Linden Grove Health Care Center

400 - 29th Street Northeast · Puyallup, WA · 98373 · 2538404400

130 certified beds For profit - Limited Liability company Chain: Genesis Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $93,080 in fines in the last 24 months.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$93,080 in federal fines in the last 24 months

4 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 15
Serious harm & abuse 20% 26
Staffing 20% 69
Federal penalties 15% 2
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.853.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day3.28≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)6 · $193,178

Inspection citations (102 in the current record)

  • Potential for harm · D April 14, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 23, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 14, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 19, 2026 · Resident Rights

  • Potential for harm · E January 14, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected February 19, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 19, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected February 19, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected February 19, 2026 · Resident Rights

  • Potential for harm · D January 14, 2026

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected February 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 14, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected February 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 14, 2026

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected February 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 14, 2026

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 14, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected February 19, 2026 · Resident Rights

  • Potential for harm · E January 14, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 14, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 14, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 14, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 19, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 14, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · E January 14, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · D January 14, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected February 19, 2026 · Quality of Life and Care

  • Potential for harm · F January 14, 2026

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected February 19, 2026 · Nursing and Physician Services

  • Potential for harm · F January 14, 2026

    Observe each nurse aide's job performance and give regular training.

    Corrected February 19, 2026 · Nursing and Physician Services

  • Potential for harm · E January 14, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected February 19, 2026 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 9, 2025Fine$35,805
August 20, 2025Fine$16,149
May 22, 2025Fine$16,624
January 23, 2025Fine$24,502
January 26, 2024Fine$80,012
December 6, 2023Fine$20,086

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505485 · certified since August 4, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.