PlainNursing
CMS Nursing Home Compare · August 2026

Puget Sound Care

4001 Capitol Mall Dr Southwest, Olympia, WA 98502

Puget Sound Care, a 108-bed for profit - limited liability company nursing facility in Olympia, WA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #76 of 191 rated homes in WA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3607549792

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4 / 5
Above average · CMS overall · nat'l 3.0
#76 of 191
In-state rank among rated WA homes
4.02
About average · nurse hrs/day · nat'l 3.86
21
Inspection findings · 1 serious

The verdict

Puget Sound Care, a 108-bed for profit - limited liability company nursing facility in Olympia, WA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #76 of 191 rated homes in WA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#76 of 191
In-state rank among rated WA homes
4.02
Nurse hrs/resident-day · national 3.86
21
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 193 WA nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
505299
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
108
Residents
95
In Hospital
No
County
Thurston
Last Inspection
Jan 23, 2026

Staffing Data

How the 4.02 total nursing hours per resident-day are staffed:

RN Hours
0.55 (nat'l avg: 0.69)
LPN Hours
0.86
CNA Hours
2.62
Total Nursing Hours
4.02 (nat'l avg: 3.86)
PT Hours
0.07
Nursing Turnover
56.0%
RN Turnover
36.4%

What the CMS Record Reveals About Puget Sound Care

According to CMS Nursing Home Compare, Puget Sound Care ranks #76 of 191 rated nursing homes in WA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Puget Sound Care operates 108 certified beds in Olympia, WA with approximately 95 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 3★ · quality 4★).

The inspection file contains 21 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $8K levied against this facility. Reported nurse staffing runs 4.02 total hours per resident day (national average 3.86); RN hours specifically are 0.55 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Puget Sound Care falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 56.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (21 most recent)

D - Isolated - Minimal harm May 8, 2026 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 10, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 25, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 25, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 25, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 25, 2026

D - Isolated - Minimal harm Jan 23, 2026 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Feb 25, 2026

E - Pattern - Minimal harm Jan 23, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2026

F - Widespread - Minimal harm Jul 1, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2025

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 16, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 16, 2024

D - Isolated - Minimal harm Nov 7, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 16, 2024

F - Widespread - Minimal harm Nov 7, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 16, 2024

G - Isolated - Actual harm Mar 28, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Feb 12, 2024

D - Isolated - Minimal harm Oct 13, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Oct 13, 2023 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Oct 13, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Oct 13, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Nov 10, 2023

E - Pattern - Minimal harm Oct 13, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 10, 2023

E - Pattern - Minimal harm Oct 13, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 10, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 10.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 13.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 6.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 7.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 77.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 67.5% No

Penalty History 1 penalties totaling $8K

Date Type Amount
Mar 28, 2024 Fine $8K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Puget Sound Care, both outside WA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Puget Sound Care

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The WA registry aggregates state averages and the highest-rated homes in this cohort. View WA registry
  • Peer homes near 108 beds show how CMS stars vary at a similar scale in WA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Puget Sound Care?
Puget Sound Care has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (3★), and quality measures (4★).
Where does Puget Sound Care rank among nursing homes in WA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Puget Sound Care ranks 76th among 191 rated nursing homes in WA (#76 of 191). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Puget Sound Care?
Puget Sound Care reports 4.02 total nursing hours per resident day (national average: 3.86). RN hours are 0.55 per resident day (national average: 0.69). Nursing staff turnover is 56.0%.
How many beds does Puget Sound Care have?
Puget Sound Care has 108 certified beds with approximately 95 residents. The facility is located at 4001 Capitol Mall Dr Southwest, Olympia, WA 98502.
Does Puget Sound Care have any deficiencies on record?
Yes, Puget Sound Care has 21 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Puget Sound Care received any fines or penalties?
Yes, Puget Sound Care has received 1 penalties totaling $8K.
Who owns Puget Sound Care?
Puget Sound Care is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Puget Sound Care last inspected?
The most recent health inspection for Puget Sound Care was on Jan 23, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Puget Sound Care?
Puget Sound Care is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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