Home›Washington›Pierce County›Puyallup Nursing and Rehabilitation Center
D
Poor

Puyallup Nursing and Rehabilitation Center

516 23RD AVE SE · PUYALLUP, WA 98372

2538456631 · For profit - Corporation

96 beds72.3 residents81 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
B
Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Puyallup Nursing and Rehabilitation Center receives an overall staffing grade of D (Poor). With 2.6084 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6546 HPRD, below the recommended 0.75. It is 1.29 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.19% compared to weekdays. The facility has low agency staff usage (2.3% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.6084 HPRD — needs 0.87 more hours per resident per day.
⚠️RN staffing (0.6546 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.3%) — mostly permanent, familiar staff
Total Nurse HPRD
2.6084hrs/resident/day▼ 1.29
CMS benchmark: 3.48
RN HPRD
0.6546hrs/resident/day▼ 0.03
Recommended: 0.75
Weekend Drop-off
15.19%
2.7254 weekday → 2.3114 weekend
Agency Staff
2.3%
8.31% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5148hrs/resident/day
Direct care aides
LPN HPRD
0.4389hrs/resident/day
Licensed practical nurses
Consistency
0.3056std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pierce County Average-1.80 HPRD
4.40
02.61 HPRD
vs. Washington State Average-1.67 HPRD
4.28
02.61 HPRD
vs. National Average-1.29 HPRD
3.90
02.61 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Puyallup Nursing and Rehabilitation Center ★
PUYALLUP · This facility
—
D
2.60840.6546★★☆☆☆
LIFE CARE CENTER OF SOUTH HILL
PUYALLUP
0.1 mi
A
4.8381.0927★★★★★
LIFE CARE CENTER OF PUYALLUP
PUYALLUP
0.9 mi
A
4.58710.8981★★★★☆
RAINIER REHABILITATION
PUYALLUP
0.9 mi
A+
5.38181.2244★★★★★
LINDEN GROVE HEALTH CARE CENTER
PUYALLUP
2.5 mi
B
3.82630.6373★☆☆☆☆
HEARTWOOD EXTENDED HEALTHCARE
TACOMA
5.8 mi
C
3.84830.529★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
51
Total Deficiencies
$7,443
Fines Assessed
Sep 15, 2025Health
10 deficiencies cited
▼
Jun 25, 2025Health
2 deficiencies cited
▼
Mar 19, 2025Health
1 deficiency cited
▼
Aug 16, 2024Health
19 deficiencies cited
▼
Aug 13, 2024Health
2 deficiencies cited
▼
Jul 18, 2023Health
14 deficiencies cited
▼
Jun 29, 2023Health
2 deficiencies cited· Includes actual harm
▼
Mar 27, 2023Health
1 deficiency cited
▼

Penalty History

Sep 15, 2025Payment Denial
Jun 29, 2023Fine
$7,443
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.