Home / Washington / Puyallup
Rainier Rehabilitation
920 12th Avenue Southeast, Puyallup, WA 98372 · Pierce County · (253) 841-3422
117 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 505304 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 12, 2025, inspectors cited 5 health deficiencies (the Washington average is 15.8, the national average 9.2).
None of its 5 health citations since April 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.30 hours per resident per day, against 4.36 across Washington and 3.86 nationally. Registered nurses accounted for 1.24 of those hours.
21.1% of nursing staff left within the year CMS measured (Washington average 45.1%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
August 12, 2025Standard inspection · 5 citations
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure a level I Pre-admission Screening and Resident Review (PASRR, a mental health screening tool) assessment was obtained prior to admission and was completed timely for 1 of 6 sample residents (Residents 49) reviewed for PASRRs or unnecessary medication use. This failure placed the resident at risk for unidentified mental health care needs and a diminished quality of life.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview and record review the facility failed to obtain and/or ensure physician orders were followed for 1 of 24 sampled residents (Residents 47) reviewed for vision care related to medication administration. This failure placed the resident at risk for medical complications, substandard quality of care and unmet care needsFindings included .According to [NAME], Duell & [NAME], Clinical Nursing Skills, 6th Edition, page 4, paragraph Nurse Practice Act identified skills and functions that professional nurses perform in daily practice included, in part, to administer treatments per physician's orders. The Washington State Nurse Practice Act, WAC 246-840-710(2)(d), states nurses violate standards of practice by, Willfully or repeatedly failing to administer medications and/or treatments in accordance with nursing standards. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to consistently implement and provide splints (device used to support, protect and immobilize body parts) for 1 of 4 sampled residents (Resident 2) reviewed for position/mobility. This failure placed the resident at risk for worsening contractures (condition when joint becomes permanently fixed in a bent or short-ended position due to the shortening of muscle, tendon, or skin), increased difficulties with dressing, grooming and decreased quality of life
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to use proper Personal Protective Equipment (PPE, equipment worn to minimize exposure to infectious diseases/illnesses) and follow hand hygiene practices to transport used gowns from resident rooms with Enhanced Barrier Precautions in 1 of 3 sampled Halls (100 Hall) when reviewed for Infection Control. This failure placed residents at risk for transmission of communicable diseases, hospitalization and diminished quality of life.
- C Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interview, the facility failed to provide a written bed hold notice at the time of transfer to the hospital for 2 of 3 sampled residents (Residents 109 and 56) reviewed for hospitalization. This failure placed the residents at risk for lacking knowledge regarding their right to hold their bed while in the hospital and diminished quality of life.
July 11, 2024Standard inspection · 0 citations
April 21, 2023Standard inspection · 0 citations
Fire safety inspections
34 fire safety citations on file: 15 on August 12, 2025, 12 on July 11, 2024, 7 on April 21, 2023.
Every fire safety citation34 citations
- F Develop Emergency Preparedness policies and procedures.
- F Conduct testing and exercise requirements.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have proper power supply for life support equipment.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Install corridor and hallway doors that block smoke.
- D Meet other general requirements.
- D Have properly located and lighted "Exit" signs.
- D Have properly installed electrical wiring and gas equipment.
- D Have proper medical gas storage and administration areas.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Address subsistence needs for staff and patients.
- F Establish policies and procedures including evacuation.
- F Establish roles under a Waiver declared by secretary.
- F List the names and contact information of those in the facility.
- F Provide emergency officials' contact information.
- F Provide primary/alternate means for communication.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have proper power supply for life support equipment.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- F Conduct testing and exercise requirements.
- F Provide properly protected cooking facilities.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Washington | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.30 | 4.36 | 3.86 |
| Registered nurses | 1.24 | 0.94 | 0.69 |
| All nursing staff on weekends | 4.46 | 3.80 | 3.42 |
| Nurse aides | 3.23 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 21.1% | 45.1% | 45.8% |
| Registered nurse turnover | 14.8% | 45.4% | 42.9% |
| Administrators who left | 0 |
CMS expects 6.80 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.65 on weekdays and 4.46 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.35 in April to June 2025 to 5.30 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.30 | 1.24 | 5.65 | 4.46 | 0.0% | 0 of 90 | 111 |
| Oct to Dec 2025 | 5.25 | 1.18 | 5.57 | 4.43 | 0.0% | 0 of 92 | 110 |
| Jul to Sep 2025 | 5.38 | 1.22 | 5.72 | 4.52 | 0.0% | 0 of 92 | 109 |
| Apr to Jun 2025 | 5.35 | 1.23 | 5.70 | 4.48 | 0.0% | 0 of 91 | 111 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Washington, Jan to Mar 2026 | 4.21 | 0.90 | 4.44 | 3.66 | 3.7% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Washington
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Washington, all employers | |||
| CNAs (nursing assistants) | $23.65 | $22.59 to $27.85 | 30,270 |
| LPNs and LVNs | $39.98 | $36.98 to $45.18 | 6,780 |
| Registered nurses | $59.71 | $49.57 to $64.54 | 69,260 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Washington | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.8 | 14.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.0 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 2.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.2 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.1 | 15.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 11.4 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.0 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 1.5 | 1.8 |
Owners and operators
Legal business name: WILDWOOD HEALTHCARE INC.. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| The Ensign Group Inc | Indirect ownership interest | Organization | 01/30/2006 | |
| Ahmad, Atique | Managing control - governing body | Individual | 12/28/2016 | |
| Watson, Brett | Managing control - governing body | Individual | 03/01/2017 | |
| Farnsworth, Stephen | Corporate director | Individual | 01/01/2023 | |
| Burnam, Soon | Corporate officer | Individual | 02/25/2014 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Ross, Steve | Corporate officer | Individual | 01/01/2024 | |
| Sato, Ami | Corporate officer | Individual | 09/09/2024 | |
| Cmg Cit Acquisition, LLC | Operational/managerial control | Organization | 06/01/2014 | |
| Ahmad, Atique | Operational/managerial control | Individual | 12/28/2016 | |
| Watson, Brett | Operational/managerial control | Individual | 03/01/2017 | |
| Port, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 08/07/2025 | |
| Watson, Brett | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 02/27/2026 | |
| Ensign Services Inc | Adp of the SNF | Organization | 06/01/2014 | |
| Ventas, Inc. | Adp of the SNF | Organization | 02/28/2024 | |
| Ahmad, Atique | Adp of the SNF | Individual | 12/28/2016 | |
| Watson, Brett | Adp of the SNF | Individual | 03/01/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 12, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on August 12, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 12, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 12, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
Other nursing homes nearby
- Life Care Center of Puyallup Puyallup, 0.5 mi · 2 of 5 stars · 38 citations
- Puyallup Post Acute Puyallup, 0.9 mi · 1 of 5 stars · 54 citations
- Life Care Center of South Hill Puyallup, 1 mi · 5 of 5 stars · 29 citations
- Linden Grove Health Care Center Puyallup, 1.6 mi · 1 of 5 stars · 102 citations
- Heartwood Extended Healthcare Tacoma, 6.1 mi · 1 of 5 stars · 85 citations
- Avalon Healthcare - Tacoma Tacoma, 7.1 mi · 2 of 5 stars · 83 citations
- Tacoma Nursing and Rehabilitation Center Tacoma, 7.6 mi · 5 of 5 stars · 19 citations
- Washington Soldiers Home Orting, 7.6 mi · 3 of 5 stars · 31 citations
Washington contacts for a concern about a nursing home
These are the official offices in Washington. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Washington DSHS Aging and Long-Term Support Administration, Residential Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Washington State Long-Term Care Ombudsman Program, 1-800-562-6028. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Rainier Rehabilitation's Medicare star rating?
- CMS rates Rainier Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Rainier Rehabilitation get at its last inspection?
- 5 health deficiencies at the standard inspection on August 12, 2025. The Washington average is 15.8.
- Has Rainier Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Rainier Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Rainier Rehabilitation?
- CMS lists 17 owners and managers, and links the home to The Ensign Group. Legal business name: WILDWOOD HEALTHCARE INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.