Panorama City Conv & Rehab Ctr

Name: Panorama City Conv & Rehab Ctr
Address: 1600 SLEATER KINNEY ROAD SE, Lacey, WA, 98503, US
Telephone: 3604560111

1600 Sleater Kinney Road SE, Lacey, WA 98503 · Thurston County · 155 certified beds · avg 116 residents/day · certified since Jan 1, 1967

4/5

Health inspection rating (on-site)

Serious findings on record

$42,904

Fines, last 3 years

4.58

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 · Jan 27, 2026 · F-0686

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.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

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: Feb 25, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 12, 2025 · 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 13, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jun 11, 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: Jul 5, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (25)

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
Jan 27, 2026	▲ G · Actual 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.
Jan 27, 2026	F · Potential for harm, facility-wide	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 27, 2026	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.
Jan 27, 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.
Jan 27, 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.
Jul 18, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 18, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 12, 2025	▲ 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
Jan 17, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Jan 17, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Oct 15, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 15, 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.
Oct 15, 2024	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.
Oct 15, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Oct 15, 2024	D · Potential for harm, one-off	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.
Jun 11, 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
Jun 11, 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. · from a complaint
Nov 13, 2023	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.
Nov 13, 2023	E · Potential for harm, repeated	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Nov 13, 2023	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.
Nov 13, 2023	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.
Nov 13, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2024	7	1	G ▲
2025	5	1	G ▲
2026	5	1	G ▲

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)

2 fines totaling $42,904.

Date	Type	Amount / length
Jan 27, 2026	Fine	$31,714
May 12, 2025	Fine	$11,190

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)	4.58	4.24	3.95	top 21% in Washington; top 21% in the U.S.
Registered Nurse hours	0.82	0.91	0.69	bottom 49% in Washington; top 26% in the U.S.
Weekend total nurse staffing	3.78	3.69	3.50	top 28% in Washington; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.61	0.67	0.48	bottom 45% in Washington; top 23% in the U.S.
Total nursing staff turnover (%)	28.9	45.1	45.8	top 11% in Washington; top 12% in the U.S.
RN turnover (%)	21.7	45.4	42.9	top 7% in Washington; top 17% 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 5.07, RN 0.91, weekend 4.19. Staffing rating: 5/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Flemming, Stanley	Individual	Direct Ownership Interest	NOT APPLICABLE	10/01/2022
Wilkerson, Dennis	Individual	Direct Ownership Interest	NOT APPLICABLE	12/04/2017
Flemming, Stanley	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Flemming, Stanley	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2022
Gavin, William	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2001
Gavin, William	Individual	Corporate Director	NOT APPLICABLE	11/01/2001
Goldberg, Frederick	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/01/1990
Goldberg, Frederick	Individual	Corporate Director	NOT APPLICABLE	08/01/1990
Hedden, Dale	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/31/2023
Hedden, Dale	Individual	Corporate Director	NOT APPLICABLE	08/31/2023
Jensen, Daryl	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/1999
Jensen, Daryl	Individual	Corporate Director	NOT APPLICABLE	06/01/1999
Madden, Kathryn	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2017
Madden, Kathryn	Individual	Corporate Director	NOT APPLICABLE	11/01/2017
Mah, Douglas	Individual	Managing Control - Governing Body	NOT APPLICABLE	10/26/2023
Mah, Douglas	Individual	Corporate Director	NOT APPLICABLE	10/26/2023
Mason, Nancy	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2009
Mason, Nancy	Individual	Corporate Director	NOT APPLICABLE	12/01/2009
Murphy, Judy	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/30/2023
Murphy, Judy	Individual	Corporate Director	NOT APPLICABLE	11/30/2023

Questions to ask on your visit

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

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"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	1.4 mi	Olympia, WA	★☆☆☆☆	1/5	SFF
Olympia Transitional Care and Rehabilitation	1.6 mi	Olympia, WA	★★★☆☆	3/5
Crystal Cove Post Acute	1.9 mi	Lacey, WA		—/5	SFF
Lacey Post Acute & Rehabilitation	2.1 mi	Lacey, WA	★★★★☆	3/5
Regency Olympia Rehabilitation and Nursing Center	2.4 mi	Olympia, WA	★★★★★	4/5
Puget Sound Care	5.7 mi	Olympia, WA	★★★★☆	4/5
The Oaks at Lakewood	17.7 mi	Tacoma, WA	★★★★★	5/5
Agility Health and Rehabilitation	18.6 mi	University Place, WA	★★★☆☆	3/5
Fir Lane Care	19.0 mi	Shelton, WA	★☆☆☆☆	1/5
Shelton Health and Rehabilitation	19.2 mi	Shelton, WA	★★☆☆☆	2/5
Birch Creek Post Acute & Rehabilitation	19.7 mi	Tacoma, WA	★☆☆☆☆	1/5
Orchard Park Health Care & Rehab Center	20.0 mi	Tacoma, WA	★☆☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Lacey →

Facility data as of CMS processing date 2026-08-01. CCN 505059.

The Care File

Visit checklist — Panorama City Conv & Rehab Ctr

1600 Sleater Kinney Road SE, Lacey, WA 98503 · 3604560111

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $42,904

Most serious findings on record:

▲ Jan 27, 2026 (F-0686, Actual 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.
▲ May 12, 2025 (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.
▲ Jun 11, 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:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "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 505059 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)