Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Puget Sound Care during CMS and state inspections, most recent first.
Surveyors observed unsanitary conditions in the kitchen, including food debris on equipment, unclean floors, improper food storage, and the presence of a personal beverage in the food serving area. Staff interviews confirmed that required cleaning between meals was not performed and that food was improperly stored on the floor, in violation of facility policy.
A facility failed to properly disinfect a food thermometer in the kitchen, risking cross-contamination and foodborne illness. A cook was observed using a kitchen cloth instead of alcohol wipes to clean the thermometer between temperature checks of different foods. The Dietary Manager and DON confirmed the expectation to use alcohol wipes for cleaning.
A resident with obstructive sleep apnea and a CPAP machine did not have a comprehensive care plan addressing their respiratory care needs. Despite the presence of the CPAP machine at the bedside, staff confirmed the absence of a care plan, which is required for residents using such equipment.
A resident requiring extensive assistance with personal hygiene did not receive help with shaving, despite expressing discomfort with facial hair. Observations confirmed the presence of unshaved facial hair, and staff interviews revealed an expectation for daily assistance, which was not met.
The facility failed to initiate bowel interventions for three residents, leading to extended periods without bowel movements, contrary to the facility's bowel management policy. A resident went over 138 hours without a bowel movement, another experienced over 141 hours without a bowel movement, and a third went six days without a bowel movement, with no bowel protocol initiated. Staff interviews revealed a lack of documentation and initiation of the bowel protocol as per facility policy.
Unsanitary Food Storage and Preparation Practices
Penalty
Summary
The facility failed to ensure that food was stored, prepared, and served in a sanitary manner, as evidenced by multiple observations of unsanitary conditions in the kitchen. During a general tour after the morning meal, surveyors observed food crumbs and dried food on the steam table, serving bowls, and lids. The stove area had leftover breakfast debris, and the steam table was prepped for lunch service with visible remnants from the previous meal. Kitchen carts used for food transport were found with crumbs, dried food, and liquid spillage, including a dried brown fluid on a plastic cover. The floor in front of the stove and steam table was littered with smashed food and debris. In the food storage room, a box of potatoes was sitting directly on the floor with holes in the box, exposing the potatoes to the floor surface. Further observations revealed that food debris from previous meals remained on serving equipment, and a personal soda bottle was found in the food serving area. Interviews with the Dietary Manager and Cook confirmed that the kitchen was supposed to be cleaned between meals and that food should not be stored on the floor. The staff acknowledged that the required cleaning had not been performed and that personal beverages should not be present in the food service area. These findings demonstrate a failure to follow the facility's sanitation policy and professional standards for food safety.
Improper Disinfection of Food Thermometer in Kitchen
Penalty
Summary
The facility failed to ensure proper disinfecting of the food thermometer when taking food temperatures in the kitchen, which placed residents at risk of cross-contamination and foodborne illness. During an observation, a cook was seen testing the temperature of food on the tray line with a kitchen thermometer. After checking the temperature of pureed chicken, the cook wiped the thermometer with a kitchen cloth instead of using a sterilizer or alcohol wipes, as expected by the facility. The cook then used the same thermometer to test another entree without proper disinfection. When questioned, the cook acknowledged using a cloth for cleaning but noted that the facility preferred alcohol wipes. The Dietary Manager confirmed that the expectation was to use alcohol wipes for cleaning thermometers. The Director of Nursing Services also stated that staff were expected to follow proper cleaning practices to prevent foodborne illness.
Failure to Address CPAP Use in Care Plan
Penalty
Summary
The facility failed to ensure that respiratory care was addressed in the comprehensive care plan for a resident diagnosed with obstructive sleep apnea who was using a CPAP machine. The resident was admitted to the facility and was noted to be alert and oriented. Despite the presence of a CPAP machine on the resident's nightstand, the comprehensive care plan did not include a focus area, goal, or intervention related to the CPAP machine. Observations over several days confirmed the presence of the CPAP machine at the resident's bedside, and the resident acknowledged that staff would fill it with water, although she did not use it every night. Staff members, including the Unit Manager and the Director of Nursing Services, confirmed that residents with a CPAP machine should have a care plan in place, but none was found for this resident. This oversight placed the resident at risk for unmet care needs and a diminished quality of life.
Failure to Assist Resident with Shaving
Penalty
Summary
The facility failed to provide assistance with shaving for a resident who required extensive help with personal hygiene, as documented in their care plan and Kardex. The resident, who was alert and oriented, expressed that the presence of chin hair was bothersome and noted that staff did not offer to shave her, even during bath times. Observations over several days confirmed the presence of dark facial hair on the resident's chin, which was not addressed by the staff. Interviews with staff members revealed that they were aware of the resident's need for assistance with activities of daily living, including shaving. The Unit Manager and Director of Nursing Services both acknowledged that residents should be offered assistance with shaving daily. Despite this expectation, the resident's personal hygiene task record showed no documented support for shaving during the specified periods, indicating a lapse in care provision.
Failure to Initiate Bowel Protocol for Residents
Penalty
Summary
The facility failed to initiate bowel interventions for three residents, leading to extended periods without bowel movements, contrary to the facility's bowel management policy. Resident 14, who was alert and oriented, went over 138 hours without a bowel movement, and the bowel protocol was not initiated during this period. Similarly, Resident 58, who was moderately cognitively impaired, experienced over 141 hours without a bowel movement, with no bowel protocol initiated. Resident 37, who was severely cognitively impaired and required total assistance, went six days without a bowel movement, and the bowel protocol was not initiated during this time. Staff interviews revealed a lack of documentation and initiation of the bowel protocol as per facility policy. Staff F, a Unit Manager and LPN, was unable to explain why Resident 37 did not alert for no bowel movement, and Staff J, another LPN, admitted to not documenting the initiation of the bowel protocol for Residents 14 and 58. Staff C, another Unit Manager and LPN, confirmed the need for documentation and initiation of the bowel protocol after three days without a bowel movement. The Director of Nursing Services acknowledged the issue, attributing it to documentation lapses.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Olympia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency Olympia Rehabilitation And Nursing Center | 3.4 mi | — | 15 | 0 |
| Woodard Creek Health & Rehabilitation | 5.2 mi | — | 11 | 0 |
| Olympia Transitional Care And Rehabilitation | 5.2 mi | — | 2 | 0 |
| Panorama City Conv & Rehab Ctr | 5.7 mi | — | 6 | 0 |
| Lacey Post Acute & Rehabilitation | 6.3 mi | — | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.