Olympia Transitional Care and Rehabilitation

Name: Olympia Transitional Care and Rehabilitation
Address: 430 LILLY ROAD NORTHEAST, Olympia, WA, 98506, US
Telephone: 3604919700

430 Lilly Road Northeast, Olympia, WA 98506 · Thurston County · 113 certified beds · avg 80 residents/day · certified since Jul 7, 1976

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.24

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · May 22, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 26, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (42)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 24, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Apr 24, 2026	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Apr 24, 2026	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 24, 2026	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 24, 2026	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 24, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 24, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 24, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 24, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 24, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 24, 2026	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Apr 24, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Apr 24, 2026	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 30, 2026	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
Apr 1, 2025	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Apr 1, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 1, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 1, 2025	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Apr 1, 2025	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Apr 1, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 1, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 1, 2025	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Apr 1, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 1, 2025	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Oct 4, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 27, 2024	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint
May 22, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 22, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Mar 25, 2024	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint
Jan 26, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 26, 2024	E · Potential for harm, repeated	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Jan 26, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 26, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 26, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 26, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (10 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2024	17	1	G ▲
2025	10	0	E
2026	15	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Washington avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.24	4.24	3.95	top 34% in Washington; top 31% in the U.S.
Registered Nurse hours	0.61	0.91	0.69	bottom 13% in Washington; top 47% in the U.S.
Weekend total nurse staffing	3.78	3.69	3.50	top 29% in Washington; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.67	0.48	bottom 14% in Washington; top 43% in the U.S.
Total nursing staff turnover (%)	41.7	45.1	45.8	top 43% in Washington; top 41% in the U.S.
RN turnover (%)	54.5	45.4	42.9	bottom 31% in Washington; bottom 29% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.24, RN 0.61, weekend 3.78. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Actriv Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2015
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	12/01/2014
CMG Cit Acquisition, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2015
Denor, Joseph	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/05/2023
Denor, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	07/05/2023
Denor, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	07/05/2023
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Farnsworth, Stephen	Individual	Corporate Director	NOT APPLICABLE	09/09/2024
Favorite Healthcare Staffing LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2015
Integrated Medical Systems LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2015
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Lilly Road Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/09/2025
Smith, Joel	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2015
Smith, Joel	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2015
Smith, Joel	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2015
Standard Bearer Healthcare Op LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"How do you explain health changes and treatment options to residents and their families?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Woodard Creek Health & Rehabilitation	0.1 mi	Olympia, WA	★☆☆☆☆	1/5	SFF
Panorama City Conv & Rehab Ctr	1.6 mi	Lacey, WA	★★★★★	4/5
Regency Olympia Rehabilitation and Nursing Center	2.5 mi	Olympia, WA	★★★★★	4/5
Crystal Cove Post Acute	2.7 mi	Lacey, WA		—/5	SFF
Lacey Post Acute & Rehabilitation	3.6 mi	Lacey, WA	★★★★☆	3/5
Puget Sound Care	5.2 mi	Olympia, WA	★★★★☆	4/5
The Oaks at Lakewood	17.4 mi	Tacoma, WA	★★★★★	5/5
Fir Lane Care	17.6 mi	Shelton, WA	★☆☆☆☆	1/5
Shelton Health and Rehabilitation	17.8 mi	Shelton, WA	★★☆☆☆	2/5
Agility Health and Rehabilitation	18.0 mi	University Place, WA	★★★☆☆	3/5
Birch Creek Post Acute & Rehabilitation	19.2 mi	Tacoma, WA	★☆☆☆☆	1/5
Orchard Park Health Care & Rehab Center	19.5 mi	Tacoma, WA	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Olympia →

Facility data as of CMS processing date 2026-08-01. CCN 505243.

The Care File

Visit checklist — Olympia Transitional Care and Rehabilitation

430 Lilly Road Northeast, Olympia, WA 98506 · 3604919700

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Most serious findings on record:

▲ May 22, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 505243 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)