Every one of the 21 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
5 of these hold the top CMS rating of five. 6 sit at one. Registered nurse cover averages 0.89 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| HERON'S KEY | Gig Harbor | 5 | 5 | 5 | 1.70 | 30 | $15,015 |
| RAINIER REHABILITATION | Puyallup | 5 | 5 | 3 | 1.24 | 117 | $0 |
| LIFE CARE CENTER OF SOUTH HILL | Puyallup | 5 | 4 | 4 | 1.16 | 100 | $17,388 |
| TACOMA NURSING AND REHABILITATION CENTER | Tacoma | 5 | 4 | 3 | 0.60 | 150 | $36,446 |
| THE OAKS AT LAKEWOOD | Tacoma | 5 | 5 | 4 | 0.53 | 80 | $0 |
| AVAMERE TRANSITIONAL CARE OF PUGET SOUND | Tacoma | 4 | 3 | 5 | 1.87 | 60 | $35,875 |
| COTTESMORE OF LIFE CARE | Gig Harbor | 4 | 3 | 4 | 1.14 | 108 | $29,595 |
| ELISEO | Tacoma | 3 | 2 | 3 | 0.67 | 187 | $0 |
| Washington Soldiers Home | Orting | 3 | 3 | 4 | 0.65 | 97 | $10,358 |
| AGILITY HEALTH AND REHABILITATION | University Place | 3 | 3 | 3 | 0.54 | 120 | $0 |
| PARK ROSE CARE CENTER | Tacoma | 2 | 2 | 2 | 0.96 | 139 | $256,703 |
| LIFE CARE CENTER OF PUYALLUP | Puyallup | 2 | 2 | 4 | 0.95 | 102 | $0 |
| HEARTWOOD EXTENDED HEALTHCARE | Tacoma | 2 | 2 | 4 | 0.78 | 120 | $382,661 |
| AVAMERE AT PACIFIC RIDGE | Tacoma | 2 | 2 | 4 | 0.75 | 102 | $57,783 |
| GIG HARBOR HEALTH AND REHABILITATION ⚑ | Gig Harbor | 2 | 1 | 3 | 0.64 | 120 | $127,781 |
| Avalon Healthcare - Tacoma | Tacoma | 1 | 1 | 4 | 0.96 | 81 | $24,814 |
| ORCHARD PARK HEALTH CARE & REHAB CENTER ⚑ | Tacoma | 1 | 1 | 4 | 0.70 | 147 | $136,055 |
| LINDEN GROVE HEALTH CARE CENTER ⚑ | Puyallup | 1 | 1 | 3 | 0.67 | 130 | $193,178 |
| BIRCH CREEK POST ACUTE & REHABILITATION | Tacoma | 1 | 1 | 3 | 0.65 | 124 | $30,240 |
| Alaska Gardens Health and Rehabilitation | Tacoma | 1 | 1 | 3 | 0.56 | 123 | $196,648 |
| Puyallup Post Acute | Puyallup | 1 | 2 | 1 | 0.00 | 96 | $0 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 13 |
| For profit - Corporation | 4 |
| Non profit - Corporation | 2 |
| For profit - Individual | 1 |
| Government - State | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.