SFF Candidate

Overview

Address
1505 CARPENTER ROAD SE, LACEY, WA 98503
Phone
3604911765
Certified beds
96
Avg daily residents
88 (92% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1980-04-01
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 3/5
Short-Stay Quality Measures 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.42 3.68 3.59 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.42 0.64 0.44 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.74 0.82 0.78
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.26 2.22 2.37
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.17
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.01

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.07
hrs / resident / day
RN (weekend)
0.31
hrs / resident / day
Total nurse (adjusted, weekend)
3.22
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
70.7%
annual
RN turnover
85.7%
annual
Administrators departed
New facility — insufficient data.

Resident acuity

Nursing Case-Mix Index
1.30
higher acuity than avg
Case-Mix Index Ratio
0.95
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-02-06 59 45 14 519 1 519
Cycle 2/3 (prior) 2024-03-11 51 29 22 431 1 431
Total weighted health score
497.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (121)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

115 D/E/F Actual harm — potential for minor
4 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2026-01-13 2026-03-06
0809 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. E 2026-01-13 2026-03-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2026-01-02 2026-01-22
0584 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. D 2025-12-05 2025-12-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-12-05 2025-12-24
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-08-22 2025-10-06
0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F 2025-08-22 2025-10-06
0803 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. D 2025-08-22 2025-10-06
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-08-22 2025-10-06
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. E 2025-08-22 2025-10-06
0880 Provide and implement an infection prevention and control program. D 2025-08-22 2025-10-06
0692 Provide enough food/fluids to maintain a resident's health. D 2025-07-16 2025-08-18
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-06-27 2025-08-15
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. J 2025-03-12 2025-03-31
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-02-07 2025-03-31
0693 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. D 2025-02-07 2025-03-31
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-02-06 2025-03-31
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-02-06 2025-03-31
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2025-02-06 2025-03-31
0567 Honor the resident's right to manage his or her financial affairs. E 2025-02-06 2025-03-31
0568 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. E 2025-02-06 2025-03-31
0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. D 2025-02-06 2025-03-31
0583 Keep residents' personal and medical records private and confidential. D 2025-02-06 2025-03-31
0584 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. E 2025-02-06 2025-03-31
0585 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. E 2025-02-06 2025-03-31
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. E 2025-02-06 2025-03-31
0622 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. D 2025-02-06 2025-03-31
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. E 2025-02-06 2025-03-31
0625 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. E 2025-02-06 2025-03-31
0641 Ensure each resident receives an accurate assessment. E 2025-02-06 2025-03-31
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2025-02-06 2025-03-31
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-02-06 2025-03-31
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-02-06 2025-03-31
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2025-02-06 2025-03-31
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-02-06 2025-03-31
0679 Provide activities to meet all resident's needs. D 2025-02-06 2025-03-31
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-02-06 2025-03-31
0687 Provide appropriate foot care. D 2025-02-06 2025-03-31
0688 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. E 2025-02-06 2025-03-31
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-02-06 2025-03-31
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-02-06 2025-03-31
0692 Provide enough food/fluids to maintain a resident's health. G 2025-02-06 2025-03-31
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. E 2025-02-06 2025-03-31
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-02-06 2025-03-31
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2025-02-06 2025-03-31
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2025-02-06 2025-03-31
0726 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. F 2025-02-06 2025-03-31
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-02-06 2025-03-31
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. E 2025-02-06 2025-03-31
0758 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. E 2025-02-06 2025-03-31

Showing 50 most recent of 121. See the All Data CSV for the full list.

Penalties (4)

Fines issued
2
last 3 years
Total fines
$202,635
Payment denials
2
Date Type Fine amount
2024-07-16 Fine $85,527
2024-12-26 Fine $117,108
2025-06-27 Payment Denial
2024-12-26 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 11.5% Medicaid 73.0% Other 15.5%

Operating performance

Operating Margin
2.5%
Total Margin
2.6%
Occupancy Rate
86.9%
Cost per Resident Day
$27

Revenue & costs

Net Patient Revenue
$11.3M
Total Costs
$831K
Net Income
$293K

Balance sheet

Total Assets
$12.2M
Total Liabilities
$3.7M
Fund Balance
$8.5M
Current Ratio
3.28

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (2)

Organization Role Association
FOUNDATION HEALTHCARE SERVICES LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/01/2020
FOUNDATION RESOURCE CENTER LLC OPERATIONAL/MANAGERIAL CONTROL since 02/01/2020

Owner / manager individuals (20)

Name Role Association
FROST, STEVEN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/01/2020
LINDAHL, JEFFREY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 02/01/2019
LINDAHL, KIRKMAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/01/2020
LINDAHL, SCOTT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/01/2020
ANDERSON, BRANDT OPERATIONAL/MANAGERIAL CONTROL since 01/02/2022
BERIHUN, ACHASHMAN OPERATIONAL/MANAGERIAL CONTROL since 02/01/2020
BRACY, MCKENNZIE OPERATIONAL/MANAGERIAL CONTROL since 02/01/2020
DE ORO, BRIANNA OPERATIONAL/MANAGERIAL CONTROL since 02/24/2025
FROST, STEVEN OPERATIONAL/MANAGERIAL CONTROL since 02/01/2020
JOHNSON, CHATEAU OPERATIONAL/MANAGERIAL CONTROL since 12/30/2024
LINDAHL, JEFFREY OPERATIONAL/MANAGERIAL CONTROL since 02/01/2019
LINDAHL, KIRKMAN OPERATIONAL/MANAGERIAL CONTROL since 02/01/2019
LINDAHL, SCOTT OPERATIONAL/MANAGERIAL CONTROL since 02/01/2019
MAINA, JOHN OPERATIONAL/MANAGERIAL CONTROL since 03/27/2025
NWANKWO, CHUKWUEMEKA OPERATIONAL/MANAGERIAL CONTROL since 04/01/2025
ZWAHLEN, JAY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024
FROST, STEVEN CORPORATE OFFICER since 03/01/2020
LINDAHL, JEFFREY CORPORATE OFFICER since 03/01/2020
LINDAHL, KIRKMAN CORPORATE OFFICER since 03/01/2020
LINDAHL, SCOTT CORPORATE OFFICER since 03/01/2020

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF Candidate
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $27 metrics.cost_per_resident_day
Cost Report Current Ratio 3.28 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 73.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 11.5% metrics.medicare_day_share
Cost Report Net Income ($) $292,990 metrics.net_income
Cost Report Net Patient Revenue ($) $11,285,122 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 86.9% metrics.occupancy_rate
Cost Report Operating Margin (%) 2.5% metrics.operating_margin
Cost Report Total Assets ($) $12,170,181 metrics.total_assets
Cost Report Total Costs ($) $831,432 metrics.total_costs
Cost Report Total Fund Balances ($) $8,466,508 metrics.fund_balance
Cost Report Total Liabilities ($) $3,703,673 metrics.total_liabilities
Cost Report Total Margin (%) 2.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.78038 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.37015 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.44276 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.59329 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.22380 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 88.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.81617 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.21816 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.64332 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.67764 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.24145 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating Chain Average QM Rating
Provider Information Chain Average Staffing Rating Chain Average Staffing Rating
Provider Information Chain ID Chain ID
Provider Information Chain Name Chain Name
Provider Information City/Town LACEY City/Town
Provider Information CMS Certification Number (CCN) 505254 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Thurston County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1980-04-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 47.0331 Latitude
Provider Information Legal Business Name LOWERS HOLDINGS LLC Legal Business Name
Provider Information Location 1505 CARPENTER ROAD SE,LACEY,WA,98503 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -122.79 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 96 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 2 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.30282 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.94569 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1505 CARPENTER ROAD SE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Crystal Cove Post Acute Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 330 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 519 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 14 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 45 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-06 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 519 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 59 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 29 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-03-11 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 431 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 22 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 431 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 51 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.31454 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 85.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.16507 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.74333 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.25764 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01109 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.42174 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.42271 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State WA State
Provider Information Telephone Number 3604911765 Telephone Number
Provider Information Total Amount of Fines in Dollars 202635.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.07076 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 70.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 497.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 98503 ZIP Code