Deficiency timeline

PUGET SOUND TRANSITIONAL CARE

Dated inspection findings, penalties, and correction notes for this nursing home in Des Moines, WA. Newest events first.

63 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 29, 2026

  2. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0693: Quality of Life and Care

    Quality of life & care

    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.

    Corrected Mar 31, 2026

  3. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Mar 31, 2026

  4. Class IIIPotential for more than minimal harm (E)cms

    F0628: Resident Rights

    Resident rights

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

    Corrected Oct 9, 2025

  5. Class IIIPotential for more than minimal harm (D)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Oct 9, 2025

  6. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Oct 9, 2025

  7. Class IIIPotential for more than minimal harm (E)cms

    F0801: Nutrition and Dietary

    Nutrition & dietary

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected Oct 9, 2025

  8. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Oct 9, 2025

  9. Class IIIPotential for more than minimal harm (E)cms

    F0887: Infection Control

    Infection control

    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.

    Corrected Oct 9, 2025

  10. Class IIIPotential for more than minimal harm (D)cms

    F0552: Resident Rights

    Resident rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected Oct 9, 2025

  11. Class IIIPotential for more than minimal harm (D)cms

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Oct 9, 2025

  12. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 9, 2025

  13. Class IIIPotential for more than minimal harm (D)cms

    F0578: Resident Rights

    Resident rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected Oct 9, 2025

  14. Class IIIPotential for more than minimal harm (D)cms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Oct 9, 2025

  15. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Oct 9, 2025

  16. Class IIIPotential for more than minimal harm (D)cms

    F0644: Resident Assessment and Care Planning

    Assessment & care planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected Oct 9, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Oct 9, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0676: Quality of Life and Care

    Quality of life & care

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected Oct 9, 2025

  19. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 9, 2025

  20. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Oct 9, 2025

  21. Class IIIPotential for more than minimal harm (D)cms

    F0700: Quality of Life and Care

    Quality of life & care

    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.

    Corrected Oct 9, 2025

  22. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Oct 9, 2025

  23. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Oct 9, 2025

  24. Class IIIPotential for more than minimal harm (D)cms

    F0881: Infection Control

    Infection control

    Implement a program that monitors antibiotic use.

    Corrected Oct 9, 2025

  25. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0678: Quality of Life and Care

    Quality of life & care

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected Jul 31, 2025

  26. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0726: Nursing and Physician Services

    Nursing & physician services

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected Jul 31, 2025

  27. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Jul 31, 2025

  28. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Jul 31, 2025

  29. Class IIIPotential for more than minimal harm (D)cms

    F0640: Resident Assessment and Care Planning

    Assessment & care planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected Jul 17, 2024

  30. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jul 17, 2024

  31. Class IIIPotential for more than minimal harm (E)cms

    F0578: Resident Rights

    Resident rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected Jul 17, 2024

  32. Class IIIPotential for more than minimal harm (E)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jul 17, 2024

  33. Class IIIPotential for more than minimal harm (E)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jul 17, 2024

  34. Class IIIPotential for more than minimal harm (E)cms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 17, 2024

  35. Class IIIPotential for more than minimal harm (E)cms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Jul 17, 2024

  36. Class IIIPotential for more than minimal harm (E)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Jul 17, 2024

  37. Class IIIPotential for more than minimal harm (E)cms

    F0847: Administration

    Administration

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected Jul 17, 2024

  38. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Jul 17, 2024

  39. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

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

    Corrected Jul 17, 2024

  40. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Jul 17, 2024

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jul 17, 2024

  42. Class IIIPotential for more than minimal harm (D)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Jul 17, 2024

  43. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 17, 2024

  44. Class IIIPotential for more than minimal harm (D)cms

    F0688: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected Jul 17, 2024

  45. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 17, 2024

  46. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jul 17, 2024

  47. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jul 14, 2023

  48. Class IIIPotential for more than minimal harm (F)cms

    F0835: Administration

    Administration

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected Jul 14, 2023

  49. Class IIIPotential for more than minimal harm (E)cms

    F0553: Resident Rights

    Resident rights

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected Jul 14, 2023

  50. Class IIIPotential for more than minimal harm (E)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Jul 14, 2023

  51. Class IIIPotential for more than minimal harm (E)cms

    F0645: Resident Assessment and Care Planning

    Assessment & care planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected Jul 14, 2023

  52. Class IIIPotential for more than minimal harm (E)cms

    F0655: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jul 14, 2023

  53. Class IIIPotential for more than minimal harm (E)cms

    F0850: Administration

    Administration

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected Jul 14, 2023

  54. Class IIIPotential for more than minimal harm (D)cms

    F0567: Resident Rights

    Resident rights

    Honor the resident's right to manage his or her financial affairs.

    Corrected Jul 14, 2023

  55. Class IIIPotential for more than minimal harm (D)cms

    F0582: Resident Rights

    Resident rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected Jul 14, 2023

  56. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 14, 2023

  57. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 14, 2023

  58. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Jul 14, 2023

  59. Class IIIPotential for more than minimal harm (D)cms

    F0740: Quality of Life and Care

    Quality of life & care

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected Jul 14, 2023

  60. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

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

    Corrected Jul 14, 2023

  61. Class IIIPotential for more than minimal harm (D)cms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Jul 14, 2023

  62. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jul 14, 2023

  63. Class IIIPotential for more than minimal harm (D)cms

    F0881: Infection Control

    Infection control

    Implement a program that monitors antibiotic use.

    Corrected Jul 14, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile