4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Based in the area of Olympia, WA, Puget Sound Care is a reliable senior care provider, offering extensive short-term rehab and long-term skilled nursing care. Residents here enjoy their peace of mind, knowing that a reliable care team is always available to care for their needs and provide support with anything they may need support with. The community goes above and beyond in providing resident-centered care and individualized treatment plans tailored to each individual’s needs.
Guaranteeing a smooth recovery process for the residents, the community provides an excellent team of nurses, therapists, and physicians that work hard in guiding and supporting residents every step of the way. Residents are also offered a wide array of life-enrichment services designed to nurture their overall well-being, ensuring a fulfilling living or healing experience. Here, residents receive all the care they need in a comfortable, safe environment that promotes healing and rest.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 40th out of 61 homes in Washington for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 34m per day | ▼ 36% State avg: 53m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 45m per day | ▼ 8% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 40m per day | ■ Avg State avg: 2h 41m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 28m per day | ▼ 9% State avg: 3h 47m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 16% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 53% State avg: 38m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WA Average | vs. WA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 20 | 31 | This facility has 35% fewer total deficiencies than a typical Washington nursing home (20 vs. WA avg 31).↓ 35% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Washington average 7.8
Last Health inspection on Jul 2025
Washington average 48.9
Washington average 6.92
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 18 citations resulted from standard inspections; and 3 of 18 resulted from complaint investigations.
100% better than Washington averageWashington average: 0.3
41% better than Washington averageWashington average: 1.7
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
14% fewer staff per resident than Washington average
0% compared with Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
All 20 LPN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 60 CNA Staff are full-time employees. No contractors work on this role.
60
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
69 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 60 | 0 | 60 | 18,561 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 20 | 0 | 20 | 4,415 | 92 | 100% | 9.5 |
| Nurse Aide in Training | 22 | 0 | 22 | 4,341 | 92 | 100% | 7.4 |
| Registered Nurse | 12 | 0 | 12 | 3,354 | 92 | 100% | 9.7 |
| RN Director of Nursing | 6 | 0 | 6 | 2,019 | 91 | 99% | 8.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,010 | 74 | 80% | 8.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 941 | 77 | 84% | 7.4 |
| Physical Therapy Aide | 3 | 0 | 3 | 852 | 77 | 84% | 6.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 724 | 69 | 75% | 6.4 |
| Occupational Therapy Aide | 3 | 0 | 3 | 700 | 66 | 72% | 7.6 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 598 | 69 | 75% | 6.8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 462 | 60 | 65% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 452 | 59 | 64% | 7.7 |
| Dietitian | 1 | 0 | 1 | 372 | 53 | 58% | 7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 229 | 64 | 70% | 3.4 |
| Qualified Social Worker | 2 | 0 | 2 | 155 | 49 | 53% | 3.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 45 | 8 | 9% | 5.6 |
| Medical Director | 0 | 1 | 1 | 24 | 15 | 16% | 1.6 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
90% lower than Washington averageWashington average: $82K
46% fewer fines than Washington averageWashington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 28, 2024 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 28, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.9
38% worse than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.4
12% worse than Washington averageWashington average: 20.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.8%
33% worse than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
19.1%
12% better than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
21% worse than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
34% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
9.3%
88% worse than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
5.7%
227% worse than Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
17.5%
201% worse than Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
5.3%
67% better than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
15.6%
8% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.2%
In line with Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.9%
In line with Washington averageWashington average: 93.8%
Number of hospitalizations per 1,000 long-stay resident days.
0.92
33% better than Washington averageWashington average: 1.38
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.73
52% better than Washington averageWashington average: 1.51
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.9%
8% worse than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
In line with Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.5%
18% worse than Washington averageWashington average: 82.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.8%
10% worse than Washington averageWashington average: 19.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.8%
12% worse than Washington averageWashington average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
38% better than Washington averageWashington average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.4%
25% worse than Washington averageWashington average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.1%
9% better than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
53% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
95Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Puget Health Care Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #31 / 61Payroll — State benchmarkedThis home is ranked 31st out of 61 homes in Washington for payroll. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #39 / 61Payroll % — State benchmarkedThis home is ranked 39th out of 61 homes in Washington for payroll %. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 50–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Building Type: Single-story
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.4 miles from city center
Estimated distance in miles from Olympia's city center to Puget Health Care Center's address, calculated via Google Maps.
— 0.13 miles to nearest hospital (MultiCare Capital Medical Center)
Add your location
Info below is compiled from CMS reports & the WA Dept. of Social & Health Services (DSHS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Penrose Harbor at Heron‘s Key | NH AL IL MC SNF | Gig Harbor | 49
Facility
49
WA AVG
81
Rank
#291 / 355 | - | - | 5.88
Facility
5.88
WA AVG
4.22
Rank
#1 / 61 | +46% | +39% | $15.0k
Facility
$15.0k
WA AVG
$87.7k
Rank
#30 / 61 | 33
Facility
33
WA AVG
48.9
Rank
#19 / 61 | 8.3
Facility
8.3
WA AVG
6.9
Rank
#45 / 61 | 1 | 22 | - |
36
Facility
36
WA AVG
51
Rank
#431 / 626 | Herons Key | $23.3MFiscal year ending 12/2023
Facility
$23.3MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#14 / 61 | $7.8MFiscal year ending 12/2023
Facility
$7.8MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#27 / 61 | 33.3%Fiscal year ending 12/2023
Facility
33.3%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#58 / 61 | 505531 | ||||
| Olympia Manor Rehabilitation Center | NH RC SNF | Olympia (Cain Road) | 71
Facility
71
WA AVG
81
Rank
#195 / 355 |
97.0%
Facility
97.0%
WA AVG
73.6
Rank
#15 / 282 | +32% | 3.20
Facility
3.20
WA AVG
4.22
Rank
#60 / 61 | +54% | -24% | $59.8k
Facility
$59.8k
WA AVG
$87.7k
Rank
#46 / 61 | 39
Facility
39
WA AVG
48.9
Rank
#23 / 61 | 4.3
Facility
4.3
WA AVG
6.9
Rank
#10 / 61 | 1 | 69 | - |
14
Facility
14
WA AVG
51
Rank
#563 / 626 | - | $13.5MFiscal year ending 12/2023
Facility
$13.5MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#15 / 61 | $6.3MFiscal year ending 12/2023
Facility
$6.3MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#43 / 61 | 46.5%Fiscal year ending 12/2023
Facility
46.5%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#61 / 61 | 505514 | ||||
| Olympia Transitional Care and Rehabilitation | NH MC SNF | Olympia | 113
Facility
113
WA AVG
81
Rank
#62 / 355 |
71.3%
Facility
71.3%
WA AVG
73.6
Rank
#180 / 282 | -3% | 4.47
Facility
4.47
WA AVG
4.22
Rank
#16 / 61 | -53% | +6% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 61 | 29
Facility
29
WA AVG
48.9
Rank
#10 / 61 | 4.1
Facility
4.1
WA AVG
6.9
Rank
#9 / 61 | 1 | 81 | - |
38
Facility
38
WA AVG
51
Rank
#419 / 626 | Joel Smith | $15.1MFiscal year ending 12/2023
Facility
$15.1MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#27 / 61 | $8.6MFiscal year ending 12/2023
Facility
$8.6MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#20 / 61 | 57%Fiscal year ending 12/2023
Facility
57%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#13 / 61 | 505243 | ||||
| Puget Health Care Center | NH SNF | Olympia (Capital Mall Drive Southwest) | 108
Facility
108
WA AVG
81
Rank
#76 / 355 |
86.4%
Facility
86.4%
WA AVG
73.6
Rank
#64 / 282 | +17% | 4.06
Facility
4.06
WA AVG
4.22
Rank
#40 / 61 | -45% | -4% | $8.0k
Facility
$8.0k
WA AVG
$87.7k
Rank
#24 / 61 | 18
Facility
18
WA AVG
48.9
Rank
#3 / 61 | 3.0
Facility
3.0
WA AVG
6.9
Rank
#1 / 61 | 1 | 93 | - |
31
Facility
31
WA AVG
51
Rank
#467 / 626 | - | $14.8MFiscal year ending 12/2023
Facility
$14.8MFiscal year ending 12/2023
WA AVG
$13.2M
Rank
#24 / 61 | $7.3MFiscal year ending 12/2023
Facility
$7.3MFiscal year ending 12/2023
WA AVG
$5.7M
Rank
#31 / 61 | 49.2%Fiscal year ending 12/2023
Facility
49.2%Fiscal year ending 12/2023
WA AVG
45.5%
Rank
#39 / 61 | 505299 | ||||
| Willapa Harbor Care | NH SNF | Raymond | 60
Facility
60
WA AVG
81
Rank
#236 / 355 |
77.0%
Facility
77.0%
WA AVG
73.6
Rank
#136 / 282 | +5% | 3.91
Facility
3.91
WA AVG
4.22
Rank
#47 / 61 | -19% | -7% | $0
Facility
$0
WA AVG
$87.7k
Rank
#1 / 61 | 30
Facility
30
WA AVG
48.9
Rank
#13 / 61 | 7.5
Facility
7.5
WA AVG
6.9
Rank
#38 / 61 | - | 46 | - |
13
Facility
13
WA AVG
51
Rank
#568 / 626 | Tashina Mcneley | $5.7M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.7M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
WA AVG
$13.2M
Rank
#56 / 61 | $2.2M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.2M*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
WA AVG
$5.7M
Rank
#58 / 61 | 38.5%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
38.5%*Fiscal year ending 03/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
WA AVG
45.5%
Rank
#50 / 61 | 505349 |
Puget Health Care Center is located in Olympia, Washington State.
Here are the financial assistance programs available to residents in Washington State.
Puget Health Care Center is in the Capital Mall Drive Southwest neighborhood of Olympia.
Puget Health Care Center has a walk score of 31. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Puget Health Care Center's occupancy is 89.0%.
Puget Health Care Center has been operating for approximately 39 years, based on available licensing and registration records.
No, Puget Health Care Center has a no-pet policy.
Puget Health Care Center is registered as a for-profit in WA.
Yes — there are 4 photos of Puget Health Care Center in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
