Washington › Thurston County › Lacey
Lacey Post Acute & Rehabilitation
4524 Intelco Loop Se, Lacey, WA 98503
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Lacey Post Acute & Rehabilitation serves Lacey in Thurston County, Washington and has taken Medicare and Medicaid residents since 2012.
CMS gives it 4 of 5 stars overall, above the Washington median of 3; the health inspection rating is 3, staffing 3 and quality measures 5.
Inspectors recorded 44 health deficiencies across the three most recent survey cycles (20, 15, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 36.7 per 100 beds, fewer than the state median of 50.0.
CMS lists 1 penalty in the period covered: fines totalling $7K.
Reported nurse staffing is 3.9 hours per resident per day (0.7 RN), close to the Washington median of 4.1; nursing staff turnover is 54.5%.
Compared with county, state and nation
| Measure | This facility | Thurston Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 44 | 42 | 46 | 28.7 |
| Citations per 100 beds | 36.7 | 37.2 | 50.0 | 26.8 |
| Total nurse hours per resident day | 3.9 | 4.0 | 4.1 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 54.5% | 56.0% | 43.2% | 45.8% |
| Fines listed | $7,443 | $8,278 | $17,388 | — |
County and state figures are medians across facilities (7 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Jun 2025, 23 Aug 2024.
Severity mix: G ×1 D ×41 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | F0693 | 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. | D | Complaint investigation | 25 Jun 2026 |
| 18 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Jun 2026 |
| 18 May 2026 | F0732 | Post nurse staffing information every day. | D | Complaint investigation | 10 Jun 2026 |
| 21 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 May 2026 |
| 21 Apr 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 15 May 2026 |
| 7 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Apr 2026 |
| 7 Apr 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 28 Apr 2026 |
| 7 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Apr 2026 |
| 5 Jan 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 21 Jan 2026 |
| 8 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Jan 2026 |
| 8 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Jan 2026 |
| 6 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 18 Jul 2025 |
| 6 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 18 Jul 2025 |
| 6 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 18 Jul 2025 |
| 6 Jun 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 18 Jul 2025 |
| 6 Jun 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 18 Jul 2025 |
| 6 Jun 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 18 Jul 2025 |
| 6 Jun 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 18 Jul 2025 |
| 6 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 18 Jul 2025 |
| 6 Jun 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 18 Jul 2025 |
| 23 May 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 23 Jun 2025 |
| 16 May 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 28 Jul 2025 |
| 30 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 25 Feb 2025 |
| 23 Aug 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 25 Sep 2024 |
| 23 Aug 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 25 Sep 2024 |
| 12 Apr 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 29 Apr 2024 |
| 12 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Apr 2024 |
| 13 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Complaint investigation | 9 Oct 2023 |
| 7 Sep 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 9 Oct 2023 |
| 7 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Oct 2023 |
| 7 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 9 Oct 2023 |
| 7 Sep 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 9 Oct 2023 |
| 7 Sep 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 9 Oct 2023 |
| 7 Sep 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 9 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Sep 2023 | Fine | $7,443 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 54.5%, RNs 57.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.7% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.5% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.6% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Lacey Snf Operations Llc. Chain: Hill Valley Healthcare (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Wash 6 SNF Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 02/08/2023 |
| Lacey SNF Operations Manager LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Thurston County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Panorama City Conv & Rehab Ctr | Lacey | 155 | 5 | 4 | 5 | 25 | 16.1 | $43K | 27 Jan 2026 |
| Regency Olympia Rehabilitation and Nursing Center | Olympia | 28 | 5 | 4 | 3 | 29 | 103.6 | $8K | 24 Apr 2026 |
| Puget Sound Care | Olympia | 108 | 4 | 4 | 3 | 21 | 19.4 | $8K | 8 May 2026 |
| Olympia Transitional Care and Rehabilitation | Olympia | 113 | 3 | 3 | 4 | 42 | 37.2 | — | 24 Apr 2026 |
| Woodard Creek Health & RehabilitationSFF Candidate | Olympia | 152 | 1 | 1 | 2 | 98 | 64.5 | $190K | 29 May 2026 |
| Crystal Cove Post AcuteSFF | Lacey | 96 | — | — | — | 137 | 142.7 | $235K | 22 Jun 2026 |
All 7 facilities in Thurston County
Questions and answers
How many deficiencies has Lacey Post Acute & Rehabilitation been cited for?
44 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Lacey Post Acute & Rehabilitation been fined?
Yes. CMS lists fines totalling $7K in the period covered.
How does staffing at Lacey Post Acute & Rehabilitation compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Lacey Post Acute & Rehabilitation?
It is part of the Hill Valley Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Wash 6 SNF Operations Holdings LLC and Lacey SNF Operations Manager LLC. Individual owners and managers are not listed on this site.
When was Lacey Post Acute & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 6 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.