Lacey Post Acute & Rehabilitation

4524 Intelco Loop Se · Lacey, WA · 98503 · 3604919890

120 certified beds For profit - Limited Liability company Chain: Hill Valley Healthcare

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 94
Staffing 20% 71
Federal penalties 15% 78
Trend 10% 64
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.873.48 min · 4.1 strong
RN hours / resident-day0.640.55–0.75
Weekend hours / resident-day3.55≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)1 · $7,443

Inspection citations (41 in the current record)

  • Potential for harm · D April 21, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 21, 2026 · found via complaint

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · D April 7, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 28, 2026 · Quality of Life and Care

  • Potential for harm · D April 7, 2026 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 28, 2026 · Pharmacy Service

  • Potential for harm · D April 7, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 28, 2026 · Infection Control

  • Potential for harm · D January 5, 2026 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected January 21, 2026 · Resident Rights

  • Potential for harm · D December 8, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 9, 2026 · Quality of Life and Care

  • Potential for harm · D December 8, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 9, 2026 · Infection Control

  • Potential for harm · D June 6, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected July 18, 2025 · Resident Rights

  • Potential for harm · D June 6, 2025

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected July 18, 2025 · Resident Rights

  • Potential for harm · D June 6, 2025

    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.

    Corrected July 18, 2025 · Resident Rights

  • Potential for harm · D June 6, 2025

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected July 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 6, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 6, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 6, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 6, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected July 18, 2025 · Quality of Life and Care

  • Potential for harm · D June 6, 2025

    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.

    Corrected July 18, 2025 · Pharmacy Service

  • Potential for harm · D May 23, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected June 23, 2025 · Resident Rights

  • Potential for harm · D May 16, 2025 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected July 28, 2025 · Quality of Life and Care

  • Potential for harm · D January 30, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 23, 2024

    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.

    Corrected September 25, 2024 · Resident Rights

  • Potential for harm · D August 23, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected September 25, 2024 · Resident Rights

  • Potential for harm · D August 23, 2024

    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.

    Corrected September 25, 2024 · Resident Rights

  • Potential for harm · D August 23, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 23, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected September 25, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 7, 2023Fine$7,443

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505525 · certified since July 25, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.