B86

LACEY POST ACUTE & REHABILITATION

Grade B 86/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Limited Liability company

Total Fines

$7,443

Last Survey

N/A

4524 INTELCO LOOP SE, LACEY, WA 98503
3604919890

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.61h
LPN
1.10h
CNA
2.08h
Total
3.79h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WASH 6 SNF OPERATIONS HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2023

100%

LION 26 HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2023

SABRINA 1818 HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2023

SAESSY IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2023

TATIRIQ IRREVOCABLE TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2023

LACEY SNF OPERATIONS MANAGER LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

IDELS, SHIMON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

SCHWARTZ, STEVEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2023

IDELS, SHIMON

IndividualCORPORATE OFFICERSince Apr 2023

SCHWARTZ, STEVEN

IndividualCORPORATE OFFICERSince Apr 2023

Penalties & Fines (1)

$7,443total fines
DateTypeDescriptionAmount
Sep 7, 2023Fine$7,443

Health Inspection Deficiencies (33)

June 6, 2025Health9 deficiencies
0552DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jul 18, 2025
0604DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 18, 2025
0656EMinimal harm, Pattern

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

Corrected Jul 18, 2025
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Jul 18, 2025
0569DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jul 18, 2025
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jul 18, 2025
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Jul 18, 2025
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 18, 2025
0761DMinimal harm, Isolated

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

Corrected Jul 18, 2025
May 23, 2025Health1 deficiency
0627DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jun 23, 2025
May 16, 2025Health1 deficiency
0678DMinimal harm, Isolated

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

Corrected Jul 28, 2025
January 30, 2025Health1 deficiency
0656DMinimal harm, Isolated

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

Corrected Feb 25, 2025
August 23, 2024Health12 deficiencies
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Sep 25, 2024
0644DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 25, 2024
0657DMinimal harm, Isolated

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

Corrected Sep 25, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 25, 2024
0688DMinimal harm, Isolated

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

Corrected Sep 25, 2024
0908DMinimal harm, Isolated

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Sep 25, 2024
0582DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Sep 25, 2024
0625DMinimal harm, Isolated

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

Corrected Sep 25, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 25, 2024
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Sep 25, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Sep 25, 2024
0761DMinimal harm, Isolated

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

Corrected Sep 25, 2024
April 12, 2024Health2 deficiencies
0552DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Apr 29, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 29, 2024
September 13, 2023Health1 deficiency1 severe
0695GActual harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Oct 9, 2023
September 7, 2023Health6 deficiencies
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 9, 2023
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 9, 2023
0552DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Oct 9, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Oct 9, 2023
0758DMinimal harm, Isolated

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

Corrected Oct 9, 2023
0761DMinimal harm, Isolated

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

Corrected Oct 9, 2023

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Frequently Asked Questions

What is the CareGrader rating for LACEY POST ACUTE & REHABILITATION?

LACEY POST ACUTE & REHABILITATION in LACEY, Washington has a CareGrader grade of B (Good), with a composite score of 85.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LACEY POST ACUTE & REHABILITATION?

LACEY POST ACUTE & REHABILITATION has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LACEY POST ACUTE & REHABILITATION have?

LACEY POST ACUTE & REHABILITATION has 33 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has LACEY POST ACUTE & REHABILITATION been fined?

Yes. LACEY POST ACUTE & REHABILITATION has $7,443 in total fines from CMS enforcement actions across 1 penalty.

How many beds does LACEY POST ACUTE & REHABILITATION have?

LACEY POST ACUTE & REHABILITATION has 120 certified beds with approximately 115 current residents (96% occupancy). The facility is located at 4524 INTELCO LOOP SE, LACEY, Washington 98503. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.