Nursing homeActive
Panorama City Conv & Rehab Ctr
1600 Sleater Kinney Road Se, Lacey, WA 985033604560111155 certified beds · 116 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
25
● 0● 22● 3
Penalties · 3 yrs
$42,904
2 fines
Last survey
2026-01-27
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Washington DSHS Aging and Long-Term Support · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-27 | Standard | 041 | CMS-2567 (Care Compare) | — |
| 2025-07-18 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-12 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-01-17 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-15 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-06-11 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2023-11-13 | Standard | 080 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Washington DSHS Aging and Long-Term Support publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-02-25Record 505059-20260127-F686
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-25Record 505059-20260127-F605
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-25Record 505059-20260127-F684
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-25Record 505059-20260127-F812
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-25Record 505059-20260127-F881
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-14Record 505059-20250718-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-14Record 505059-20250718-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-06-13Record 505059-20250512-F689
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 505059-20250117-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-14Record 505059-20250117-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 505059-20241015-F658
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 505059-20241015-F694
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 505059-20241015-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 505059-20241015-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-22Record 505059-20241015-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-05Record 505059-20240611-F689
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-05Record 505059-20240611-F658
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 505059-20231113-F558
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 505059-20231113-F582
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 505059-20231113-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 505059-20231113-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 505059-20231113-F684
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 505059-20231113-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 505059-20231113-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-22Record 505059-20231113-F849
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-01-27 | Civil money penalty | $31,714 | CMS · Penalties |
| 2025-05-12 | Civil money penalty | $11,190 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.91
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day5.07
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours4.19
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover29%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover22%
Facility
Washington
National
Washington 45% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Washington | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.5% | 4.3% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.5% | 2.6% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.1% | 15.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.5% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.6% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.4% | 5.5% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.3% | 12.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Flemming, Stanley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Strader, Charles Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wilkerson, Dennis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Flemming, Stanley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Flemming, Stanley Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gavin, William Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gavin, William Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Goldberg, Frederick Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Goldberg, Frederick Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hedden, Dale Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hedden, Dale Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Jensen, Daryl Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Jensen, Daryl Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Madden, Kathryn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Madden, Kathryn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mah, Douglas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mah, Douglas Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mason, Nancy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mason, Nancy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Murphy, Judy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Murphy, Judy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Murry, Matthew Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Strader, Charles Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wilkerson, Dennis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wilkerson, Dennis Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Washington.
No county cost figures on file for Thurston.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Woodard Creek Health & Rehabilitation Olympia | 1.4 mi | 2026-05-29 | 0953 |
| Olympia Transitional Care And Rehabilitation Olympia | 1.6 mi | 2026-04-24 | 0411 |
| Lacey Post Acute & Rehabilitation Lacey | 2.1 mi | 2026-06-16 | 0431 |
| Crystal Cove Post Acute Lacey | 1.9 mi | 2026-06-22 | 01307 |
| Regency Olympia Rehabilitation And Nursing Center Olympia | 2.4 mi | 2026-04-24 | 1261 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |