Washington › Thurston County › Olympia
Puget Sound Care
4001 Capitol Mall Dr Southwest, Olympia, WA 98502
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.
Puget Sound Care is a For-profit, limited liability company nursing home in Olympia, Washington, certified for 108 beds and caring for about 95 residents a day.
CMS gives it 4 of 5 stars overall, above the Washington median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (9, 5, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 19.4 per 100 beds, fewer than the state median of 50.0.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 4.0 hours per resident per day (0.5 RN), close to the Washington median of 4.1; nursing staff turnover is 56.0%.
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 | 21 | 42 | 46 | 28.7 |
| Citations per 100 beds | 19.4 | 37.2 | 50.0 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 4.1 | 3.9 |
| RN hours per resident day | 0.5 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 56.0% | 56.0% | 43.2% | 45.8% |
| Fines listed | $8,018 | $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: 23 Jan 2026, 7 Nov 2024.
Severity mix: G ×1 D ×15 E ×3 F ×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 |
|---|---|---|---|---|---|
| 8 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Jun 2026 |
| 23 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | 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 Feb 2026 |
| 23 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | 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 Feb 2026 |
| 23 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Feb 2026 |
| 1 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 1 Aug 2025 |
| 7 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Dec 2024 |
| 7 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Dec 2024 |
| 28 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 12 Feb 2024 |
| 13 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 10 Nov 2023 |
| 13 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Nov 2023 |
| 13 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Nov 2023 |
| 13 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Nov 2023 |
| 13 Oct 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 | 10 Nov 2023 |
| 13 Oct 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 | 10 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Mar 2024 | Fine | $8,018 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 56.0%, RNs 36.4%; 2 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 | 10.7% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.6% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.4% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.0% | 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: Puget Sound Healthcare-Olympia, Llc. Chain: Caldera Care (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pnw Healthcare Holdings, LLC | 5% or greater direct ownership interest | 100% | 06/30/2017 |
| Cornerstone 18 Operations Ajh LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/07/2021 |
| Cornerstone 18 Operations LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/07/2021 |
| 4001 Capital Mall LLC | Adp of the snf | NOT APPLICABLE | 05/07/2021 |
| Cornerstone 18 LLC | Adp of the snf | NOT APPLICABLE | 05/07/2021 |
| Kh Cc Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/07/2021 |
| Stone 18 Ajh LLC | Adp of the snf | NOT APPLICABLE | 05/07/2021 |
| Stone 18 Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/07/2021 |
| Stone Wa 18 LLC | Adp of the snf | NOT APPLICABLE | 05/07/2021 |
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 |
| Lacey Post Acute & Rehabilitation | Lacey | 120 | 4 | 3 | 3 | 44 | 36.7 | $7K | 16 Jun 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 Puget Sound Care been cited for?
21 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 Puget Sound Care been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Puget Sound Care compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Puget Sound Care?
It is part of the Caldera Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pnw Healthcare Holdings, LLC, Cornerstone 18 Operations Ajh LLC and Cornerstone 18 Operations LLC. Individual owners and managers are not listed on this site.
When was Puget Sound Care last inspected?
The most recent survey or investigation in the CMS record is dated 8 May 2026; the most recent standard health survey was 23 Jan 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.