Assisted Living and Memory Care
The Rivers at Puyallup, Independent Living & Assisted Living
123 4th Ave NW, Puyallup, WA 98371 · Map
Licensed for 120 residents
The Rivers at Puyallup, Independent Living & Assisted Living is a state-licensed assisted living, memory care community in Puyallup, Washington. It is licensed for 120 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
Starting prices the community publishes, with the date we checked each one and a link to where it is published. Care charges are usually added after an assessment.
| Care | Starting at | Checked |
|---|---|---|
| Assisted Living | $3,950 /mo | Oct 12, 2026 |
| Memory Care | $5,995 /mo | Oct 12, 2026 |
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Latest inspection report: 2026-01. See the record
License
Active, 120 residents
Assisted Living Facility 2483.
Nearest emergency room
1.2 miles
Multicare Good Samaritan Hospital, rated 2 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| The Rivers at Puyallup, Independent Living & Assisted Living this community | 120 | $3,950/mo | Active | 10 investigation reports, 6 enforcement letters | |
| Puyallup Valley Enhanced Residential Care | 0.3 mi | 53 | Not published | Active | 1 investigation report, 1 enforcement letter |
| Oasis of Tender Care II | 0.3 mi | 6 | Not published | Active | 0 investigation reports, 0 enforcement letters |
| Oasis of Tender Care III | 0.3 mi | 6 | Not published | Active | 0 investigation reports, 0 enforcement letters |
| Abide Care Adult Family Home | 0.5 mi | 6 | Not published | Active | 0 investigation reports, 0 enforcement letters |
State inspection record10 investigation reports, 6 enforcement letters
- Latest inspection report
- January 2026
- Inspection reports posted
- 2
- Investigation reports posted
- 10
- Enforcement letters
- 6
- Fire inspection reports (State Fire Marshal)
- 4
Enforcement letters
- May 1, 2025: Imposition of civil fine, $1,000 in civil fines, after a follow-up visit on April 21, 2025
Other requirements: The licensee failed to maintain compliance with the State Fire Marshal’s codes for long- term care facilities. This failure placed all 81 residents and staff at risk of harm in the event of a fire. - January 30, 2025: Imposition of civil fine, $500 in civil fines, after a follow-up visit on January 21, 2025
Other requirements: The licensee failed to ensure the violations for their third failed State Fire Marshal (SFM) inspections were corrected. This failure placed all 74 residents at risk for harm in case of an emergency. - September 18, 2024: Imposition of civil fine, $200 in civil fines, after a follow-up visit on September 11, 2024
Tuberculosis: Testing: Required: The licensee failed to ensure one staff had an initial tuberculosis (a communicable disease, TB) skin test within three days of employment. This failure placed 66 residents, staff, and visitors at risk for TB infection. - August 30, 2024: Imposition of civil fines, $1,100 in civil fines
Implementation of negotiated service agreement: The licensee failed to ensure that residents received showers and oral care as agreed upon in the negotiated service agreement for four residents. This failure resulted in the four residents not receiving care as outlined on the care plan and placed them at risk for skin breakdown and poor quality of life.
Investigations: The licensee failed to investigate when a resident’s hearing aids went missing for one resident. This failure resulted in the resident not knowing what happened to their missing hearing aids which placed the resident at risk for decreased quality of life. - December 11, 2023: Imposition of civil fine, $400 in civil fines, after a follow-up visit on December 1, 2023
Investigations: The licensee failed to conduct thorough investigation to determine the circumstances for resident-to-resident altercations and missing money for three residents. This failure placed two residents at risk for continued physical assaults and delayed interventions, and the other resident at risk for potential theft and misappropriation of resident’s funds. - October 23, 2023: Imposition of civil fines, $1,100 in civil fines, after a complaint investigation on October 10, 2023
Implementation of negotiated service agreement: The licensee failed to provide showers as agreed upon in the Negotiated Service Plan (NSA) for two residents. This failure placed both residents at risk for developing skin infections, decreased skin integrity and poor quality of life.
Monitoring residents’ well-being: The licensee failed to assess, evaluate, and take appropriate action when a change in a resident’s condition was identified for one resident. This failure contributed to the resident health declining and being hospitalized.
Reporting significant change in a resident’s condition: The licensee failed to notify the resident’s representative and physician when a resident had a change in condition for one resident. Additionally, the resident’s physician was not notified when the resident was sent to the hospital for one resident.
Investigation reports
- February 2026
- July 2025
- January 2025
- December 2024
- September 2024
- July 2024
- and 4 more on the state’s site
Inspection reports
See every report on the state’s site →
What these terms mean
DSHS: Inspections are “conducted at least every 18 months to review facility compliance with applicable rules and regulations and resident safety.”
Investigations: “In response to reported concerns, the department checks to ensure the facility is in compliance with applicable rules and regulations.”
Enforcement actions: “Letters summarizing action taken by the Department to compel a return to compliance.”
Fire inspections (assisted living): “Conducted by the State Fire Marshal upon initial licensing, complaint or on an annual basis.”
Limitations (adult family homes): “A determination, typically for the duration of the license, that limits the type of residents who can be housed in a specific area of the home.”
Informal Dispute Resolution (IDR): “The provider’s right to request an opportunity to present information that might allow the department to change a finding that the facility did not meet a rule or requirement.”
Civil fines: “Monetary penalties for instances of noncompliance with state law.”
Conditions: “Requirements placed on the license that limit or prevent or direct specific facility actions until deficiencies are corrected.”
Stop placement: “An order that temporarily prevents the facility from admitting any additional resident(s) until deficiencies identified are corrected.”
Revocation: “The legal action of taking away the facility’s license.”
Summary suspension: “The legal action that immediately suspends the provider’s license.”
Complaint investigation report: “the written report for complaint investigations that result in a citation.”
For adult family homes, state law (RCW 70.128.280) has DSHS post three years of inspection letters, statements of deficiencies, notices of return to compliance and enforcement notices, and remove a violation or enforcement remedy that is deleted or rescinded on appeal. DSHS: “The length of time for completion and posting of final documents, including amended documents, will vary.” DSHS: “To protect residents’ privacy, information in these reports may be blocked out if it is confidential or could identify a resident.” Dates are the month DSHS lists beside each report, or the date printed on an enforcement letter. This community is licensed for 120 residents; larger communities are inspected and investigated more often, so read counts with size in mind. Source: Washington State Department of Social and Health Services, Residential Care Services, report pages read October 15, 2026. Always visit in person and ask the community about anything listed here.
License and ownershipActive license
- License type
- Assisted Living Facility
- License number
- 2483
- License status
- Active
- Licensed capacity
- 120
- County
- Pierce County
- Contact
- Danyal Syecl
Source: Washington state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Contact name from the Washington licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Washington, and other programs
How Medicaid pays for care in Washington
- Assisted living Medicaid service packages: Adult Residential Care, Enhanced Adult Residential Care, Enhanced Adult Residential Care - Specialized Dementia Care Services, Assisted Living. Yes. Assisted living facilities that serve Medicaid residents offer one or more service packages, which set the level of care and support the facility provides. Use the state search to find facilities that accept Medicaid. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 1.2 mi, nursing home 0.8 mi, pharmacy 0.5 mi
- Nearest hospital with an emergency room
- Multicare Good Samaritan Hospital, Puyallup. 1.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Life Care Center of Puyallup, Puyallup. 0.8 miles away, straight line.
- Nearest home health agency office
- Haven Home Health Care, Federal Way. 7.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Kirk's Pharmacy and Compounding. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 98371 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Puyallup Dialysis, Puyallup, 2.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fresenius Kidney Care Puyallup, Puyallup, 2.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Davita Lake Tapps Dialysis, Sumner, 3.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 98371.
Multicare Hospice, office in Tacoma, 7.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Puget Sound Hospice, office in Tacoma, 8.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
Accentcare Hospice & Palliative Care Of Pierce County, office in Tacoma, 8.6 miles away, straight line - Nearest geriatric medicine practice
- South Sound Inpatient Physicians PLLC, Puyallup. 1.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk very high; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: inland flooding very high, tornado very low, heat wave relatively moderate, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in February 2026. What was it, and how was it fixed?
- Your published starting price is a base rate. What would the total monthly cost be for my parent's needs?
- How much have prices gone up in each of the last three years?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
What we checked13 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Washington State Department of Social and Health Services, Residential Care Services inspection records | Oct 15, 2026 | See above |
| Washington Medicaid provider list | Sep 9, 2026 | Not on the state list we checked. These lists are often incomplete. |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Common questionsAnswers to 4 questions families ask
What type of care does The Rivers at Puyallup, Independent Living & Assisted Living provide?
The Rivers at Puyallup, Independent Living & Assisted Living is licensed by the state of Washington for assisted living, memory care in Puyallup, Washington. Its licensed capacity is 120 residents.
Does Lilisity rate The Rivers at Puyallup, Independent Living & Assisted Living?
No. We publish state licensing details for The Rivers at Puyallup, Independent Living & Assisted Living but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does The Rivers at Puyallup, Independent Living & Assisted Living cost?
Assisted Living in Washington typically starts at $3,950 to $5,300 a month. Based on 130 communities that publish prices. These are area figures, not this community's price. The starting prices it publishes are in the Prices section on this page.
How do I contact The Rivers at Puyallup, Independent Living & Assisted Living?
Use The Rivers at Puyallup, Independent Living & Assisted Living's website, pegasusseniorliving.com/the-rivers-at-puyallup, or visit at 123 4th Ave NW, Puyallup, WA 98371.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid