Rainier Rehabilitation
920 12th Avenue Southeast, Puyallup, WA 98372 · Pierce County · 117 certified beds · avg 111 residents/day · certified since Aug 11, 1986
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 12, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Aug 12, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 12, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 12, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 12, 2025 | C · Minimal risk, facility-wide | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 5 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Washington avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.99 | 4.24 | 3.95 | bottom 1% in Washington; bottom 13% in the U.S. |
| Registered Nurse hours | 0.70 | 0.91 | 0.69 | bottom 28% in Washington; top 36% in the U.S. |
| Weekend total nurse staffing | 2.51 | 3.69 | 3.50 | bottom 2% in Washington; bottom 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.17 | 0.67 | 0.48 | top 6% in Washington; top 4% in the U.S. |
| Total nursing staff turnover (%) | 21.1 | 45.1 | 45.8 | top 1% in Washington; top 4% in the U.S. |
| RN turnover (%) | 14.8 | 45.4 | 42.9 | top 3% in Washington; top 9% in the U.S. |
Hours are per resident per day, 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 5.30, RN 1.24, weekend 4.46. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The Ensign Group INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/30/2006 |
| Ahmad, Atique | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/28/2016 |
| Ahmad, Atique | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/28/2016 |
| Ahmad, Atique | Individual | ADP of the SNF | NOT APPLICABLE | 12/28/2016 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 02/25/2014 |
| CMG Cit Acquisition, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2014 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2014 |
| Farnsworth, Stephen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Port, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 08/07/2025 |
| Ross, Steve | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Sato, Ami | Individual | Corporate Officer | NOT APPLICABLE | 09/09/2024 |
| Ventas, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2024 |
| Watson, Brett | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2017 |
| Watson, Brett | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2017 |
| Watson, Brett | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 02/27/2026 |
| Watson, Brett | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Life Care Center of Puyallup | 0.5 mi | Puyallup, WA | ★★☆☆☆ | 2/5 | |
| Puyallup Post Acute | 0.9 mi | Puyallup, WA | ★☆☆☆☆ | 2/5 | |
| Life Care Center of South Hill | 1.0 mi | Puyallup, WA | ★★★★★ | 4/5 | |
| Linden Grove Health Care Center | 1.6 mi | Puyallup, WA | ★☆☆☆☆ | 1/5 | abuse |
| Heartwood Extended Healthcare | 6.1 mi | Tacoma, WA | ★☆☆☆☆ | 1/5 | |
| Avalon Healthcare - Tacoma | 7.1 mi | Tacoma, WA | ★★☆☆☆ | 2/5 | |
| Tacoma Nursing and Rehabilitation Center | 7.6 mi | Tacoma, WA | ★★★★★ | 4/5 | |
| Washington Soldiers Home | 7.6 mi | Orting, WA | ★★★☆☆ | 3/5 | |
| Canterbury House | 7.6 mi | Auburn, WA | ★★☆☆☆ | 2/5 | |
| Avamere at Pacific Ridge | 7.7 mi | Tacoma, WA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 505304.