Puyallup Post Acute
A nursing home in Puyallup, Washington 98372
516 23rd Ave SE, Puyallup, Washington 98372. (253) 845-6631.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 17 health citations at the latest inspection cycle Washington average: 15.7
- 4.45 nurse hours per resident per day Washington average: 4.42
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
17 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Sep 15, 2025.
Most serious in three years: F: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
41 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 41 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 12 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 26, 2026: complaint inspection1 citation
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
May 20, 2026: complaint inspection2 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Feb 19, 2026: complaint inspection1 citation
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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.
Jan 21, 2026: complaint inspection3 citations
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Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
Sep 15, 2025: standard inspection10 citations
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Reasonably accommodate the needs and preferences of each resident.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Respond appropriately to all alleged violations.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Provide routine and 24-hour emergency dental care for each resident.
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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.
Jun 25, 2025: complaint inspection2 citations
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Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Provide and implement an infection prevention and control program.
Mar 19, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 16, 2024: standard inspection19 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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.
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Assess the resident when there is a significant change in condition
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PASARR screening for Mental disorders or Intellectual Disabilities
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
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Provide enough food/fluids to maintain a resident’s health.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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Ensure medication error rates are not 5 percent or greater.
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Provide and implement an infection prevention and control program.
Aug 13, 2024: complaint inspection2 citations
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 31, 1971.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 96 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- 1 Medicare payment denial in the last three years.
- 12 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Sep 15, 2025 | Medicare payment denial |
Who does the caring?
4.45 nurse hours per resident per day
The Washington average is 4.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Washington average |
|---|---|---|
| Nurse hours per resident per day | 4.45 | 4.42 |
| Of which registered nurses | 0.73 | 0.99 |
| At weekends | 3.80 | 3.82 |
| Nursing staff turnover | Not given | 43.9% |
| Registered nurse turnover | Not given | 43.8% |
| Administrators who left | Not given | Not given |
Who owns it?
- 6 owners or officers are people: Jennifer Mack (managing employee (on the payroll), 100%); Paul Redhead (owns 5% or more directly, 33.33%); Paul Redhead (corporate officer, 33.33%); Patsy Hand (owns 5% or more directly, 33.33%); James Lee Clay (owns 5% or more directly, 33.33%); James Lee Clay (corporate officer, 33.33%).
- Part of Regency Pacific Management (27 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
How do residents fare?
- CMS rates its quality measures 4 of 5 (Washington average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 8.5 miles, this one had the 6th most health citations at the latest inspection cycle (17; the middle value was 17).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Puyallup Post Acute This nursing home | 17 | |
| Life Care Center of South Hill | 0.1 | 7 |
| Life Care Center of Puyallup | 0.9 | 18 |
| Rainier Rehabilitation | 0.9 | 0 |
| Linden Grove Health Care Center | 2.5 | 39 |
| Heartwood Extended Healthcare | 5.8 | 31 |
| Avalon Healthcare - Tacoma | 6.7 | 23 |
| Tacoma Nursing and Rehabilitation Center | 7.0 | 6 |
| Washington Soldiers Home | 7.1 | 15 |
| Avamere at Pacific Ridge | 7.6 | 23 |
| Alaska Gardens Health and Rehabilitation | 8.3 | 17 |
| Canterbury House | 8.5 | 14 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.