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Nursing HomeMedicaid Top Rated

Rainier Rehabilitation

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

920 12th Avenue Southeast, Puyallup, WA 98372117 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 209 Google reviews

5
4
3
2
1
Rainier Rehabilitation Nursing Home in Puyallup, WA — Street View
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What this means for your family

Rainier Rehabilitation is highly regarded for its therapy department and compassionate daily care, making it a strong contender for recovery. However, given the recurring reports of staffing shortages and communication lapses, we strongly advise families to visit during off-hours and weekends to observe staffing levels firsthand and to establish a clear communication plan with the nursing director upon admission.

Google Reviews

Google Reviews

209 reviews on Google
Rainier Rehabilitation receives high praise for its dedicated, compassionate nursing and therapy staff who are frequently described as attentive and professional. While many families report excellent care and a clean, welcoming environment, a minority of reviewers raise serious concerns regarding understaffing, poor communication, and lapses in basic patient hygiene and medication management.

Quality Themes

Tap a score for details
Food8.0Staff8.0Clean8.0Activities9.0Meds4.0Memory8.0Comms5.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Highly effective physical and respiratory therapy
  • Clean and well-maintained facility
  • Welcoming and helpful front desk reception

Concerns

  • Understaffing leading to slow response times and hygiene issues (mentioned by 5 reviewers)
  • Poor communication with family members (mentioned by 4 reviewers)
  • Medication management errors (mentioned by 3 reviewers)
  • Loss of personal belongings (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(28)'21(2)'23(24)'25(59)'26(9)

Distribution · 201 analyzed

5
167
4
11
3
3
2
1
1
19
12 reviews posted between Mar 12, 2019Mar 16, 2019 · 12 were 5-star

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the facility's size of 117 residents, could you walk us through the current process for ensuring timely assistance when a resident uses their call light?
  • 2We noticed the facility has a strong reputation for physical and respiratory therapy; how are these therapy sessions integrated into a resident's daily schedule?
  • 3What protocols are currently in place to ensure accuracy and safety when managing and administering daily medications for residents?
  • 4How do you typically keep family members updated on changes in a resident's health or care plan, and who is the primary point of contact for these updates?
  • 5What steps does the facility take to help residents keep track of their personal belongings and ensure they are safely managed?
  • 6We appreciate that the facility engages with online feedback; how do you use input from families to make ongoing improvements to the care experience?

Personalized based on this facility's data


Key Review Excerpts

The staff is wonderful. They are attentive, caring and respectful to him and myself. I wish I could have moved him earlier!

Long-term resident's family · 2025★★★★★

My mom was here for a month after a tramatic brain injury. She was well taken care of, the staff is on point, caring, dedicated and kept the family informed.

Rehab patient's family · 2024★★★★

The PT is excellent. However, the facility is old and barebones. I had to bring in many things for him... because the doctor and nurse practitioner would not adjust my husband's medication when he needed it, he ended up back in the hospital.

Rehab patient's family · 2025☆☆☆☆
Source: 209 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.18hrs
OK
Registered nurses for medical care
Total Nursing
5.25hrs
OK
All nurses + aides combined
Staff Turnover
21%
Lower is better (< 30% = good)
RN Turnover
11%
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 · 17 measures

Medicare Rating
5/ 5
Better Than Avg

15

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
12.1%
WA
17.1%
Pierce
10.7%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
15.4%
WA
15.2%
Pierce
16.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
WA
93.8%
Pierce
92.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.9%
Mixed vs Avgs
Here
12.9%
US
19.5%
WA
12.2%
Pierce
13.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
WA
95.9%
Pierce
94.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.4%
Better than Avg
Here
13.4%
US
15.3%
WA
18.8%
Pierce
17.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
79.7%
WA
82.0%
Pierce
76.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.7%
Better than Avg
Here
95.7%
US
81.8%
WA
87.9%
Pierce
84.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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

5deficiencies
Well below state avg (17.1)

Rainier Rehabilitation shows a concerning pattern of recurring deficiencies across three surveys, primarily in fire safety systems, electrical infrastructure, and emergency preparedness. The facility has repeatedly failed to maintain proper fire alarm systems, backup power for life support equipment, and comprehensive emergency plans, with many issues persisting across multiple inspections. While all deficiencies have correction dates, the repetitive nature of safety-critical violations suggests ongoing operational challenges that families should carefully consider.

Aug 12, 2025Routine
20
0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

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.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0628Minimal · WidespreadCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Jul 11, 2024Routine
12
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

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.

0031Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0032Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Apr 21, 2023Routine
7
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

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.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Rainier Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 29 of 328 (Best)

Ownership & Management

Owners

The Ensign Group INC

Owner (parent company) · Organization

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Watson, Brett

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Ahmad, AtiqueManaging Control - Governing BodyWatson, BrettManaging Control - Governing BodyFarnsworth, StephenOfficer / DirectorBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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