Crystal Cove Post Acute

Nursing Home · Lacey, WA

Special Focus Facility For profit - Limited Liability company

CMS certification number505254
CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.

Contact & location

1505 Carpenter Road SE
Lacey, WA 98503
Thurston County
Phone
(360) 491-1765
ZIP code
98503 – all care providers

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Facility details

Certified beds
96
Residents per day
88.3 (92% occupied)
Ownership
For profit - Limited Liability company
Legal name
Lowers Holdings LLC
Medicare certified since
April 1, 1980
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

OverallNot rated
State avg 3.2
Health inspectionsNot rated
State avg 2.8
StaffingNot rated
State avg 3.6
Quality measuresNot rated
State avg 4.0
Long-stay qualityNot rated
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.77 (state 4.37 · U.S. 3.86)
Registered nurses (RN)
0.65 (state 0.94 · U.S. 0.69)
Licensed practical nurses
0.86 (state 0.77 · U.S. 0.86)
Nurse aides
2.27 (state 2.66 · U.S. 2.32)
Weekend total
3.21 (state 3.81 · U.S. 3.42)
Nursing staff turnover
69.7 (state 45.1 · U.S. 45.8)%
RN turnover
87.5 (state 45.4 · U.S. 42.9)%

Inspections

Last standard inspection
January 13, 2026
Health deficiencies (last cycle)
43.0 (state 16.1 · U.S. 9.3)
From complaints
17
Citations on record (3 years)
71 health · 9 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-22 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-06-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-06-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-06-10 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-18
2026-06-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-17
2026-03-12 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-10
2026-03-12 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-10
2026-01-13 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 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.
F0809 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 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.
F0887 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 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.
F0849 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-13 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-06
2026-01-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-01-22
2025-12-05 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-24
2025-12-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-24
2025-08-22 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-10-06
2025-08-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-10-06
2025-08-22 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-06
2025-08-22 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-06
2025-08-22 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-06
2025-08-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-06
2025-07-16 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-18
2025-06-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-03-12 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-03-31
2025-02-07 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-03-31
2025-02-07 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.
F0693 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2025-02-06 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-03-31

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

6 penalties in the last three years, including $235,475 in fines.

DateTypeAmount
2026-06-02Fine$20,415
2025-12-05Fine$12,425
2025-06-27Payment Denial9 days payment denial
2024-12-26Payment Denial8 days payment denial
2024-12-26Fine$117,108
2024-07-16Fine$85,527

Ownership & management

NameRoleSince
Anderson, Brandt (individual)Administrator · NOT APPLICABLE
Berihun, Achashman (individual)Administrator · NOT APPLICABLE
Bracy, McKennzie (individual)Administrator · NOT APPLICABLE
De Oro, Brianna (individual)Administrator · NOT APPLICABLE
Foundation Resource Center LLC (organization)Administrator · NOT APPLICABLE
Frost, Steven (individual)Administrator · NOT APPLICABLE
Johnson, Chateau (individual)Administrator · NOT APPLICABLE
Lindahl, David (individual)Administrator · NOT APPLICABLE
Lindahl, Jeffrey (individual)Administrator · NOT APPLICABLE
Lindahl, Kirkman (individual)Administrator · NOT APPLICABLE
Lindahl, Scott (individual)Administrator · NOT APPLICABLE
Maina, John (individual)Administrator · NOT APPLICABLE
Nwankwo, Chukwuemeka (individual)Administrator · NOT APPLICABLE
Wa1West LLC (organization)Administrator · NOT APPLICABLE
Zwahlen, Jay (individual)Administrator · NOT APPLICABLE
Frost, Steven (individual)Corporate Officer · NOT APPLICABLE
Lindahl, Jeffrey (individual)Corporate Officer · NOT APPLICABLE
Lindahl, Kirkman (individual)Corporate Officer · NOT APPLICABLE
Lindahl, Scott (individual)Corporate Officer · NOT APPLICABLE
Anderson, Brandt (individual)Operational/managerial Control · NOT APPLICABLE
Berihun, Achashman (individual)Operational/managerial Control · NOT APPLICABLE
Bracy, McKennzie (individual)Operational/managerial Control · NOT APPLICABLE
De Oro, Brianna (individual)Operational/managerial Control · NOT APPLICABLE
Foundation Resource Center LLC (organization)Operational/managerial Control · NOT APPLICABLE
Frost, Steven (individual)Operational/managerial Control · NOT APPLICABLE
Johnson, Chateau (individual)Operational/managerial Control · NOT APPLICABLE
Lindahl, Jeffrey (individual)Operational/managerial Control · NOT APPLICABLE
Lindahl, Kirkman (individual)Operational/managerial Control · NOT APPLICABLE
Lindahl, Scott (individual)Operational/managerial Control · NOT APPLICABLE
Maina, John (individual)Operational/managerial Control · NOT APPLICABLE
Nwankwo, Chukwuemeka (individual)Operational/managerial Control · NOT APPLICABLE
Zwahlen, Jay (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

How many beds does Crystal Cove Post Acute have?

It has 96 certified beds and cares for about 88 residents per day.

Has Crystal Cove Post Acute been fined?

Yes. CMS lists 6 penalties totaling $235,475 in the last three years.

What is the phone number of Crystal Cove Post Acute?

(360) 491-1765. The facility is located at 1505 Carpenter Road SE, Lacey, WA 98503.

Other nursing homes in Lacey

Compare all nursing homes in Lacey, WA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.