LACEY POST ACUTE & REHABILITATION

LACEY, WA · 120 beds · For profit - Limited Liability company

68 Trust Score
Grade: C MEDIUM Risk → Stable

Red Flags

  • 1 citation(s) where residents suffered actual harm

Green Flags

  • 4-star health inspection rating

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
13
0.8x state avg
Deficiencies
$7,443
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

December 7, 2025

2 deficiencyies
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

June 5, 2025

9 deficiencyies
F0552 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0569 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0604 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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PASARR screening for Mental disorders or Intellectual Disabilities

F0656 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

May 22, 2025

1 deficiency
F0627 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

May 15, 2025

1 deficiency
F0678 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

January 29, 2025

1 deficiency
F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

August 22, 2024

6 deficiencyies
F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0582 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0644 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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PASARR screening for Mental disorders or Intellectual Disabilities

See full violation history →

Staffing

0.61
RN hrs/res/day
1.10
LPN hrs/res/day
2.08
CNA hrs/res/day
3.42
Weekend hrs/res/day
54%
Total nurse turnover
52%
RN turnover

A nurse checks on each resident roughly every 6.3 hours on average.

Fines & Penalties

  • Fine Sep 6, 2023
    $7,443
Total $7,443

Ownership

For profit - Limited Liability company Chain: HILL VALLEY HEALTHCARE
  • WASH 6 SNF OPERATIONS HOLDINGS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 02/08/2023

    100% Organization
  • LION 26 HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/08/2023

    NO PERCENTAGE PROVIDED Organization
  • SABRINA 1818 HOLDINGS LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/08/2023

    NO PERCENTAGE PROVIDED Organization
  • SAESSY IRREVOCABLE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/08/2023

    NO PERCENTAGE PROVIDED Organization
  • TATIRIQ IRREVOCABLE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 02/08/2023

    NO PERCENTAGE PROVIDED Organization
  • LACEY SNF OPERATIONS MANAGER LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2023

    Organization
  • IDELS, SHIMON

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2023

    Individual
  • SCHWARTZ, STEVEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2023

    Individual
  • IDELS, SHIMON

    CORPORATE OFFICER

    Since since 04/01/2023

    Individual
  • SCHWARTZ, STEVEN

    CORPORATE OFFICER

    Since since 04/01/2023

    Individual

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