Washington ›Olympia

Olympia Transitional Care and Rehabilitation

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430 Lilly Road Northeast, Olympia, WA 98506 (opens Google Maps) · Thurston County · (360) 491-9700· 113 certified beds · avg 80 residents/day · certified since Jul 7, 1976 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

3/5
Health inspection rating (on-site)
inspected Apr 24, 2026
1
Serious findings on record
most recent May 22, 2024
$0
Fines, last 3 years
4.24
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

Inspection findings in the public record

Showing the latest 3 of 42 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    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. F-0561

  2. E · Potential for more than minimal harm, pattern

    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). F-0628

  3. E · Potential for more than minimal harm, pattern

    The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658

View all 42 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 24, 2026E · Potential for more than minimal harm, patternThe 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. · F-0561
Apr 24, 2026E · Potential for more than minimal harm, patternThe 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). · F-0628
Apr 24, 2026E · Potential for more than minimal harm, patternThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Apr 24, 2026E · Potential for more than minimal harm, patternThe 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. · F-0756
Apr 24, 2026E · Potential for more than minimal harm, patternThe 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. · F-0757
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0605
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0686
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0687
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Apr 24, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0881
Mar 19, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jan 30, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770
Apr 1, 2025E · Potential for more than minimal harm, patternThe 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. · F-0623
Apr 1, 2025E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 1, 2025E · Potential for more than minimal harm, patternThe 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. · F-0880
Apr 1, 2025E · Potential for more than minimal harm, patternThe 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. · F-0881
Apr 1, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0569
Apr 1, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Apr 1, 2025D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Apr 1, 2025D · Potential for more than minimal harm, isolatedWhen 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. · F-0661
Apr 1, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0677
Apr 1, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770
Oct 4, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Aug 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint · F-0770
May 22, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
May 22, 2024E · Potential for more than minimal harm, patternThe 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 · F-0677
Mar 25, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0691
Jan 26, 2024E · Potential for more than minimal harm, patternThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jan 26, 2024E · Potential for more than minimal harm, patternThe facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · F-0694
Jan 26, 2024E · Potential for more than minimal harm, patternThe 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. · F-0759
Jan 26, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jan 26, 2024E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jan 26, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0550
Jan 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jan 26, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0623
Jan 26, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0625
Jan 26, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0636
Jan 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 26, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0761

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 17
Serious citations (G–L): 1
2025
All citations: 10
Serious citations (G–L): 0
2026
All citations: 15
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2024171G ▲
2025100E
2026150E

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityWashington averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.24
Washington average: 4.24
U.S. average: 3.95
Registered Nurse hours
This facility: 0.61
Washington average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.78
Washington average: 3.69
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityWashington avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.244.243.95top 34% in Washington; top 31% in the U.S.
Registered Nurse hours0.610.910.69bottom 13% in Washington; top 47% in the U.S.
Weekend total nurse staffing3.783.693.50top 29% in Washington; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)0.430.670.48bottom 14% in Washington; top 43% in the U.S.
Total nursing staff turnover (%)41.745.145.8top 43% in Washington; top 41% in the U.S.
RN turnover (%)54.545.442.9bottom 31% in Washington; bottom 29% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Olympia Transitional Care and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Actriv Healthcare LLCOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2015
Burnam, SoonIndividualCorporate OfficerNOT APPLICABLE12/01/2014
CMG Cit Acquisition, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2015
Denor, JosephIndividualManaging Control - Governing BodyNOT APPLICABLE07/05/2023
Denor, JosephIndividualOperational/Managerial ControlNOT APPLICABLE07/05/2023
Denor, JosephIndividualADP of the SNFNOT APPLICABLE07/05/2023
Ensign Services INCOrganizationADP of the SNFNOT APPLICABLE01/01/2022
Farnsworth, StephenIndividualCorporate DirectorNOT APPLICABLE09/09/2024
Favorite Healthcare Staffing LLCOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2015
Integrated Medical Systems LLCOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2015
Keetch, ChadIndividualCorporate OfficerNOT APPLICABLE03/01/2011
Lilly Road Health Holdings LLCOrganizationADP of the SNFNOT APPLICABLE01/01/2022
Port, BarryIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE09/09/2025
Smith, JoelIndividualManaging Control - Governing BodyNOT APPLICABLE04/01/2015
Smith, JoelIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2015
Smith, JoelIndividualADP of the SNFNOT APPLICABLE04/01/2015
Standard Bearer Healthcare Op LPOrganizationADP of the SNFNOT APPLICABLE01/01/2022
The Ensign Group INCOrganizationADP of the SNFNOT APPLICABLE01/01/2022

All 18 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain The Ensign Group — 342 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 42% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Woodard Creek Health & Rehabilitation0.1 miOlympia, WA★☆☆☆☆1/5SFF
Panorama City Conv & Rehab Ctr1.6 miLacey, WA★★★★★4/5
Regency Olympia Rehabilitation and Nursing Center2.5 miOlympia, WA★★★★★4/5
Crystal Cove Post Acute2.7 miLacey, WA—/5SFF
Lacey Post Acute & Rehabilitation3.6 miLacey, WA★★★★☆3/5
Puget Sound Care5.2 miOlympia, WA★★★★☆4/5
The Oaks at Lakewood17.4 miTacoma, WA★★★★★5/5
Fir Lane Care17.6 miShelton, WA★☆☆☆☆1/5
Shelton Health and Rehabilitation17.8 miShelton, WA★★☆☆☆2/5
Agility Health and Rehabilitation18.0 miUniversity Place, WA★★★☆☆3/5
Birch Creek Post Acute & Rehabilitation19.2 miTacoma, WA★☆☆☆☆1/5
Orchard Park Health Care & Rehab Center19.5 miTacoma, WA★☆☆☆☆1/5abuse

Compare this facility with the 3 closest →

All facilities in Olympia →

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

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