Federal inspection record · CMS data as of October 1, 2026
Panorama City Conv & Rehab Ctr
1600 Sleater Kinney Road Se, Lacey, WA · (360) 456-0111
- Certified beds
- 155
- Residents per day
- 113
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 5 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
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Washington homes
Panorama City Conv & Rehab Ctr carries 62 inspection points. That is fewer than 70% 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
25 health citations on record since 2023. 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 (3)
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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
Resident Assessment and Care Planning6E
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control2E
- E
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Resident Rights2D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Administration1E
- E
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspection history
2026-01-27
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-10-15
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-11-13
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 12 min of nursing staff time a day, 58 min of it from a registered nurse.
This home
5 h 12 min
Washington average
4 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 25% 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
Fines and payment denials
$42,904 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-27 | Fine | $31,714 |
| 2025-05-12 | Fine | $11,190 |
6
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 days0.4 pts better | 0.9 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 99.5% | 96.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccineAbout the same | 94.3% | 94.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.5 pts worse | 7.1% | 2.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms53 pts worse | 70.9% | 17.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 7.1% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts better | 9.7% | 12.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.1 pts better | 7.9% | 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 worsened1.2 pts worse | 16.8% | 15.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.5 pts worse | 15.3% | 13.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.7% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 0.8% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts better | 18.1% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 94.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts worse | 13.2% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.2% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 86.5% | 84.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts better | 17.2% | 19.7% | 23.4% |
·
Who owns and runs it
25 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 |
|---|---|---|---|
| Flemming, Stanley | Direct Ownership Interest · Individual | 0% | 6 facilities |
| Flemming, Stanley | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Flemming, Stanley | Adp Of The SNF · Individual | 0% | 6 facilities |
| Gavin, William | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Gavin, William | Corporate Director · Individual | 0% | 1 facilities |
| Goldberg, Frederick | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Goldberg, Frederick | Corporate Director · Individual | 0% | 1 facilities |
| Hedden, Dale | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hedden, Dale | Corporate Director · Individual | 0% | 1 facilities |
| Jensen, Daryl | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Jensen, Daryl | Corporate Director · Individual | 0% | 1 facilities |
| Madden, Kathryn | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Madden, Kathryn | Corporate Director · Individual | 0% | 1 facilities |
| Mah, Douglas | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mah, Douglas | Corporate Director · Individual | 0% | 1 facilities |
| Mason, Nancy | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Mason, Nancy | Corporate Director · Individual | 0% | 2 facilities |
| Murphy, Judy | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Murphy, Judy | Corporate Director · Individual | 0% | 1 facilities |
| Murry, Matthew | Corporate Officer · Individual | 0% | 1 facilities |
| Strader, Charles | Corporate Officer · Individual | 0% | 1 facilities |
| Strader, Charles | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wilkerson, Dennis | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Wilkerson, Dennis | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wilkerson, Dennis | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install a fire alarm system that can be heard throughout the facility.
Gas, Vacuum, and Electrical Systems2F
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
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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
-
Olympia Transitional Care And Rehabilitation
Olympia, WA · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
Crystal Cove Post Acute
Lacey, WA · Special Focus
Not rated- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 43 min
- Fines
- $235,672