CCN 505526 · Pierce County, Washington
Life Care Center of South Hill
2508 7th St Southeast, Puyallup, WA 98374
Life Care Center of South Hill is a 100-bed for-profit nursing home in Puyallup, Washington, first certified for Medicare or Medicaid in 2015. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 97.6 residents a day, about 98% of its certified beds. It has an active FHA-insured Section 232 loan: $15.3 million originally, at 3.19%, with $13.6 million outstanding as of September 30, 2026 and maturity in January 2055.
Facility facts
- Certified beds
- 100
- Average residents per day
- 97.6 (97.6% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare
- Legal business name
- South Hill Operations LLC
- Certified since
- Jun 24, 2015
- Chain or affiliated group
- Life Care Centers of America (194 facilities, chain average 3.4 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Washington median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 22 at 1, 46 at 2, 36 at 3, 38 at 4, 50 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 4.80 | 4.10 | 3.68 |
| RN hours per resident per day | 1.16 | 0.91 | 0.58 |
| Weekend nurse hours per resident per day | 3.94 | ||
| Nursing staff turnover | 40.2% | 43.1% | 44.9% |
| Occupancy (residents / beds) | 97.6% | 81.8% | 85.7% |
| Fines reported by CMS | 1 totaling $17,388 | ||
| Health deficiencies, latest standard survey | 7 (Nov 21, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Life Care Center of South Hill meets that part today: 5 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Developers Investment Company IncOrganization | Operational / Managerial Control | n/a | 07/30/2014 |
| Life Care Centers of America, Inc.Organization | Operational / Managerial Control | n/a | 12/15/2014 |
| Butner, NancyIndividual | Operational / Managerial Control | n/a | 09/16/2018 |
| Fletcher, ToddIndividual | Operational / Managerial Control | n/a | 12/13/2024 |
| Medina, AlexanderIndividual | Operational / Managerial Control | n/a | 04/04/2022 |
| Preston, AubreyIndividual | Operational / Managerial Control | n/a | 12/13/2024 |
| Schmitz, BradleyIndividual | Operational / Managerial Control | n/a | 11/15/2021 |
| Suwaneh, AlhajiIndividual | Operational / Managerial Control | n/a | 11/18/2023 |
| Ziegler, JamesIndividual | Operational / Managerial Control | n/a | 12/13/2024 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jan 1, 2016 | South Hill Operations LLC | Valley Terrace Operations, LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 18, 2019 | 223(f) refinance or purchaseHUD project name: Life Care Center of South Hill, 100 beds. Lender at endorsement: Capital Funding LLC | $15,339,200 | Active: 3.19%, $13,568,334 balanceMatures Jan 1, 2055. Servicer: Capital Funding LLC | 12722150 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.