Federal inspection record · CMS data as of October 1, 2026
Life Care Center Of Puyallup
511 10th Avenue Southeast, Puyallup, WA · (253) 845-7566
- Certified beds
- 102
- Residents per day
- 94
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1989
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Life Care Center Of Puyallup carries 121 inspection points. That is fewer than 32% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care12D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide or obtain dental services for each resident.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights7E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor 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.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning7D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service4E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure 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.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-04-10
18 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-02-27
13 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-01-09
8 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 23 min of nursing staff time a day, 57 min of it from a registered nurse.
This home
4 h 23 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 44% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,155 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-10 | Fine | $17,155 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 2.3 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.4 pts better | 99.6% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.7 pts better | 100.0% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 2.0% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.6 pts better | 2.3% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 2.7% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts better | 9.1% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts worse | 16.6% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.4 pts better | 8.2% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts better | 6.7% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.4% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.2% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse | 23.3% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts worse | 5.8% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts better | 95.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts worse | 20.3% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.2 pts better | 90.6% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 20.8% | 19.7% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Nimz, Paul | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
·
Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems4F
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Egress2D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Rainier Rehabilitation
Puyallup, WA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 21 min
- Fines
- $0
-
Puyallup Post Acute
Puyallup, WA · Regency Pacific Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Life Care Center Of South Hill
Puyallup, WA · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 1 min
- Fines
- $17,388