Nursing home · Top rated by CMS
Avamere Transitional Care of Puget Sound
630 South Pearl Street, Tacoma, WA 98465 · Map
For profit - Limited Liability company · Part of Avamere (33 facilities) · 60 certified beds
Avamere Transitional Care of Puget Sound is a Medicare-certified nursing home in Tacoma, Washington. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.92 hours per resident per day, above the Washington average of 4.39. Its most recent inspection on Nov 25, 2025 cited 13 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avamere Transitional Care of Puget Sound compares
This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Washington avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.92 | 4.39 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.57 | 0.88 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.64 | 2.69 | 2.34 | below avg |
| Nursing staff turnover | 32.4% | 46.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 13.0 | 17.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 19, 2026 inspection was corrected by April 13, 2026
What inspectors found at Avamere Transitional Care of Puget Sound
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Mar 19, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Mar 19, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Nov 25, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 630 South Pearl Street
Tacoma, WA 98465 - CMS certification #
- 505529
- Ownership
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 52.7
- Provider type
- Medicare and Medicaid
- First certified
- 2017-03-27
- Chain
- Avamere (33 facilities)
- Setting
- Urban
Part of Avamere
Avamere operates 33 nursing facilities across the United States. View all Avamere facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avamere Transitional Care of Puget Sound using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2003
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Apr 1, 2003 to Mar 31, 2005. Violations found: Overtime. Back wages: $2,359 owed to 23 employees. Civil money penalties assessed: $4,400. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Bel Air Rehabilitation & Specialty Care (Avamere Health Services, Inc). Case 1395894.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Tacoma General Allenmore Hospital, Tacoma. 3.1 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Eliseo, Tacoma. 0.5 miles away, straight line.
- Nearest home health agency office
- Chi Franciscan Health At Home, University Place. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 98465 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care Mt Rainier, Fircrest, 1.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Davita Tacoma Dialysis Center, Tacoma, 2.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Greater Tacoma Home Training, Tacoma, 2.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 98465.
Franciscan Hospice, office in University Place, 1.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
Envision Hospice, office in Tacoma, 1.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Puget Sound Hospice, office in Tacoma, 3.4 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Fandm Healthcare, LLC, Tacoma. 0.7 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 risk
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: relatively high. By hazard: inland flooding relatively low, wildfire very low, 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.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| 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: FEMA rates wildfire risk here very low |
| 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 |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Avamere Transitional Care of Puget Sound a good nursing home?
CMS gives Avamere Transitional Care of Puget Sound an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avamere Transitional Care of Puget Sound staffed?
Avamere Transitional Care of Puget Sound reports 4.92 total nurse hours per resident per day, compared with the Washington average of 4.39.
Has Avamere Transitional Care of Puget Sound had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Avamere Transitional Care of Puget Sound have?
Avamere Transitional Care of Puget Sound is certified for 60 beds.