Federal inspection record · CMS data as of October 1, 2026
Olympia Transitional Care And Rehabilitation
430 Lilly Road Northeast, Olympia, WA · (360) 491-9700
- Certified beds
- 113
- Residents per day
- 81
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 7, 1976
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Washington.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Olympia Transitional Care And Rehabilitation carries 102 inspection points. That is fewer than 41% of Washington's 192 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Washington: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–69 pts
- 3★ 69–100 pts
- 2★ 100–167 pts
- 1★ over 167 pts
Bars show every rated home in Washington by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
46 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care13E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate foot care.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights10E
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Assessment and Care Planning8E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Pharmacy Service4E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control3E
- D
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Administration3D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Respond appropriately to all alleged violations.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nutrition and Dietary2E
- E
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-04-24
19 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2025-04-01
11 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-01-26
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
4 h 12 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.2 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better | 100.0% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 96.9% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 4.2% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.2 pts better | 17.7% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 8.0% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts worse | 15.1% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.2 pts worse | 24.2% | 15.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.5 pts better | 11.1% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts better | 12.3% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts worse | 3.0% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts worse | 22.0% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 2.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.1 pts better | 98.8% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.7 pts better | 7.3% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.8 pts better | 96.2% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.5 pts better | 16.2% | 19.7% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Actriv Healthcare LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Cmg Cit Acquisition, LLC | Operational/Managerial Control · Organization | 0% | 4 facilities |
| Denor, Joseph | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Denor, Joseph | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Denor, Joseph | Adp Of The SNF · Individual | 0% | 3 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Farnsworth, Stephen | Corporate Director · Individual | 0% | 38 facilities |
| Favorite Healthcare Staffing LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Integrated Medical Systems LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Lilly Road Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Port, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 203 facilities |
| Smith, Joel | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Smith, Joel | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Smith, Joel | Adp Of The SNF · Individual | 0% | 2 facilities |
| Standard Bearer Healthcare Op LP | Adp Of The SNF · Organization | 0% | 21 facilities |
| The Ensign Group Inc | Adp Of The SNF · Organization | 0% | 135 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness4F
- F
Conduct testing and exercise requirements.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address subsistence needs for staff and patients.
- F
Conduct testing and exercise requirements.
Smoke4F
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Construction1D
- D
Use approved construction type or materials.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Woodard Creek Health & Rehabilitation
Olympia, WA · Hill Valley Healthcare · Special Focus
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 4 h
- Fines
- $189,769
-
Panorama City Conv & Rehab Ctr
Lacey, WA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 12 min
- Fines
- $42,904
-
Regency Olympia Rehabilitation And Nursing Center
Olympia, WA · Regency Pacific Management
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 35 min
- Fines
- $8,278