Panorama City Conv & Rehab Ctr
1600 Sleater Kinney Road Se · Lacey, WA · 98503 · 3604560111
155 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.92 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.95 | 0.55–0.75 |
| Weekend hours / resident-day | 4.11 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 2 · $42,904 |
Inspection citations (25 in the current record)
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Actual harm · G January 27, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 25, 2026 · Quality of Life and Care
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Potential for harm · D January 27, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 27, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 25, 2026 · Quality of Life and Care
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Potential for harm · F January 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 25, 2026 · Nutrition and Dietary
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Potential for harm · E January 27, 2026
Implement a program that monitors antibiotic use.
Corrected February 25, 2026 · Infection Control
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Potential for harm · D July 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 18, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected February 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 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 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 15, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 15, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected November 22, 2024 · Quality of Life and Care
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Potential for harm · E October 15, 2024
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.
Corrected November 22, 2024 · Pharmacy Service
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Potential for harm · E October 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 22, 2024 · Nutrition and Dietary
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Potential for harm · D October 15, 2024
Provide and implement an infection prevention and control program.
Corrected November 22, 2024 · Infection Control
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Actual harm · G June 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · E June 11, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 13, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected December 22, 2023 · Resident Rights
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Potential for harm · D November 13, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 22, 2023 · Resident Rights
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Potential for harm · D November 13, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 13, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 13, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 22, 2023 · Quality of Life and Care
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Potential for harm · D November 13, 2023
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.
Corrected December 22, 2023 · Pharmacy Service
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Potential for harm · E November 13, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 22, 2023 · Nutrition and Dietary
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Potential for harm · E November 13, 2023
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.
Corrected December 22, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 27, 2026 | Fine | $31,714 |
| May 12, 2025 | Fine | $11,190 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505059 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.