Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rainier Rehabilitation during CMS and state inspections, most recent first.
A resident with PTSD, cognitive communication deficit, and depression was admitted without a required Level I PASRR assessment being completed prior to admission. The PASRR was only completed after admission, and it indicated the need for a Level II evaluation. Staff confirmed the assessment was not done as required by facility policy.
A resident with visual impairment and multiple health conditions did not receive ophthalmic medications as ordered, as LNs administered two different eye medications at the same time instead of spacing them by the required 60 minutes. Both the LPN/Unit Supervisor and DON confirmed that provider orders for medication timing were not followed.
A resident with cerebral palsy, chronic respiratory failure, and quadriplegia did not consistently receive splint therapy as ordered in their care plan. Despite documentation indicating splints were applied, multiple observations found the resident without splints, and staff interviews revealed inconsistencies in application and documentation, resulting in the resident not receiving prescribed care.
A Housekeeping Supervisor was observed transferring used gowns from a resident room under Enhanced Barrier Precautions to a plastic bag without wearing gloves and without performing hand hygiene before moving the cart to another room. The staff member acknowledged the expectation to use gloves but did not have any available at the time, and the Administrator confirmed this expectation.
Two residents, one with kidney failure, diabetes, and chronic pain, and another with diabetes and COPD, were transferred to the hospital without receiving a written bed hold notice at the time of transfer. Facility staff confirmed that bed hold policies were only provided in writing upon admission and communicated verbally during transfers, with no written documentation given as required.
Failure to Complete PASRR Assessment Prior to Admission
Penalty
Summary
The facility failed to ensure that a Level I Pre-admission Screening and Resident Review (PASRR) assessment was obtained prior to the admission of a resident with diagnoses including post-traumatic stress disorder (PTSD), cognitive communication deficit, and depression. The facility's policy requires that all individuals be screened for possible serious mental disorders or intellectual disabilities before admission, with a Level I PASRR to be completed prior to entry. In this case, the resident was admitted without a completed Level I PASRR, and the assessment was only performed after admission. Record review showed that the Level I PASRR form, completed after the resident's admission, indicated the presence of serious mental illness and the need for a Level II evaluation referral. Interviews with facility staff confirmed that the PASRR was not completed prior to admission as required, and the administrator acknowledged that the process did not meet expectations, as the assessment should have been done on the date of admission.
Failure to Follow Physician Orders for Ophthalmic Medication Administration
Penalty
Summary
The facility failed to ensure that physician orders for ophthalmic medication administration were followed for one resident with visual impairment and multiple health conditions, including traumatic brain injury, respiratory failure, malnutrition, and depression. The resident's care plan required licensed nurses to administer eye medications as ordered by the provider. The medication administration record showed orders for two different ophthalmic medications: carboxymethylcellulose sodium eye drops to be administered four times daily with a five-minute interval before any other eye drop, and erythromycin ophthalmic ointment to be administered four times daily, with a requirement to separate its administration from the eye drops by 60 minutes. Despite these specific instructions, the medication administration records did not show that the required 60-minute interval between the two eye medications was observed. Observation and interviews confirmed that the licensed nurses administered both eye medications at the same time, contrary to the provider's orders. Both the resident and staff, including the LPN/Unit Supervisor and the Director of Nursing, acknowledged that the medications were not spaced as directed, and that the expectation was for nurses to follow the provider's orders regarding medication timing.
Failure to Consistently Apply Splints as Ordered for a Dependent Resident
Penalty
Summary
The facility failed to consistently implement and provide splints as ordered for a resident with cerebral palsy, chronic respiratory failure, and quadriplegia, who was dependent on staff for all activities of daily living and unable to communicate or make decisions. The resident's care plan required the application of splints to both hands and elbows, alternating days on each side, for up to four hours daily as tolerated. Observations on multiple occasions showed the resident without splints in place, both in bed and in a wheelchair, despite documentation in the electronic health record indicating that splints had been applied. Interviews with staff revealed inconsistencies in the application and documentation of splint use. Restorative nursing staff stated they applied the splints and signed for them, but observations did not corroborate this. Paper documentation showed irregularities, including unclear or altered times for splint removal and instances where nursing staff removed the splints without clear documentation of reapplication. These actions and inactions resulted in the resident not receiving the prescribed splint therapy as outlined in their care plan.
Failure to Use Proper PPE and Hand Hygiene During Gown Disposal
Penalty
Summary
Staff H, the Housekeeping Supervisor, was observed in a resident room under Enhanced Barrier Precautions transferring used gowns from a receptacle to a large plastic bag on the floor without wearing gloves. After tying the bag, Staff H placed it in a hallway cart and did not perform hand hygiene before moving the cart to the next room. During interviews, Staff H acknowledged the expectation to wear gloves when handling dirty gowns or linen but stated they did not have gloves available at the time. The Administrator confirmed that staff are expected to wear gloves in such situations. These actions were observed in the 100 Hall and were not in compliance with infection control protocols as required by WAC 388-97-1320(1)(a).
Failure to Provide Written Bed Hold Notice at Hospital Transfer
Penalty
Summary
The facility failed to provide a written bed hold notice to residents or their representatives at the time of transfer to the hospital, as required. Record review showed that two residents, one with kidney failure, diabetes, and chronic pain, and another with diabetes and COPD, were hospitalized and subsequently readmitted to the facility. In both cases, there was no documentation that a written bed hold notice was given at the time of transfer. Interviews with the Director of Nursing Services and the Administrator confirmed that the facility only provided written bed hold information upon admission and communicated bed hold policies verbally at the time of transfer, rather than in writing as required by regulation.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Puyallup
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Puyallup | 0.5 mi | — | 22 | 0 |
| Puyallup Post Acute | 0.9 mi | — | 36 | 0 |
| Life Care Center Of South Hill | 1 mi | — | 18 | 1 |
| Linden Grove Health Care Center | 1.6 mi | — | 45 | 0 |
| Heartwood Extended Healthcare | 6.2 mi | — | 30 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.