Elder Care Record

Washington › Thurston County › Olympia

Olympia Transitional Care and Rehabilitation

430 Lilly Road Northeast, Olympia, WA 98506

CCN 505243 · For-profit, limited liability company · 113 certified beds · chain The Ensign Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Olympia Transitional Care and Rehabilitation, in Olympia, Washington, is certified for 113 beds under for-profit, limited liability company ownership and belongs to the The Ensign Group chain.

CMS gives it 3 of 5 stars overall, equal to the Washington median; the health inspection rating is 3, staffing 4 and quality measures 4.

Inspectors recorded 42 health deficiencies across the three most recent survey cycles (15, 12, 15 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 37.2 per 100 beds, fewer than the state median of 50.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.2 hours per resident per day (0.6 RN), close to the Washington median of 4.1; nursing staff turnover is 41.7%.

42health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.2nurse hours per resident per daystate median 4.1
71%occupancy (residents ÷ beds)80 residents a day

Compared with county, state and nation

MeasureThis facilityThurston Co. medianWashington medianUS average
Overall star rating3433.0
Health citations, 3 cycles42424628.7
Citations per 100 beds37.237.250.026.8
Total nurse hours per resident day4.24.04.13.9
RN hours per resident day0.60.70.90.7
Nursing staff turnover41.7%56.0%43.2%45.8%
Fines listed$0$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

Cycle 1 (latest)15
Cycle 212
Cycle 315

Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Apr 2026, 1 Apr 2025.

Severity mix: G ×1 D ×26 E ×15

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Apr 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey10 Jun 2026
24 Apr 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EStandard survey10 Jun 2026
24 Apr 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey10 Jun 2026
24 Apr 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey10 Jun 2026
24 Apr 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey10 Jun 2026
24 Apr 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey10 Jun 2026
24 Apr 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey10 Jun 2026
24 Apr 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Jun 2026
24 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey10 Jun 2026
24 Apr 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey10 Jun 2026
24 Apr 2026F0687Provide appropriate foot care.DStandard survey10 Jun 2026
24 Apr 2026F0692Provide enough food/fluids to maintain a resident's health.DStandard survey10 Jun 2026
24 Apr 2026F0881Implement a program that monitors antibiotic use.DStandard survey10 Jun 2026
19 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation24 Mar 2026
30 Jan 2026F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint investigation27 Feb 2026
1 Apr 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey9 May 2025
1 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey9 May 2025
1 Apr 2025F0880Provide and implement an infection prevention and control program.EStandard survey9 May 2025
1 Apr 2025F0881Implement a program that monitors antibiotic use.EStandard survey9 May 2025
1 Apr 2025F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard survey9 May 2025
1 Apr 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey9 May 2025
1 Apr 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey9 May 2025
1 Apr 2025F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey9 May 2025
1 Apr 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey9 May 2025
1 Apr 2025F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey9 May 2025
4 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation26 Aug 2024
27 Aug 2024F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint investigation17 Sep 2024
22 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation26 Jun 2024
22 May 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation26 Jun 2024
25 Mar 2024F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation13 Apr 2024
26 Jan 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey28 Feb 2024
26 Jan 2024F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard survey28 Feb 2024
26 Jan 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey28 Feb 2024
26 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey28 Feb 2024
26 Jan 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey28 Feb 2024
26 Jan 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey28 Feb 2024
26 Jan 2024F0584Honor 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.DStandard survey28 Feb 2024
26 Jan 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey28 Feb 2024
26 Jan 2024F0625Notify 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.DStandard survey28 Feb 2024
26 Jan 2024F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey28 Feb 2024
26 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Feb 2024
26 Jan 2024F0761Ensure 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.DStandard survey28 Feb 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.24 h
Nurse aides2.64 h
LPN0.99 h
RN0.61 h
Weekend total3.78 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 41.7%, RNs 54.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWashington medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay17.7%13.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.6%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%2.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.5%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.4%16.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.7%3.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay25.3%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: Woodard Creek Healthcare Llc. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Actriv Healthcare LLCOperational/managerial controlNOT APPLICABLE07/01/2015
Cmg Cit Acquisition, LLCOperational/managerial controlNOT APPLICABLE07/01/2015
Favorite Healthcare Staffing LLCOperational/managerial controlNOT APPLICABLE07/01/2015
Integrated Medical Systems LLCOperational/managerial controlNOT APPLICABLE07/01/2015
Ensign Services IncAdp of the snfNOT APPLICABLE01/01/2022
Lilly Road Health Holdings LLCAdp of the snfNOT APPLICABLE01/01/2022
Standard Bearer Healthcare Op LPAdp of the snfNOT APPLICABLE01/01/2022
The Ensign Group IncAdp of the snfNOT APPLICABLE01/01/2022

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Panorama City Conv & Rehab CtrLacey1555452516.1$43K27 Jan 2026
Regency Olympia Rehabilitation and Nursing CenterOlympia2854329103.6$8K24 Apr 2026
Lacey Post Acute & RehabilitationLacey1204334436.7$7K16 Jun 2026
Puget Sound CareOlympia1084432119.4$8K8 May 2026
Woodard Creek Health & RehabilitationSFF CandidateOlympia1521129864.5$190K29 May 2026
Crystal Cove Post AcuteSFFLacey96———137142.7$235K22 Jun 2026

All 7 facilities in Thurston County

Questions and answers

How many deficiencies has Olympia Transitional Care and Rehabilitation been cited for?

42 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 Olympia Transitional Care and Rehabilitation been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Olympia Transitional Care and Rehabilitation compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.

Who operates Olympia Transitional Care and Rehabilitation?

It is part of the The Ensign Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Actriv Healthcare LLC, Cmg Cit Acquisition, LLC and Favorite Healthcare Staffing LLC. Individual owners and managers are not listed on this site.

When was Olympia Transitional Care and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 24 Apr 2026; the most recent standard health survey was 24 Apr 2026.

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.