The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
PANORAMA CITY CONV & REHAB CTR
LACEY, WA · Medicare-certified · 155 beds
Needs attention
Non-profit
5 of 5 overall
5 of 5 stars overall. It has 5-star staffing and quality ratings, 3-star health inspections, nurse staffing above the federal benchmark (4.92 vs 4.1 hours per resident per day), and a recent federal penalty with $42,904 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
4.9198 hrs/resident/day
Quality measures
Last inspection: January 27, 2026Penalties, last 24 months: $42,904recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9198.
Staffing detail
- Registered nurses
- 0.95
- Licensed practical nurses
- 0.87
- Nurse aides
- 3.10
- Weekend nursing
- 4.11
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 25%
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
3.1%7.2%Worsening
Residents with a fall causing major injury
5.3%7.1%Worsening
Residents with pressure ulcers (bedsores)
3.3%1.4%Improving
Residents with a urinary tract infection
1.1%1%No change
Residents who lost too much weight
6.8%7.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.9%15.3%Improving
Residents whose ability to walk got worse
27.3%11.3%Improving
Long-stay residents on antianxiety or sleep medication
7.7%10.6%Worsening
Short-stay residents newly given an antipsychotic
1.1%0%Improving
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
32.1%21.6%Improving
Residents with depressive symptoms
72.3%73.5%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
—96.9%—
Long-stay residents given the pneumonia vaccine
97.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—83.7%—
Short-stay residents given the pneumonia vaccine
92%93.6%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to monitor antibiotic use properly. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $31,714 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $11,190 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $42,904 in total fines.
- $31,714
Federal fine
Jan 27, 2026
- $11,190
Federal fine
May 12, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 119.5 residents on an average day (77% of 155 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.