Puyallup Post Acute

In the surveyor’s words

From the most serious findings on record at Puyallup Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 29, 2023

  Based on observation, interview, and record review, the facility failed to provide the necessary supervision to prevent falls with injury when 1 of 5 residents (Resident 1) reviewed for accidents and supervision exhibited increased wandering and verbalized wanting to leave the facility. This failure resulted in harm when the resident fell in an unsupervised area of the facility and sustained a head injury that required a transfer to the hospital and suturing (stitching) of the injury. Findings included . Review of the facility's policy and procedure titled, Accidents and Incidents, dated 11/01/2017, showed that the facility was to assure residents were kept safe while allowing them to be at their highest practicable level of care. […]

• No harm, potential for more than minimal, widespreadF851Aug 26, 2026

  Based on interview and record review, the facility failed to submit direct care staffing information to the Centers for Medicare and Medicaid Services (CMS, a federal agency managing healthcare programs and health insurance standards) for Quarter 1 (Q1, January February, and March 2026) 2026 reviewed for Payroll Based Journal (PBJ, mandatory reporting of staffing information based on payroll data) submission. This failure affected the accuracy of Nursing Home (NH) staffing level data collected by CMS and had the potential to impact provisions of resident care and services. Findings included. […]

• No harm, potential for more than minimal, patternF552May 20, 2026

  Based on interview and record review, the facility failed to ensure 4 of 4 residents (Residents 1, 2, 3 & 4) reviewed for insurance disenrollment were informed of the risks/benefits, options, and alternative changes in their insurance, in ways that were easy for the residents and/or the residents' representative to understand. The facility failed to develop written policies and procedures regarding the process of assisting beneficiaries with changing their health care coverage, including the need to obtain a document signed by the beneficiary or representative that acknowledges that the specific information regarding the impact of a change in coverage was provided to them orally and in writing, and that they understood the information. […]

• No harm, potential for more than minimal, patternF620May 20, 2026

  Based on interview and record reviews, the facility failed to protect 4 of 4 residents' rights to Medicare benefits. The facility disenrolled three (Residents 1, 2 & 3), and attempted to disenroll one (Resident 4) beneficiaries from Medicare Managed Health Plans without their request, consent, knowledge and/or complete understanding. The facility failed to develop written policies and procedures regarding the process of assisting beneficiaries with changing their health care coverage, including the circumstances under which the facility could assist a beneficiary with a plan change, and the need to obtain an attestation signed by the facility staff member that assisted with the change in enrollment, attesting that the beneficiary or representative requested the change. […]

• No harm, potential for more than minimal, patternF621Jan 21, 2026

  Based on observation, interview and record review, the facility failed to ensure there was no discrimination against Medicaid funded residents and failed to ensure Medicaid residents were not being discharged because of payment source. These failures caused residents to not have the right to stay in the facility or to be discharged to a facility that they did not want to live in.Findings included . Review of the Nursing Home Facility License Application, dated 07/23/2025, showed a requested Change of Ownership (CHOW), to go into effect on 10/01/2025. The application indicated the purchasing entity was applying for Medicaid Certification (Medicaid Contract). […]