01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-27 | 5 | 2026-01-27 | 1 |
| Cycle 2 | 2024-10-15 | 10 | 2024-10-15 | 2 |
| Cycle 3 | 2023-11-13 | 10 | 2023-11-13 | 3 |
CMS CCN 5050592026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Panorama City Conv & Rehab Ctr
1600 Sleater Kinney Road Se · Lacey, WA 98503 · Thurston County
Certified beds155CMS provider file
Recent citation rows31current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
31 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-01-27 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-02-252026-01-27 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-252026-01-27 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-02-252026-01-27 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-252026-01-27 · HEALTHF0881Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2026-02-252026-01-27 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-02-202025-07-18 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint2025-07-18 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint2025-05-12 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint2025-01-17 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-02-14 · complaint2025-01-17 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-02-14 · complaint2024-10-15 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-15 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-15 · HEALTHF0758Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-15 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-15 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-222024-10-15 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-11-082024-10-15 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2024-11-082024-06-11 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-07-05 · complaint2024-06-11 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-07-05 · complaint2023-11-13 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2023-12-222023-11-13 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2023-12-222023-11-13 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2023-12-222023-11-13 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-12-2203 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-01-27 | Fine | $31,714 | 0 |
| 2025-05-12 | Fine | $11,190 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FLEMMING, STANLEYIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- WILKERSON, DENNISIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/04/2017
- GAVIN, WILLIAMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2001
- GOLDBERG, FREDERICKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/01/1990
- HEDDEN, DALEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/31/2023
- JENSEN, DARYLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/1999
- MADDEN, KATHRYNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2017
- MAH, DOUGLASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/26/2023
- MASON, NANCYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/01/2009
- MURPHY, JUDYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/30/2023
- GAVIN, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2001
- GOLDBERG, FREDERICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/1990
- HEDDEN, DALEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/31/2023
- JENSEN, DARYLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/1999
- MADDEN, KATHRYNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2017
- MAH, DOUGLASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/26/2023
- MASON, NANCYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2009
- MURPHY, JUDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/30/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.07per resident day
RN hours0.91per resident day
Weekend nurse hours4.19per resident day
Staff turnover28.9%CMS reported field
06 / LOCAL RECORDS
Open the Lacey ledger →