Puget Sound Transitional Care

Nursing Home

2800 South 224th Street,
Des Moines, WA 98198 · King County
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Call (206) 824-0600

Official website not yet verified

Overall Medicare rating★★★★★
Overall: state avg 3.3 · U.S. 3.0
Health inspections★★★★★
Staffing★★★★★
Staffing: state avg 3.7 · U.S. 3.0
Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report

Safety at a glance

1Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles
64Total health citations, last 3 inspection cycles
$0Federal fines, last 3 years (0 fines)

Most recent standard inspection: July 30, 2026.

Most recent serious findings

J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
July 1, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (206) 824-0600 to ask about openings and waiting lists.

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Nurse staffing

Total nurse hours per resident per day
3.75 hours · state avg 4.42, U.S. 3.90
Registered nurse (RN) hours per resident per day
0.84 hours
Total nurse hours on weekends
3.37 hours · state avg 3.82
Nursing staff turnover (yearly)
27.9% · state avg 43.9%
RN turnover (yearly)
38.5%
Administrators who left (yearly)
1

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In Washington, Medicaid long-term care is provided through COPES Waiver / Community First Choice.

Ways to pay for care in Washington →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

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Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Share What You PayEstimate 3- and 5-year costs

Family Cameras & Video Access

Family-installed room cameras
Not Verified
Facility-provided room cameras
Not Verified
Authorized remote family viewing
Not Verified
Live video visitation
Not Verified

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We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application
Not yet checked
Online waiting-list form
Not yet checked
Online inquiry form
Not yet checked
Online tour scheduling
Not yet checked

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Applying to several facilities with one form is coming soon. For now, please contact the facility directly.

Ownership

Ownership type
For profit - Corporation
Chain / affiliation
The Ensign Group
Legal business name
River Otter Healthcare LLC
Owner or managerRoleShare
ACTRIV HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL—
BURNAM, SOONMANAGING CONTROL - GOVERNING BODY—
BURNAM, SOONOPERATIONAL/MANAGERIAL CONTROL—
DENOR, JOSEPHADP OF THE SNF—
DENOR, JOSEPHMANAGING CONTROL - GOVERNING BODY—
EASTSIDE HEALTHCARE STAFFING LLCOPERATIONAL/MANAGERIAL CONTROL—
ENSIGN SERVICES INCADP OF THE SNF—
FARNSWORTH, STEPHENMANAGING CONTROL - GOVERNING BODY—
JENKINS, TRACYADP OF THE SNF—
JENKINS, TRACYOPERATIONAL/MANAGERIAL CONTROL—
KEETCH, CHADMANAGING CONTROL - GOVERNING BODY—
PENNANT HEALTHCARE LLCDIRECT OWNERSHIP INTEREST—

Source: CMS Provider Information (data as of October 1, 2026)

About this listing

CMS Certification Number
505513
Certified beds
165
Average residents per day
84.1
Medicare / Medicaid
Medicare and Medicaid
Continuing care retirement community
No
First certified
February 2, 2004
Last confirmed by official source
October 1, 2026

Read full inspection narratives at Medicare Care Compare or ProPublica Nursing Home Inspect.

Work at this facility? Manage this listing to report availability, prices, Medicaid acceptance and camera policies — free. Facilities can never edit government inspection findings or family price reports.

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