Puget Sound Care

How to file a complaint about care →

1 fine totaling $8,018.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.02, RN 0.55, weekend 3.38.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.02 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Caldera Care — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Spokane Falls Care — Spokane, WA · overall 1/5
• Three Rivers Care — Centralia, WA · overall 5/5
• Willapa Harbor Care — Raymond, WA · overall 4/5
• Aurora Valley Care — Spokane, WA · overall 2/5
• Fir Lane Care — Shelton, WA · overall 1/5

Listed by state, then facility name — not a ranking.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "What systems do you use to prevent medication errors, and what happens when one occurs?"
• "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
• "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
• "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
• "Can you show me an example care plan, and how are families included when it's created and updated?"
• "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
• "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
• "What alternatives do you try before using bed rails, and how do you involve families in that decision?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 56% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Olympia →