B

LACEY POST ACUTE & REHABILITATION

4524 INTELCO LOOP SE, LACEY, WA 98503
Score: 82 / 100

With a score of 82/100 and a B grade, Lacey Post Acute & Rehabilitation is a well-regarded option in Lacey, Washington. The facility performs above average in most CMS categories, placing it in the 80th percentile statewide.

Staffing at Lacey Post Acute & Rehabilitation is near the national average, with 3.93 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 36 deficiencies at Lacey Post Acute & Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.93 3.8 Average
Registered Nurses (RN) 0.63 0.7 Average
Licensed Practical Nurses (LPN) 1.14 0.7 Above Average
Certified Nursing Assistants (CNA) 2.16 2.4 Below Average
Weekend Total Nursing 3.55 3.8 Average
Weekend RN Hours 0.39 0.7 Below Average

🔍 Inspection & Deficiency History

36
Total Deficiencies
Jan 4, 2026
Most Recent Inspection
🟠 36 Moderate
View recent deficiencies (5 shown)
  • Tag 0627 Severity D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    Jan 4, 2026 · Resident Rights Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 7, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Dec 7, 2025 · Infection Control Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jun 5, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jun 5, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.3% 4.5% Worse
Falls with major injury 0.8% 3.0% Better
On antipsychotic medication 16.2% 14.5% Worse
Urinary tract infections 0.8% 2.5% Better
ADL decline (daily activities) 8.9% 14.0% Better
Excessive weight loss 9.2% 7.5% Worse
New/worsened incontinence 24.9% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $7,443

How This Grade Was Calculated

This facility's grade of B is based on a score of 82 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 5, 2025
Deficiencies (Cycle 1)
14