Quick answers
- Where is Crystal Cove Post Acute?
- 1505 Carpenter Road SE, Lacey, WA 98503, in Thurston County, Washington.
- What is the phone number of Crystal Cove Post Acute?
- (360) 491-1765, as listed by Medicare (CMS).
- What is the Medicare star rating of Crystal Cove Post Acute?
- Medicare (CMS) does not show a star rating for Crystal Cove Post Acute in the current data.
- Has Crystal Cove Post Acute been fined?
- Medicare lists 4 fines totaling $235,672 and 2 payment denials.
- What did inspectors find at Crystal Cove Post Acute?
- In its last three inspection cycles (October 18, 2023 to July 17, 2026), Medicare lists 138 health citations; the most serious was level J. 7 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 18, 2023 to July 17, 2026), Crystal Cove Post Acute had 138 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 7 of them were level G or higher (actual harm or immediate jeopardy). It was fined $235,672 in total (4 fines, the latest on June 2, 2026) and had 2 Medicare payment denials. Nurse staffing is 3.72 hours per resident per day; the Washington average is 4.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 13, 2026 — 39 health citations
Inspections in this cycle: December 5, 2025 (complaint investigation); January 2, 2026 (complaint investigation); January 13, 2026 (complaint investigation); January 13, 2026 (standard health inspection); March 12, 2026 (complaint investigation); June 2, 2026 (complaint investigation); June 10, 2026 (complaint investigation); June 22, 2026 (complaint investigation); July 17, 2026 (complaint investigation).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 37 less serious citations (levels A to F)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0605 Level E
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0757 Level E
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0761 Level E
“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.”
F0809 Level E
“Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.”
F0887 Level E
“Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”
F0851 Level D
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0688 Level D
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0565 Level D
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0569 Level D
“Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0730 Level D
“Observe each nurse aide's job performance and give regular training.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0847 Level D
“Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.”
F0849 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0584 Level 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.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
Previous cycle: February 6, 2025 — 58 health citations
Inspections in this cycle: December 26, 2024 (complaint investigation); February 6, 2025 (standard health inspection); February 7, 2025 (complaint investigation); March 12, 2025 (complaint investigation); June 27, 2025 (complaint investigation); July 16, 2025 (complaint investigation); August 22, 2025 (complaint investigation).
F0678 Level J
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0692 Level G
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 48 less serious citations (levels A to F)
F0802 Level F
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0726 Level F
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
F0837 Level F
“Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0835 Level E
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0565 Level E
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0567 Level E
“Honor the resident's right to manage his or her financial affairs.”
F0568 Level E
“Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.”
F0584 Level E
“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.”
F0585 Level E
“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.”
F0604 Level E
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level E
“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.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0688 Level E
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0694 Level E
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0757 Level E
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0758 Level 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.”
F0761 Level E
“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.”
F0808 Level E
“Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.”
F0847 Level E
“Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.”
F0868 Level E
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0803 Level D
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0693 Level D
“Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0569 Level D
“Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0622 Level D
“Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0687 Level D
“Provide appropriate foot care.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
Earlier cycle: March 11, 2024 — 41 health citations
Inspections in this cycle: October 18, 2023 (complaint investigation); March 11, 2024 (standard health inspection); April 26, 2024 (complaint investigation); May 14, 2024 (complaint investigation); July 16, 2024 (complaint investigation); August 19, 2024 (complaint investigation); September 24, 2024 (complaint investigation).
48 more citations of lower seriousness are not listed here. See all of them on Medicare Care Compare.
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (31)
E0039 Level F
“Conduct testing and exercise requirements.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0222 Level E
“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.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
E0015 Level F
“Address subsistence needs for staff and patients.”
E0025 Level F
“Create arrangements with other facilities to receive patients.”
E0032 Level F
“Provide primary/alternate means for communication.”
E0035 Level F
“Provide family notifications of emergency plan.”
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0926 Level F
“Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0200 Level E
“Meet other general requirements.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
E0037 Level F
“Establish staff and initial training requirements.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0222 Level F
“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.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
Fines and payment denials
Total fines over about the last three years: $235,672 (4 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 2, 2026 | Fine | $20,415 |
| December 5, 2025 | Fine | $12,622 |
| June 27, 2025 | Payment denial | from September 27, 2025, 9 days |
| December 26, 2024 | Fine | $117,108 |
| December 26, 2024 | Payment denial | from March 23, 2025, 8 days |
| July 16, 2024 | Fine | $85,527 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Washington | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.67 | 0.99 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.84 | 0.74 | 0.86 |
| Nurse aide hours per resident per day | 2.21 | 2.68 | 2.35 |
| Total nurse staff hours per resident per day | 3.72 | 4.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.21 | 3.82 | 3.43 |
| RN hours per resident per day on the weekend | 0.42 | 0.71 | 0.48 |
| Nursing staff turnover (per year) | 65.6% | 43.9% | 45.3% |
| RN turnover (per year) | 81.3% | 43.8% | 42.5% |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Lowers Holdings LLC.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Foundation Resource Center LLC | Management company (operational or managerial control) | NOT APPLICABLE | February 1, 2020 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 96 |
| Average residents per day | 78.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Legal business name | Lowers Holdings LLC |
| First approved by Medicare/Medicaid | 1980-04-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1505 Carpenter Road SE, Lacey, WA 98503 |
| County | Thurston County |
| State | Washington |
| Phone | (360) 491‑1765 |
| CMS Certification Number | 505254 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Panorama City Conv & Rehab Center1.9 mi · Lacey, WA · 5 of 5 stars
- Woodard Creek Health & Rehabilitation2.7 mi · Olympia, WA · 1 of 5 stars
- Olympia Transitional Care and Rehabilitation2.7 mi · Olympia, WA · 3 of 5 stars
- Lacey Post Acute & Rehabilitation2.9 mi · Lacey, WA · 2 of 5 stars
- Regency Olympia Rehabilitation and Nursing Center4.2 mi · Olympia, WA · 5 of 5 stars
Nearest hospital emergency rooms
- Providence St Peter Hospital2.9 mi · Olympia, WA · Acute Care Hospital
- Capital Medical Center7.6 mi · Olympia, WA · Acute Care Hospital
- Madigan AMC (FT Lewis)12 mi · Joint Base Lewis-Mcchord, WA · Military Hospital (Department of Defense)
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13