Federal inspection record · CMS data as of October 1, 2026

Life Care Center Of South Hill

2508 7th St Southeast, Puyallup, WA · (253) 661-5948

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
100
Residents per day
98
Ownership
For-Profit
Chain
Life Care Centers Of America
Medicare / Medicaid
Medicare
Certified since
June 24, 2015

1

How this home got 5 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Washington homes

Life Care Center Of South Hill carries 48 inspection points. That is fewer than 79% of Washington's 192 rated homes.

5★4★3★2★1★+6 homes above 393.505102550100200inspection points → fewer is better on the leftThis home · 48 pts · 4★

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

29 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 8 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 0 pts
C 1 0 pts

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)

  1. G

    Ensure that residents are free from significant medication errors.

    October 31, 2024 · Complaint inspection · Pharmacy Service · F760 · Corrected October 25, 2024

Everything else, by area of care

Quality of Life and Care9E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 21, 2025 · Standard · F684 · Corrected December 22, 2025

  2. D

    Provide enough food/fluids to maintain a resident's health.

    November 21, 2025 · Standard · F692 · Corrected December 22, 2025

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    November 21, 2025 · Standard · F695 · Corrected December 22, 2025

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 13, 2025 · Complaint · F684 · Corrected December 8, 2025

  5. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 31, 2024 · Standard · F684 · Corrected December 6, 2024

  6. E

    Provide enough food/fluids to maintain a resident's health.

    October 31, 2024 · Standard · F692 · Corrected December 6, 2024

  7. D

    Ensure 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.

    October 31, 2024 · Standard · F693 · Corrected December 6, 2024

  8. D

    Provide safe and appropriate respiratory care for a resident when needed.

    October 31, 2024 · Standard · F695 · Corrected December 6, 2024

  9. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    October 12, 2023 · Standard · F698 · Corrected October 27, 2023

Resident Assessment and Care Planning5E
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 21, 2025 · Standard · F656 · Corrected December 22, 2025

  2. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 31, 2024 · Standard · F656 · Corrected December 6, 2024

  3. D

    Ensure each resident receives an accurate assessment.

    October 31, 2024 · Standard · F641 · Corrected December 6, 2024

  4. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    September 16, 2024 · Complaint · F658 · Corrected October 15, 2024

  5. D

    Plan the resident's discharge to meet the resident's goals and needs.

    September 16, 2024 · Complaint · F660 · Corrected October 15, 2024

Resident Rights4D
  1. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    November 21, 2025 · Standard · F585 · Corrected December 22, 2025

  2. D

    Honor 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.

    October 31, 2024 · Standard · F578 · Corrected December 6, 2024

  3. B

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    October 31, 2024 · Standard · F623 · Corrected December 6, 2024

  4. B

    Notify 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.

    October 31, 2024 · Standard · F625 · Corrected December 6, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    November 21, 2025 · Standard · F600 · Corrected December 22, 2025

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 16, 2024 · Complaint · F609 · Corrected October 15, 2024

  3. D

    Respond appropriately to all alleged violations.

    September 16, 2024 · Complaint · F610 · Corrected October 15, 2024

Pharmacy Service3E
  1. 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.

    November 21, 2025 · Standard · F761 · Corrected December 22, 2025

  2. E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    October 31, 2024 · Standard · F757 · Corrected December 6, 2024

  3. E

    Implement 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.

    October 31, 2024 · Standard · F758 · Corrected December 6, 2024

Infection Control2E
  1. E

    Provide and implement an infection prevention and control program.

    October 31, 2024 · Standard · F880 · Corrected December 6, 2024

  2. E

    Implement a program that monitors antibiotic use.

    October 31, 2024 · Standard · F881 · Corrected December 6, 2024

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    October 31, 2024 · Standard · F732 · Corrected December 6, 2024

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 12, 2023 · Standard · F812 · Corrected October 27, 2023

Inspection history

  1. 2025-11-21

    8 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2024-10-31

    15 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2023-10-12

    6 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 1 min of nursing staff time a day, 1 h 19 min of it from a registered nurse.

This home

5 h 1 min

Washington average

4 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 43% of nursing staff and 33% of registered nurses left in the past year, along with 3 administrators.

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

$17,388 in federal fines on record over the past three years.

DatePenaltyAmount
2025-11-13Fine$17,388

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts worse80.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts better11.1%13.0%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better0.6%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.5 pts worse72.9%84.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts worse21.9%19.7%23.4%

·

Who owns and runs it

23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Butner, NancyManaging Control - Governing Body · Individual0%39 facilities
Butner, NancyOperational/Managerial Control · Individual0%39 facilities
Cross, CindyCorporate Officer · Individual0%183 facilities
Developers Investment Company IncDirect Ownership Interest · Organization0%71 facilities
Developers Investment Company IncOperational/Managerial Control · Organization0%71 facilities
Fletcher, ToddOperational/Managerial Control · Individual0%165 facilities
Henry, TerryCorporate Officer · Individual0%159 facilities
Lay, LisaCorporate Officer · Individual0%166 facilities
Life Care Centers Of America, Inc.Operational/Managerial Control · Organization0%194 facilities
Life Care Centers Of America, Inc.Adp Of The SNF · Organization0%194 facilities
Medina, AlexanderManaging Control - Governing Body · Individual0%1 facilities
Medina, AlexanderOperational/Managerial Control · Individual0%1 facilities
Medina, AlexanderAdp Of The SNF · Individual0%1 facilities
Preston, AubreyOperational/Managerial Control · Individual0%162 facilities
Preston, ForrestIndirect Ownership Interest · Individual0%170 facilities
Preston, ForrestAdp Of The SNF · Individual0%170 facilities
Schmitz, BradleyOperational/Managerial Control · Individual0%2 facilities
Schmitz, BradleyAdp Of The SNF · Individual0%2 facilities
Suwaneh, AlhajiManaging Control - Governing Body · Individual0%1 facilities
Suwaneh, AlhajiOperational/Managerial Control · Individual0%1 facilities
Swanker, RichardCorporate Officer · Individual0%168 facilities
Thurmond, JoanCorporate Officer · Individual0%191 facilities
Ziegler, JamesOperational/Managerial Control · Individual0%165 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Egress5F
  1. F

    Have properly located and lighted "Exit" signs.

    November 21, 2025 · K293 · Corrected December 13, 2025

  2. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    November 21, 2025 · K222 · Corrected December 15, 2025

  3. F

    Have properly located and lighted "Exit" signs.

    October 31, 2024 · K293 · Corrected November 22, 2024

  4. F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    October 12, 2023 · K211 · Corrected October 24, 2023

  5. F

    Install emergency lighting that can last at least 1 1/2 hours.

    October 12, 2023 · K291 · Corrected October 24, 2023

Smoke4F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    November 21, 2025 · K345 · Corrected December 15, 2025

  2. E

    Install corridor and hallway doors that block smoke.

    November 21, 2025 · K363 · Corrected December 15, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 31, 2024 · K353 · Corrected November 22, 2024

  4. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    October 31, 2024 · K374 · Corrected November 22, 2024

Services3F
  1. F

    Have elevators that firefighters can control in the event of a fire.

    November 21, 2025 · K531 · Corrected December 15, 2025

  2. D

    Have properly installed electrical wiring and gas equipment.

    November 21, 2025 · K511 · Corrected December 15, 2025

  3. F

    Have properly installed electrical wiring and gas equipment.

    October 31, 2024 · K511 · Corrected November 22, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have proper power supply for life support equipment.

    November 21, 2025 · K915 · Corrected December 13, 2025

  2. D

    Ensure proper usage of power strips and extension cords.

    November 21, 2025 · K920 · Corrected December 15, 2025

  3. F

    Have proper medical gas storage and administration areas.

    October 12, 2023 · K923 · Corrected October 24, 2023

Emergency Preparedness1F
  1. F

    Include a process for Emergency Preparedness collaboration.

    November 21, 2025 · E9 · Corrected December 15, 2025

Construction1D
  1. D

    Meet other general requirements.

    October 31, 2024 · K100 · Corrected November 22, 2024

Miscellaneous1D
  1. D

    Have restrictions on the use of highly flammable decorations.

    October 31, 2024 · K753 · Corrected November 22, 2024

·

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