appropriately to all alleged violations. Dcomplaintcorrected 2025-07-31
2024-06-12Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-07-17
2024-06-12Honor 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 directive. EHealthcorrected 2024-07-17
2024-06-12Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2024-07-17
2024-06-12Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2024-07-17
2024-06-12Provide care and assistance to perform activities of daily living for any resident who is unable. EHealthcorrected 2024-07-17
2024-06-12Provide safe, appropriate dialysis care/services for a resident who requires such services. EHealthcorrected 2024-07-17
2024-06-12Ensure medication error rates are not 5 percent or greater. EHealthcorrected 2024-07-17
2024-06-12Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. EHealthcorrected 2024-07-17
2024-06-12Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. DHealthcorrected 2024-07-17
2024-06-12Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. DHealthcorrected 2024-07-17
2024-06-12Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. DHealthcorrected 2024-07-17
2024-06-12Ensure each resident receives an accurate assessment. DHealthcorrected 2024-07-17

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
PENNANT HEALTHCARE LLCDirect Ownership InterestOrganizationNOT APPLICABLEsince 11/21/2022
THE ENSIGN GROUP INCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 11/21/2022
BURNAM, SOONManaging Control - Governing BodyIndividualNOT APPLICABLEsince 11/21/2022
DENOR, JOSEPHManaging Control - Governing BodyIndividualNOT APPLICABLEsince 08/01/2023
FARNSWORTH, STEPHENManaging Control - Governing BodyIndividualNOT APPLICABLEsince 08/01/2023
KEETCH, CHADManaging Control - Governing BodyIndividualNOT APPLICABLEsince 03/01/2011
PORT, BARRYCorporate DirectorIndividualNOT APPLICABLEsince 08/01/2023
ACTRIV HEALTHCARE LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/01/2023
EASTSIDE HEALTHCARE STAFFING LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 08/01/2023
BURNAM, SOONOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/21/2022
JENKINS, TRACYOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/21/2022

Compare nearby (King County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505513. Corrections: data@carerecords.org.