The Rivers at Puyallup, Independent Living & Assisted Living
123 4th Ave NW, Puyallup, WA 98371 · Assisted living · 120 licensed beds · Licensed
What the licence record says about this community
State inspection record
Assisted living is licensed and inspected by the state, not by Medicare/Medicaid — so there is no federal 5-star rating. Below is this community’s record from the state licensing agency.
Inspection & complaint findings
20 findings, most recent first.
- Fire inspection2026-05-11 · state report ↗R The Rivers at Puyallup Independent Living and Assisted Living FIRE 05-11-2026 - ec
- Fire inspection2025-04-08 · state report ↗R The Rivers at Puyallup Independent Living FIRE 04-08-2025 - CS
- Fire inspection2025-04-08 · state report ↗R The Rivers at Puyallup Independent Living FIRE 04-08-2025 - CS 2
- Enforcement action2025-01-21 · state report ↗The Rivers at Puyallup Independent Living Assisted Living 2483 CF CD 53320 - 1 21 25
- Complaint investigation2025-01-01 · state report ↗R The Rivers at Puyallup Independent Living Assisted Living 47510 53320 58309 61914-ew
- Complaint investigation2024-11-14 · state report ↗R The Rivers at Puyallup Independent Living Assisted Living Complaint 11-14-2024 - SI
- Complaint investigation2024-09-17 · state report ↗R The Rivers at Puyallup Independent Assisted Living complaint 09-17-2024 -NF
- Enforcement action2024-09-11 · state report ↗The Rivers at Puyallup Independent Living Assisted Living 2483 CF CD 46599 - 09 11 2024
- Enforcement action2024-08-19 · state report ↗The Rivers at Puyallup Independent Living Assisted Living 2483 CF CD 42127 - 08 19 2024
- Complaint investigation2024-08-19 · state report ↗R The Rivers at Puyallup Independent Living Assisted Living Complaint 08-19-2024 - SI
- Fire inspection2024-07-30 · state report ↗R The Rivers at Puyallup FIRE 07-30-2024-ec
- Inspection (statement of deficiency)2024-07-09 · state report ↗R The Rivers at Puyallup Independent and Assisted Living Inspection 07-09-2024 - SI
- Complaint investigation2024-04-23 · state report ↗R The Rivers at Puyallup Independent Living Assisted Living Complaint 04-23-2024 -SW
- Complaint investigation2024-02-23 · state report ↗R The Rivers at Puyallup, Independent Living & Assisted Living Complaint 02-23-2024 -SW
- Enforcement action2023-12-01 · state report ↗The Rivers at Puyallup Independent Living & Assisted Living 2483 (CF) 12 01 2023
- Enforcement action2023-10-10 · state report ↗The Rivers at Puyallup Independent Living and Assisted Living 2483 (CF) 10 10 23
- Complaint investigation2023-10-10 · state report ↗R The Rivers at Puyallup, Independent Living & Assisted Living Complaint 10-10-2023 -SW
- Complaint investigation2023-09-21 · state report ↗R The Rivers at Puyallup, Independent Living & Assisted Living Complaint 09-21-2023 - KP
- Complaint investigation2023-07-26 · state report ↗R The Rivers at Puyallup Independent Living & Assisted Living Complaint 07-26-2023-ew
- Enforcement action2021-09-04 · state report ↗The Rivers at Puyallup Independent Living Assisted Living 2483 CF CD 58309 4 21 25
What these are — and what they are not. Washington State publishes the kind of document it posted (a statement of deficiency, an enforcement action) but not how serious the finding was. A statement of deficiency can be a missed medication pass or a missing signature, and nothing here tells you which. So we do not call any of these a serious violation, and we do not rank this state by severity — we cannot. Open the state report to read the actual citation.
What it costs around here
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
† Memory care is our estimate, not survey data: CareScout does not survey memory care, so we take the assisted-living median for the state and add $1,200/month — the typical secured-dementia-unit premium. It is a planning figure with no state-level detail behind it, and real memory-care pricing varies far more than that. Treat it as a starting point and ask the community for its own memory-care rate.
Estimated cost range · regional
In Washington, assisted living typically runs about $6,100–$9,100/month.
This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.
Does this community take Medicaid?
Not published. Washington State does not record Medicaid acceptance in its licensing file, so we do not know — and we will not infer it from Washington’s waiver rules, because a state covering assisted living says nothing about whether this building accepts it. Ask the community directly, and get the run-out-of-money answer in writing.
Washington Medicaid can help pay for assisted living, through a waiver. A waiver pays for care, never for room and board. Which Washington waivers, waitlists and how to apply →
Cost
Assisted-living and memory-care prices are set by each community and not publicly disclosed — no state or federal source publishes them, and the “starting at” figures on referral sites are estimates, not this community’s real rate. Ask the community directly for its current monthly price and what it includes (base rent versus care-level add-ons and memory-care premiums).
Worried about someone here? How to report it
If you have seen something that concerns you — neglect, an injury, medication problems, or a resident who seems afraid — you do not need proof to report it. Reporting is what triggers an inspection, and inspections are what put a record on this page in the first place.
- The state licensing agency — Washington State licenses this community and is the body that can inspect it and act on a complaint: Washington DSHS ALTSA ↗. Complaints can usually be made anonymously.
- Your Long-Term Care Ombudsman — free, independent, and works for the resident, not the state or the company. They will visit and advocate. Find yours via the Eldercare Locator at 1-800-677-1116 or theconsumervoice.org/get_help ↗.
- Adult Protective Services — for suspected abuse, neglect or financial exploitation of a vulnerable adult. The Eldercare Locator above routes you to your local APS office.
- If someone is in immediate danger, call 911 first. Report to the agencies above afterwards — the two are separate, and one does not do the job of the other.
We are a data site, not a regulator: we cannot investigate or intervene, and there is no point reporting it to us. The three routes above are the ones with actual power.
Location & what’s nearby
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Source: Washington State DSHS, ALTSA facility inspection & enforcement records (public record), last pulled from the state 2026-07-14.