Starfile / Washington

LACEY POST ACUTE & REHABILITATION

4524 INTELCO LOOP SE, LACEY, WA 98503 · CCN 505525

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

$7,443

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

HILL VALLEY HEALTHCARE

Facilities in chain

40

Chain avg overall

2.20 / 5

Inspection citations (36)1 actual harm

1. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2026-01-05 · Health · corrected 2026-01-21

   Potential for more than minimal harm

2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-08 · Health · corrected 2026-01-09

   Potential for more than minimal harm

3. DF0880Provide and implement an infection prevention and control program.2025-12-08 · Health · corrected 2026-01-09

   Potential for more than minimal harm

4. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-06 · Health · corrected 2025-07-18

   Potential for more than minimal harm

5. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2025-06-06 · Health · corrected 2025-07-18

   Potential for more than minimal harm

6. 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.2025-06-06 · Health · corrected 2025-07-18

   Potential for more than minimal harm

7. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-06-06 · Health · corrected 2025-07-18

   Potential for more than minimal harm

8. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-06 · Health · corrected 2025-07-18

   Potential for more than minimal harm

9. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-06 · Health · corrected 2025-07-18

   Potential for more than minimal harm

10. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-06 · Health · corrected 2025-07-18

    Potential for more than minimal harm

11. DF0692Provide enough food/fluids to maintain a resident's health.2025-06-06 · Health · corrected 2025-07-18

    Potential for more than minimal harm

12. DF0761Ensure 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.2025-06-06 · Health · corrected 2025-07-18

    Potential for more than minimal harm

13. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-05-23 · Health · corrected 2025-06-23

    Potential for more than minimal harm

14. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-05-16 · Health · corrected 2025-07-28

    Potential for more than minimal harm

15. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-30 · Health · corrected 2025-02-25

    Potential for more than minimal harm

16. 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.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

17. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

18. 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.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

19. DF0641Ensure each resident receives an accurate assessment.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

20. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

21. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

22. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

23. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

24. DF0688Provide 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.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

25. DF0760Ensure that residents are free from significant medication errors.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

26. DF0761Ensure 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.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

27. DF0908Keep all essential equipment working safely.2024-08-23 · Health · corrected 2024-09-25

    Potential for more than minimal harm

28. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-12 · Health · corrected 2024-04-29

    Potential for more than minimal harm

29. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-12 · Health · corrected 2024-04-29

    Potential for more than minimal harm

30. GF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-13 · Health · corrected 2023-10-09

    Actual harm

31. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-09-07 · Health · corrected 2023-10-09

    Potential for more than minimal harm

32. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-07 · Health · corrected 2023-10-09

    Potential for more than minimal harm

33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-07 · Health · corrected 2023-10-09

    Potential for more than minimal harm

34. DF0692Provide enough food/fluids to maintain a resident's health.2023-09-07 · Health · corrected 2023-10-09

    Potential for more than minimal harm

35. 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.2023-09-07 · Health · corrected 2023-10-09

    Potential for more than minimal harm

36. DF0761Ensure 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.2023-09-07 · Health · corrected 2023-10-09

    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.