Puyallup Nursing and Rehabilitation Center
516 23RD AVE SE, PUYALLUP, WA 98372 · CCN 505211
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 96
- Avg residents/day
- 72.3
- Phone
- 2538456631
Inspection history vs Washington & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Washington avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-15 | 16 | 17.0 | 9.5 | -1.0 better |
| 2 | 2024-08-16 | 21 | 17.2 | 9.8 | +3.8 worse |
| 3 | 2023-07-18 | 17 | 15.5 | 9.3 | +1.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Resident rights | 7 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.60 | — |
| RN staffing (reported) | 0.65 | — |
| Total nurse staffing (adjusted) | 2.21 | — |
Fines & penalties
- Total fines
- $7,443
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- REGENCY PACIFIC MANAGEMENT
- Facilities in chain
- 27
- Chain avg overall
- 3.60 / 5
Inspection citations (54)1 actual harm
- EF0621Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source2026-01-21 · Health · corrected 2026-03-15
Potential for more than minimal harm
- EF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2026-01-21 · Health · corrected 2026-03-15
Potential for more than minimal harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2026-01-21 · Health · corrected 2026-03-15
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- CF0584Honor 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.2025-09-15 · Health · corrected 2025-10-31
Potential for minimal harm
- DF0610Respond appropriately to all alleged violations.2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2025-09-15 · Health · corrected 2025-10-31
Potential for more than minimal harm
- EF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-06-25 · Health · corrected 2025-07-18
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-06-25 · Health · corrected 2025-07-18
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-19 · Health · corrected 2025-04-15
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-08-16 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-08-13 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-13 · Health · corrected 2024-09-16
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- EF0887Educate 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.2023-07-18 · Health · corrected 2023-08-11
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-29 · Health · corrected 2023-08-11
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-08-11
Actual harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-03-27 · Health · corrected 2023-04-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CLAY, JAMES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2003-11-07 |
| HAND, PATSY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2022-01-01 |
| REDHEAD, PAUL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2003-11-07 |
| CLAY, JAMES | Individual | CORPORATE OFFICER | — | 2012-11-01 |
| REDHEAD, PAUL | Individual | CORPORATE OFFICER | — | 2012-11-01 |
| MACK, JENNIFER | Individual | W-2 MANAGING EMPLOYEE | — | 2019-01-02 |
Other facilities in PUYALLUP
| Name | Overall | Beds |
|---|---|---|
| RAINIER REHABILITATION | ★★★★★ | 117 |
| LIFE CARE CENTER OF SOUTH HILL | ★★★★★ | 100 |
| LIFE CARE CENTER OF PUYALLUP | ★★★★☆ | 102 |
| LINDEN GROVE HEALTH CARE CENTER | ★☆☆☆☆ | 130 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.