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Nursing home report

Crystal Cove Post Acute

LACEY, WA · Medicare-certified · 96 beds

Needs attention
Special Focus FacilityFor-profit
Data as of July 1, 2026
Not yet rated

Crystal Cove Post Acute in Lacey, WA is not rated overall and is a Special Focus Facility, with reported nurse staffing below the federal benchmark (3.77 vs 4.1 hours per resident per day). It also had $215,060 in fines over the last 24 months and recent citations related to CPR/basic life support, following treatment orders and resident preferences, and preventing accident hazards.

Facility ratings

Health inspections

Staffing

3.7744 hrs/resident/day

Quality measures

Last inspection: March 12, 2026Penalties, last 24 months: $215,060special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7744.

Staffing detail

Registered nurses
0.65
Licensed practical nurses
0.86
Nurse aides
2.27
Weekend nursing
3.21

Hours per resident per day.

Total staff turnover: 70%
Registered nurse turnover: 88%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

9.5%15.3%Worsening

Residents with a fall causing major injury

3.1%3.7%Worsening

Residents with pressure ulcers (bedsores)

6%14.5%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

5.4%6.7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

40.7%2.7%Improving

Residents whose ability to walk got worse

4.3%

Long-stay residents on antianxiety or sleep medication

5.4%7.9%Worsening

Short-stay residents newly given an antipsychotic

1.4%2.3%Worsening

Residents with a long-term catheter

1.2%0%Improving

Residents with new or worsening incontinence

11.5%13.6%Worsening

Residents with depressive symptoms

0%5.2%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.8%

Long-stay residents given the pneumonia vaccine

93.8%77.8%Worsening

Short-stay residents given the seasonal flu vaccine

61.5%

Short-stay residents given the pneumonia vaccine

37.5%48.3%Improving

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to provide enough food and fluids to keep residents healthy. Cited February 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 28 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $12,425 was recorded.

  6. PENALTY

    A federal fine of $19,115 was recorded.

  7. PENALTY

    A federal payment denial was recorded.

  8. PENALTY

    A federal payment denial was recorded.

  9. PENALTY

    A federal fine of $117,108 was recorded.

  10. PENALTY

    A federal fine of $85,527 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $215,060 in total fines · 2 payment denials.

  • Federal fine

    Dec 5, 2025

    $12,425
  • Medicare/Medicaid payment denial

    Jun 27, 2025

    9 days
  • Medicare/Medicaid payment denial

    Dec 26, 2024

    8 days
  • Federal fine

    Dec 26, 2024

    $117,108
  • Federal fine

    Jul 16, 2024

    $85,527

Operator & ownership

Recent ownership change · Apr 1, 2020

Now operated by Roo Lan Health & Rehab, previously Roo-lan Healthcare Center.

Ownership
For profit - Limited Liability company
Occupancy
88.3 residents on an average day (92% of 96 beds)
Resident voice
Resident council
Medicare history
Certified for 46 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.