nursing home in Lacey, WA
Crystal Cove Post Acute
1505 Carpenter Road SE, Lacey, WA 98503 · (360) 491-1765
Not rated
Not rated
CMS overall star rating
CMS overall star rating
- Health inspectionsNot rated
- StaffingNot rated
- Quality measuresNot rated
- Special Focus Facility
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Crystal Cove Post Acute at a glance
Crystal Cove Post Acute is a 96-bed for-profit nursing home in Lacey, Washington (Thurston County).
CMS has not published a overall star rating for this nursing home, usually because it has too little recent data.
Residents receive about 3.8 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.4 hours.
Its most recent standard health inspection (January 13, 2026) found 38 health citations. The Washington average is 15.8.
Federal regulators fined it 4 times in the past three years, totaling $235,475.
Nursing staff turnover is 69.7% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 96
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 1, 1980
- Resident/family council
- Resident
- County
- Thurston County
- CMS Certification Number
- 505254
Staffing
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.77 hrs | 4.36 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.94 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.27 hrs | 2.66 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.21 hrs | 3.80 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 69.7% | 45.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 87.5% | 45.4% | 42.9% | Worse |
Inspections
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 38 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 12 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 336.5 | 116.6 | 80.6 | Worse |
Penalties
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $235,475 | $52,633 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 6 | 1 | 1 | Worse |
Size
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 96 | 97 | 107 | |
| Average residents per day | 88 | 76 | 86 | |
| Occupancy | 92% | 79.4% | 80.9% |
Long-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.8% | 2.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 9.3% | 4.3% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 12.4% | 15.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.3% | 14.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 16.3% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.8% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.8% | 17.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7.5% | 12.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13% | 22.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.8% | 93.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 83.3% | 96% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 61.5% | 82% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 42.9% | 88.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 138 health deficiencies and 31 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 17, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 30, 2026 |
| June 22, 2026 Complaint | Honor 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 26, 2026 |
| June 22, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 26, 2026 |
| June 22, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected June 26, 2026 |
| June 10, 2026 Complaint | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | D Potential harm, isolated | Corrected June 18, 2026 |
| June 2, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected June 17, 2026 |
| March 12, 2026 Complaint | Provide 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected April 10, 2026 |
| March 12, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected April 10, 2026 |
| January 13, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected January 17, 2026 |
| January 13, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 30, 2026 |
| January 13, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected January 30, 2026 |
| January 13, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected January 9, 2026 |
| January 13, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected January 9, 2026 |
| January 13, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 13, 2026 Standard | Honor 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 13, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 13, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 13, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 13, 2026 Standard | Educate 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. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 13, 2026 Complaint | Ensure 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. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 13, 2026 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 13, 2026 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 2, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected January 22, 2026 |
| December 5, 2025 Complaint | Honor 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected December 24, 2025 |
| December 5, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 24, 2025 |
| August 22, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected September 15, 2025 |
| August 22, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 22, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 22, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 22, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 6, 2025 |
| August 22, 2025 Complaint | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected October 6, 2025 |
| August 22, 2025 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected October 6, 2025 |
| August 22, 2025 Complaint | Ensure 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected October 6, 2025 |
| August 22, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 6, 2025 |
| August 22, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected October 6, 2025 |
| July 16, 2025 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected August 18, 2025 |
| June 27, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 15, 2025 |
| March 12, 2025 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. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected March 31, 2025 |
| February 7, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 31, 2025 |
| February 7, 2025 Complaint | Ensure 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Meet other general requirements. Egress Deficiencies · Tag K0200 | E Potential harm, pattern | Corrected February 26, 2025 |
| February 6, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected February 26, 2025 |
| February 6, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 31, 2025 |
| February 6, 2025 Standard | Establish 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. Administration Deficiencies · Tag F0837 | F Potential harm, widespread | Corrected March 31, 2025 |
| February 6, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Honor 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Honor 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure 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. Nutrition and Dietary Deficiencies · Tag F0808 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide 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. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | E Potential harm, pattern | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected March 31, 2025 |
| February 6, 2025 Standard | Educate 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected March 31, 2025 |
| December 26, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected March 31, 2025 |
| December 26, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 31, 2025 |
| September 24, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected October 9, 2024 |
| August 19, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected August 30, 2024 |
| August 19, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected August 30, 2024 |
| July 16, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected August 15, 2024 |
| July 16, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 15, 2024 |
| May 14, 2024 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected May 25, 2024 |
| April 26, 2024 Complaint | Have policies on smoking. Environmental Deficiencies · Tag F0926 | E Potential harm, pattern | Corrected May 8, 2024 |
| April 26, 2024 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected May 8, 2024 |
| April 26, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 8, 2024 |
| March 11, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected April 10, 2024 |
| March 11, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected April 10, 2024 |
| March 11, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 15, 2024 |
| March 11, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected April 10, 2024 |
| March 11, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 10, 2024 |
| March 11, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected April 10, 2024 |
| March 11, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected April 10, 2024 |
| March 11, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | E Potential harm, pattern | Corrected April 25, 2024 |
| March 11, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected April 25, 2024 |
Showing the 150 most recent of 169 citations.
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 6 federal penalties in the past three years, including $235,475 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 2, 2026 | Fine | $20,415 |
| December 5, 2025 | Fine | $12,425 |
| June 27, 2025 | Payment Denial | 9 days from September 27, 2025 |
| December 26, 2024 | Payment Denial | 8 days from March 23, 2025 |
| December 26, 2024 | Fine | $117,108 |
| July 16, 2024 | Fine | $85,527 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ANDERSON, BRANDT Individual | adp of the snf | NOT APPLICABLE | 01/02/2022 |
| BERIHUN, ACHASHMAN Individual | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| BRACY, MCKENNZIE Individual | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| DE ORO, BRIANNA Individual | adp of the snf | NOT APPLICABLE | 02/24/2025 |
| FOUNDATION RESOURCE CENTER LLC Organization | adp of the snf | NOT APPLICABLE | 02/11/2025 |
| FROST, STEVEN Individual | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| JOHNSON, CHATEAU Individual | adp of the snf | NOT APPLICABLE | 12/30/2024 |
| LINDAHL, DAVID Individual | adp of the snf | NOT APPLICABLE | 03/01/2020 |
| LINDAHL, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 02/01/2019 |
| LINDAHL, KIRKMAN Individual | adp of the snf | NOT APPLICABLE | 03/01/2020 |
| LINDAHL, SCOTT Individual | adp of the snf | NOT APPLICABLE | 03/01/2020 |
| MAINA, JOHN Individual | adp of the snf | NOT APPLICABLE | 03/27/2025 |
| NWANKWO, CHUKWUEMEKA Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| WA1WEST LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2020 |
| ZWAHLEN, JAY Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| FROST, STEVEN Individual | corporate officer | NOT APPLICABLE | 03/01/2020 |
| LINDAHL, JEFFREY Individual | corporate officer | NOT APPLICABLE | 03/01/2020 |
| LINDAHL, KIRKMAN Individual | corporate officer | NOT APPLICABLE | 03/01/2020 |
| LINDAHL, SCOTT Individual | corporate officer | NOT APPLICABLE | 03/01/2020 |
| ANDERSON, BRANDT Individual | operational/managerial control | NOT APPLICABLE | 01/02/2022 |
| BERIHUN, ACHASHMAN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2020 |
| BRACY, MCKENNZIE Individual | operational/managerial control | NOT APPLICABLE | 02/01/2020 |
| DE ORO, BRIANNA Individual | operational/managerial control | NOT APPLICABLE | 02/24/2025 |
| FOUNDATION RESOURCE CENTER LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2020 |
| FROST, STEVEN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2020 |
| JOHNSON, CHATEAU Individual | operational/managerial control | NOT APPLICABLE | 12/30/2024 |
| LINDAHL, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 02/01/2019 |
| LINDAHL, KIRKMAN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2019 |
| LINDAHL, SCOTT Individual | operational/managerial control | NOT APPLICABLE | 02/01/2019 |
| MAINA, JOHN Individual | operational/managerial control | NOT APPLICABLE | 03/27/2025 |
| NWANKWO, CHUKWUEMEKA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| ZWAHLEN, JAY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
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★★★★★4Above averageRegency Olympia Rehabilitation and Nursing Center
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- CMS high performer
★★★★★5Much above averagePuget Sound Care
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Frequently asked questions
What is Crystal Cove Post Acute's rating?
CMS has not published a star rating for Crystal Cove Post Acute. This usually means there is not enough recent data.
How many inspection citations did Crystal Cove Post Acute receive?
Its most recent standard health inspection found 38 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.
Does Crystal Cove Post Acute accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Crystal Cove Post Acute?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Crystal Cove Post Acute and how do I contact it?
Crystal Cove Post Acute is at 1505 Carpenter Road SE, Lacey, WA 98503. Phone: (360) 491-1765.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.