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Nursing HomeMedicaid

Avamere Transitional Care of Puget Sound

Strong Medicare quality ratings; families often praise modern, clean, and well-maintained facility. Still worth an in-person visit.

630 South Pearl Street, West End · Tacoma, WA 9846560 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 58 Google reviews

5
4
3
2
1
Avamere Transitional Care of Puget Sound Nursing Home in Tacoma, WA — Street View
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What this means for your family

This facility offers a clean, modern environment and strong physical therapy, which can be beneficial for short-term recovery. However, families must be aware of significant reports regarding slow response times and communication gaps; we strongly recommend maintaining a daily presence to monitor your loved one's care and advocate for their needs.

Google Reviews

Google Reviews

58 reviews on Google
Avamere Transitional Care of Puget Sound receives highly polarized feedback, with many reviewers praising the modern, clean facility and effective physical therapy, while others report serious concerns regarding neglect and poor communication. Families often highlight the private rooms and attentive staff during successful rehab stays, but critical reviews frequently cite issues with call light response times, hygiene, and discharge planning. It is best suited for short-term, post-surgical recovery where the family can remain highly involved in monitoring care.

Quality Themes

Tap a score for details
Food7.0Staff5.0Clean8.0ActivitiesN/AMeds3.0Memory2.0Comms3.0Value6.0

Strengths

  • Modern, clean, and well-maintained facility
  • Private rooms with attached bathrooms
  • Effective physical and occupational therapy
  • Attentive and compassionate nursing staff (in positive accounts)

Concerns

  • Slow or non-responsive call lights (mentioned by 3 reviewers)
  • Poor communication regarding medical status and discharge (mentioned by 5 reviewers)
  • Hygiene and basic care neglect (e.g., soiled bedding) (mentioned by 3 reviewers)
  • Inadequate medical oversight or medication management (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'18(5)'20(3)'22(8)'24(9)'26(6)

Distribution · 60 analyzed

5
31
4
7
3
0
2
4
1
18

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback online; how do you use that family input to improve the daily experience for residents?
  • 2With the facility having 60 residents, what is your specific process for ensuring call lights are answered promptly and that basic hygiene needs are met consistently?
  • 3Since communication regarding medical status and discharge planning is so important to families, what is your standard protocol for keeping us updated on our loved one's progress?
  • 4Given the recent focus on medication management, could you walk us through the oversight process to ensure accuracy and safety for residents?
  • 5What does a typical day look like for residents here, and how do you tailor engagement for those who might need extra support in memory care?
  • 6How does your nursing team coordinate with the therapy department to ensure that the high quality of physical and occupational therapy carries over into the resident's daily care routine?

Personalized based on this facility's data


Key Review Excerpts

The place is clean the staff is caring, but I don’t think he received enough medical care while he was there. He is stubborn and not a complainer so some of the blame is on him. The place is set up for a short transitional stay.

Long-term resident's family · 2023★★☆☆☆

The nursing staff level of care and qualifications seem lacking and are beyond worrisome. I had extremely high hopes going in, but am so disappointed.

Rehab patient · 2018☆☆☆☆

My mom recently stayed at the facility. I found the staff to be very caring, and communicative to help get my mother home after her surgery. A chef came to the door every day to ask my mother what she wanted for her meals.

Long-term resident's family · 2022★★★★★
Source: 58 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.65hrs
OK
Registered nurses for medical care
Total Nursing
4.92hrs
OK
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
35%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility49.7%
Worse than Avg
Here
49.7%
US
19.4%
WA
23.0%
Pierce
21.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
19.5%
WA
12.2%
Pierce
14.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
WA
17.2%
Pierce
10.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility18.0%
Worse than Avg
Here
18.0%
US
4.9%
WA
4.5%
Pierce
4.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
15.5%
WA
15.2%
Pierce
16.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.2%
Worse than Avg
Here
22.2%
US
14.4%
WA
15.0%
Pierce
13.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.8%
WA
82.0%
Pierce
77.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
81.8%
WA
87.8%
Pierce
84.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
WA
1.3%
Pierce
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
1penalties
Near state avg (17.1)
6 complaint-triggered

This facility has concerning patterns, with families filing 5 complaint reports leading to confirmed deficiencies in abuse reporting, care planning, wound care, and dietary management. Emergency preparedness and fire safety issues persist across multiple surveys from 2023 to 2025, alongside recurring problems with medication management and care planning. While the facility has corrected most deficiencies, the repeated violations suggest systemic challenges with maintaining safety standards and care quality.

Mar 19, 2026Complaint
2
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Nov 25, 2025Routine
32
0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0022Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for sheltering.

0033Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish methods for sharing information.

0034Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0232Potential for harm · PatternCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0803Minimal · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Sep 15, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Mar 13, 2025Complaint
1
0808Potential for harm · IsolatedResolved (past non-compliance)

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Jul 31, 2024Routine
22
0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0023Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for medical documentation.

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Potential for harm · PatternCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0887Potential for harm · PatternCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Aug 18, 2023Routine
35
0324Potential for harm · Widespread

Smoke Deficiencies

Provide properly protected cooking facilities.

0001Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish an Emergency Preparedness Program (EP).

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Federal Penalties

Fine

Mar 19, 2026

$35,875

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avamere Transitional Care of Puget Sound

Organization Type

for profit

Chain Affiliation

Chain Name

Avamere

Chain Size

29 facilities nationwide

Chain avg rating: 2.9/5 · Rank 4 of 33 (Best)

Ownership & Management

Key personnel

Midcap Finco LLC5% or Greater Security InterestCavallo, GlenManaging Control - Governing BodyFeakin, CodyManaging Control - Governing BodyFunderberg, MichelleManaging Control - Governing BodyGarcia, RobertoManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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