Puget Sound Care
Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.
based on 93 Google reviews
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What this means for your family
This facility is highly regarded for its clean environment and effective rehab therapy, but there is a recurring pattern of critical failures in responsiveness and basic patient care. When touring, ask specifically about nurse-to-patient ratios on weekends and request a clear, written process for how medical requests and follow-ups are tracked to ensure your loved one's needs are not overlooked.
Google Reviews
Google Reviews
93 reviews on Google“Puget Sound Healthcare receives highly polarized feedback, with many families praising the facility for its clean environment, friendly staff, and effective rehabilitation services. However, a significant number of reviewers report critical failures in patient care, including severe understaffing, long response times for basic needs, and instances of neglect that families claim led to serious medical complications or death. Potential families should be aware of these starkly contrasting experiences when evaluating the facility.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Friendly and welcoming front-desk staff
- Effective physical and occupational therapy
- Engaging courtyard and outdoor areas
Concerns
- Severe understaffing leading to long response times (mentioned by 8 reviewers)
- Neglect of basic patient needs (hygiene, hydration, bathroom assistance) (mentioned by 6 reviewers)
- Poor communication and follow-through on medical requests (mentioned by 3 reviewers)
- Inadequate medical oversight or failure to escalate health issues (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 94 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given that staffing levels are a priority for us, could you walk me through your current staffing ratios and how you ensure timely assistance for residents when they need help with daily hygiene or bathroom needs?
- 2I noticed the facility has a beautiful courtyard; what kind of daily activities or social programs are regularly hosted there to keep residents engaged?
- 3How does your nursing team coordinate with families when there is a change in a resident's health status, and what is your process for escalating medical concerns to a physician?
- 4With medication management being a critical part of care, could you explain how your team tracks and administers medications to ensure accuracy and consistency?
- 5What is your facility's current protocol for responding to call lights, and how do you prioritize those requests during peak hours or shift changes?
- 6I see that you have a 4-star CMS rating for health inspections; what specific steps is the leadership team taking to address the recent state violations and improve communication with families?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy here is the best in olympia, and the CNAs are all very nice and helpful. The nurses here all genuinely care about their residents, and do a fantastic job.”
“My Dad has been at Puget Sound Health care for several years he is well taken care of and the staff is fantastic! We go to meetings regarding my Dad's health and welfare and there is a social worker, nursing staff and administrative in attendance.”
“Mom wet the bed and they threw a sheet over it told her to go back to bed. She kept asking for a bed rail to put on bed for safety never happened. Takes them 40 min to answer a call when she needed to use restroom.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
8
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints leading to deficiencies, including a serious medication error issue and ongoing food safety problems that persist across multiple surveys. The facility shows recurring issues with medication management, food safety, and fire safety systems. While most deficiencies are marked as corrected, the repeated food safety violations and complaint-triggered medication errors raise concerns about consistent quality oversight.
Jan 23, 2026Routine12
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Jul 1, 2025Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nov 7, 2024Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 28, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Oct 13, 2023Routine8
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Federal Penalties
Fine
Mar 28, 2024
$8,018
Ownership & Operations
Who Operates This Facility
Puget Sound Care
for profit
Chain Affiliation
Caldera Care
8 facilities nationwide
Chain avg rating: 2.4/5 · Rank 3 of 10
Ownership & Management
Owners
Pnw Healthcare Holdings, LLC
Owner · Organization
Cornerstone 18 Operations Ajh LLC
Owner (parent company) · Organization
Cornerstone 18 Operations LLC
Owner (parent company) · Organization
Handler, Asher
Owner (parent company)
Wolmark, Chaim
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
93 reviews from families & visitors
Official Website
Visit pugetsoundskillednursing.com
Medicare data downloads
Original nursing home datasets
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