Starfile / Washington

Crystal Cove Post Acute

1505 CARPENTER ROAD SE, LACEY, WA 98503 · CCN 505254

SFF Candidate

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$202,635

Number of fines

2

Number of penalties

4

Payment denials

2

Inspection citations (121)2 immediate jeopardy4 actual harm

1. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-13 · Health · corrected 2026-03-06

   Potential for more than minimal harm

2. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2026-01-13 · Health · corrected 2026-03-06

   Potential for more than minimal harm

3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-02 · Health · corrected 2026-01-22

   Actual harm

4. DF0584Honor 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.2025-12-05 · Health · corrected 2025-12-24

   Potential for more than minimal harm

5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-05 · Health · corrected 2025-12-24

   Potential for more than minimal harm

6. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-22 · Health · corrected 2025-10-06

   Potential for more than minimal harm

7. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-08-22 · Health · corrected 2025-10-06

   Potential for more than minimal harm

8. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-08-22 · Health · corrected 2025-10-06

   Potential for more than minimal harm

9. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-22 · Health · corrected 2025-10-06

   Potential for more than minimal harm

10. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-08-22 · Health · corrected 2025-10-06

    Potential for more than minimal harm

11. DF0880Provide and implement an infection prevention and control program.2025-08-22 · Health · corrected 2025-10-06

    Potential for more than minimal harm

12. DF0692Provide enough food/fluids to maintain a resident's health.2025-07-16 · Health · corrected 2025-08-18

    Potential for more than minimal harm

13. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-27 · Health · corrected 2025-08-15

    Potential for more than minimal harm

14. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-03-12 · Health · corrected 2025-03-31

    Immediate jeopardy

15. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-07 · Health · corrected 2025-03-31

    Actual harm

16. DF0693Ensure 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.2025-02-07 · Health · corrected 2025-03-31

    Potential for more than minimal harm

17. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

18. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

19. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

20. EF0567Honor the resident's right to manage his or her financial affairs.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

21. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

22. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

23. DF0583Keep residents' personal and medical records private and confidential.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

24. EF0584Honor 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.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

25. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

26. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

27. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

28. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

29. EF0625Notify 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.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

30. EF0641Ensure each resident receives an accurate assessment.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

31. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

32. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

33. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

34. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

35. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

36. DF0679Provide activities to meet all resident's needs.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

37. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

38. DF0687Provide appropriate foot care.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

39. EF0688Provide 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.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

40. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

41. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

42. GF0692Provide enough food/fluids to maintain a resident's health.2025-02-06 · Health · corrected 2025-03-31

    Actual harm

43. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

44. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

45. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

46. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

47. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

48. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

49. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

50. EF0758Implement 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.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

51. DF0759Ensure medication error rates are not 5 percent or greater.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

52. EF0761Ensure 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.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

53. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

54. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

55. FF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

56. EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

57. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

58. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

59. FF0880Provide and implement an infection prevention and control program.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

60. DF0881Implement a program that monitors antibiotic use.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

61. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-02-06 · Health · corrected 2025-03-31

    Potential for more than minimal harm

62. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-26 · Health · corrected 2025-03-31

    Potential for more than minimal harm

63. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-26 · Health · corrected 2025-03-31

    Potential for more than minimal harm

64. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-24 · Health · corrected 2024-10-09

    Potential for more than minimal harm

65. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-19 · Health · corrected 2024-08-30

    Immediate jeopardy

66. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-19 · Health · corrected 2024-08-30

    Actual harm

67. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-16 · Health · corrected 2024-08-15

    Potential for more than minimal harm

68. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-16 · Health · corrected 2024-08-15

    Potential for more than minimal harm

69. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-05-14 · Health · corrected 2024-05-25

    Potential for more than minimal harm

70. DF0610Respond appropriately to all alleged violations.2024-04-26 · Health · corrected 2024-05-08

    Potential for more than minimal harm

71. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-04-26 · Health · corrected 2024-05-08

    Potential for more than minimal harm

72. EF0926Have policies on smoking.2024-04-26 · Health · corrected 2024-05-08

    Potential for more than minimal harm

73. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

74. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

75. DF0578Honor 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.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

76. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

77. EF0584Honor 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.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

78. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

79. DF0625Notify 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.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

80. EF0641Ensure each resident receives an accurate assessment.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

81. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

82. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

83. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

84. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

85. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

86. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

87. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

88. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

89. DF0687Provide appropriate foot care.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

90. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

91. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

92. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

93. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

94. EF0758Implement 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.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

95. EF0759Ensure medication error rates are not 5 percent or greater.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

96. EF0761Ensure 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.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

97. EF0791Provide or obtain dental services for each resident.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

98. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

99. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-03-11 · Health · corrected 2024-04-25

    Potential for more than minimal harm

100. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-11 · Health · corrected 2024-04-25

     Potential for more than minimal harm

101. EF0880Provide and implement an infection prevention and control program.2024-03-11 · Health · corrected 2024-04-25

     Potential for more than minimal harm

102. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-10-18 · Health · corrected 2023-11-03

     Potential for more than minimal harm

103. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-10-18 · Health · corrected 2023-11-03

     Potential for more than minimal harm

104. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-18 · Health · corrected 2023-11-03

     Potential for more than minimal harm

105. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

106. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

107. EF0578Honor 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.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

108. DF0583Keep residents' personal and medical records private and confidential.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

109. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

110. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

111. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

112. DF0692Provide enough food/fluids to maintain a resident's health.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

113. DF0758Implement 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.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

114. FF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

115. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

116. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

117. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

118. DF0826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

119. DF0880Provide and implement an infection prevention and control program.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

120. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-25 · Health · corrected 2023-07-06

     Potential for more than minimal harm

121. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-03-29 · Health · corrected 2023-04-10

     Potential for more than minimal harm

Ownership

Other facilities in LACEY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.