Puget Sound Transitional Care: Staffing, Turnover, and Inspection Record
Puget Sound Transitional Care is a 165-bed for-profit nursing home in Des Moines, Washington, part of The Ensign Group. In the CMS August 2026 release it reported 2.22 nurse aide hours per resident per day, 16% below the Washington average of 2.66, and 32.4% nursing staff turnover (Washington average 45.1%).
Puget Sound Transitional Care
2800 South 224th StreetDes Moines, WA 98198
King County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Puget Sound Transitional Care, nurse aides logged 2.22 hours per resident per day, 16% below the Washington average. With about 81 residents a day, that works out to roughly 180 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Washington avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.22 | 2.66 | 2.32 |
| Licensed practical nurses | 0.87 | 0.77 | 0.86 |
| Registered nurses | 0.76 | 0.94 | 0.69 |
| All nursing staff | 3.85 | 4.37 | 3.86 |
| All nursing staff, weekends | 3.39 | 3.81 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
32.4% of nursing staff at Puget Sound Transitional Care left over the year CMS measured, against a Washington average of 45.1% and a US average of 45.8%. Registered nurse turnover was 60.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 27, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 24 health deficiencies (Washington average 16.1). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Puget Sound Transitional Care holds 2 of 5 overall; the Washington average is 3.2.
About Puget Sound Transitional Care
- Ownership: For profit - Corporation
- Chain: The Ensign Group, 342 homes
- Legal name: River Otter Healthcare LLC
- Medicare and Medicaid certified since: Feb 2, 2004
- Councils: resident council
- Area: urban
Nursing homes near Puget Sound Transitional Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Wesley Homes Des Moines Health Center Des Moines | 1.0 | 148 | 2.93 | 4.79 | 30.8% | 5 | None |
| Judson Park Health Center Des Moines | 1.2 | 96 | 2.78 | 4.60 | 21.1% | 5 | None |
| Benson Heights Rehabilitation Center Kent | 4.7 | 91 | 2.81 | 4.28 | 37.6% | 3 | $43,455 |
| Valley View Skilled Nursing and Rehabilitation Renton | 5.0 | 136 | 2.50 | 4.19 | 38.0% | 3 | None |
| Life Care Center Of Federal Way Federal Way | 5.3 | 157 | 2.48 | 4.20 | 53.0% | 2 | $98,970 |
| Cedar River Healthcare Center Renton | 5.6 | 60 | 2.86 | 5.18 | 39.3% | 3 | $74,815 |
| North Auburn Care Auburn | 6.1 | 125 | 2.50 | 4.06 | 32.9% | 2 | $12,035 |
| Hallmark Manor Federal Way | 6.3 | 147 | 2.15 | 3.61 | 29.4% | 2 | $32,175 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.