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Roo-lan Healthcare Center

📍 1505 Southeast Carpenter Road, Lacey, WA 98503 📞 (360) 491-1765 🛏️ 96 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

March 12, 2025 Complaint Investigation

February 6, 2025 Health Inspection

August 19, 2024 Complaint Investigation

Fines and Penalties by Year

2022 3 penalties totaling $158,735

$37,410
Nov 30, 2022

Fine

$73,530
Jan 14, 2022

Fine

$47,795
Jan 14, 2022

Fine

2021 4 penalties totaling $99,407

$1,310
Nov 15, 2021

Fine

$983
Sep 20, 2021

Fine

$90,191
Aug 19, 2021

Fine

$6,923
Feb 22, 2021

Fine

2020 1 penalties totaling $650

$650
Jun 8, 2020

Fine

2019 1 penalties totaling $6,633

$6,633
Feb 13, 2019

Fine

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Health Violations by Year

2025 48 violations

Tag 0678 J Mar 12, 2025

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

✓ Corrected: Mar 31, 2025
Tag 0686 G Feb 7, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 31, 2025
Tag 0693 D Feb 7, 2025

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.

✓ Corrected: Mar 31, 2025
Tag 0550 D Feb 6, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 31, 2025
Tag 0561 D Feb 6, 2025

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Mar 31, 2025
Tag 0565 E Feb 6, 2025

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Mar 31, 2025
Tag 0567 E Feb 6, 2025

Honor the resident's right to manage his or her financial affairs.

✓ Corrected: Mar 31, 2025
Tag 0568 E Feb 6, 2025

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

✓ Corrected: Mar 31, 2025
Tag 0569 D Feb 6, 2025

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

✓ Corrected: Mar 31, 2025
Tag 0583 D Feb 6, 2025

Keep residents' personal and medical records private and confidential.

✓ Corrected: Mar 31, 2025
Tag 0584 E Feb 6, 2025

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.

✓ Corrected: Mar 31, 2025
Tag 0585 E Feb 6, 2025

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.

✓ Corrected: Mar 31, 2025
Tag 0604 E Feb 6, 2025

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Mar 31, 2025
Tag 0622 D Feb 6, 2025

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.

✓ Corrected: Mar 31, 2025
Tag 0623 E Feb 6, 2025

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Mar 31, 2025
Tag 0625 E Feb 6, 2025

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.

✓ Corrected: Mar 31, 2025
Tag 0641 E Feb 6, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 31, 2025
Tag 0645 D Feb 6, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Mar 31, 2025
Tag 0656 E Feb 6, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 31, 2025
Tag 0657 E Feb 6, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 31, 2025

2024 37 violations

Tag 0684 J Aug 19, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 30, 2024
Tag 0689 G Aug 19, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 30, 2024
Tag 0580 D Jul 16, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Aug 15, 2024
Tag 0690 D Jul 16, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 15, 2024
Tag 0622 D May 14, 2024

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.

✓ Corrected: May 25, 2024
Tag 0610 D Apr 26, 2024

Respond appropriately to all alleged violations.

✓ Corrected: May 8, 2024
Tag 0744 D Apr 26, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: May 8, 2024
Tag 0926 E Apr 26, 2024

Have policies on smoking.

✓ Corrected: May 8, 2024
Tag 0550 D Mar 11, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 25, 2024
Tag 0561 E Mar 11, 2024

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Apr 25, 2024
Tag 0578 D Mar 11, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Apr 25, 2024
Tag 0582 D Mar 11, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Apr 25, 2024
Tag 0584 E Mar 11, 2024

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.

✓ Corrected: Apr 25, 2024
Tag 0585 D Mar 11, 2024

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.

✓ Corrected: Apr 25, 2024
Tag 0625 D Mar 11, 2024

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.

✓ Corrected: Apr 25, 2024
Tag 0641 E Mar 11, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 25, 2024
Tag 0644 E Mar 11, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Apr 25, 2024
Tag 0645 D Mar 11, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Apr 25, 2024
Tag 0655 E Mar 11, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Apr 25, 2024
Tag 0657 E Mar 11, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 25, 2024
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2023 23 violations

Tag 0552 D Oct 18, 2023

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Nov 3, 2023
Tag 0624 D Oct 18, 2023

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: Nov 3, 2023
Tag 0656 D Oct 18, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 3, 2023
Tag 0550 D May 25, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jul 6, 2023
Tag 0561 D May 25, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Jul 6, 2023
Tag 0578 E May 25, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jul 6, 2023
Tag 0583 D May 25, 2023

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jul 6, 2023
Tag 0638 D May 25, 2023

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Jul 6, 2023
Tag 0677 D May 25, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jul 6, 2023
Tag 0684 D May 25, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 6, 2023
Tag 0692 D May 25, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 6, 2023
Tag 0758 D May 25, 2023

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.

✓ Corrected: Jul 6, 2023
Tag 0800 F May 25, 2023

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

✓ Corrected: Jul 6, 2023
Tag 0803 F May 25, 2023

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.

✓ Corrected: Jul 6, 2023
Tag 0804 E May 25, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jul 6, 2023
Tag 0812 F May 25, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 6, 2023
Tag 0826 D May 25, 2023

Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

✓ Corrected: Jul 6, 2023
Tag 0880 D May 25, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 6, 2023
Tag 0883 D May 25, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Jul 6, 2023
Tag 0698 D Mar 29, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Apr 10, 2023

2022 12 violations

Tag 0569 D Dec 12, 2022

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

✓ Corrected: Jan 10, 2023
Tag 0656 D Dec 12, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 10, 2023
Tag 0684 G Dec 12, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 10, 2023
Tag 0552 D Nov 30, 2022

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jan 3, 2023
Tag 0684 D Nov 30, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 3, 2023
Tag 0760 D Nov 30, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: Jan 3, 2023
Tag 0880 D Jan 28, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 9, 2022
Tag 0883 E Jan 28, 2022

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Mar 9, 2022
Tag 0677 E Jan 27, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Mar 16, 2022
Tag 0684 E Jan 27, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 16, 2022
Tag 0686 D Jan 27, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 16, 2022
Tag 0692 G Jan 27, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 16, 2022
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2021 51 violations

Tag 0687 D Oct 2, 2021

Provide appropriate foot care.

✓ Corrected: Nov 1, 2021
Tag 0550 E Aug 19, 2021

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Oct 3, 2021
Tag 0551 D Aug 19, 2021

Give the resident's representative the ability to exercise the resident's rights.

✓ Corrected: Oct 3, 2021
Tag 0553 D Aug 19, 2021

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Oct 3, 2021
Tag 0561 D Aug 19, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Oct 3, 2021
Tag 0567 D Aug 19, 2021

Honor the resident's right to manage his or her financial affairs.

✓ Corrected: Oct 3, 2021
Tag 0568 D Aug 19, 2021

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

✓ Corrected: Oct 3, 2021
Tag 0576 F Aug 19, 2021

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Oct 3, 2021
Tag 0578 E Aug 19, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Oct 3, 2021
Tag 0582 D Aug 19, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Oct 3, 2021
Tag 0583 D Aug 19, 2021

Keep residents' personal and medical records private and confidential.

✓ Corrected: Oct 3, 2021
Tag 0584 E Aug 19, 2021

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.

✓ Corrected: Oct 3, 2021
Tag 0585 F Aug 19, 2021

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.

✓ Corrected: Oct 3, 2021
Tag 0603 E Aug 19, 2021

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

✓ Corrected: Oct 3, 2021
Tag 0604 E Aug 19, 2021

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Oct 3, 2021
Tag 0606 D Aug 19, 2021

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

✓ Corrected: Oct 3, 2021
Tag 0609 D Aug 19, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 3, 2021
Tag 0610 E Aug 19, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Oct 3, 2021
Tag 0623 E Aug 19, 2021

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Oct 3, 2021
Tag 0625 E Aug 19, 2021

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.

✓ Corrected: Oct 3, 2021

2019 17 violations

Tag 0689 D Apr 2, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 22, 2019
Tag 0550 D Feb 13, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 22, 2019
Tag 0578 E Feb 13, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Apr 22, 2019
Tag 0584 D Feb 13, 2019

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.

✓ Corrected: Apr 22, 2019
Tag 0604 D Feb 13, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Apr 22, 2019
Tag 0607 D Feb 13, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Apr 22, 2019
Tag 0657 E Feb 13, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 22, 2019
Tag 0676 D Feb 13, 2019

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Apr 22, 2019
Tag 0677 E Feb 13, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 22, 2019
Tag 0679 D Feb 13, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Apr 22, 2019
Tag 0684 D Feb 13, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 22, 2019
Tag 0686 G Feb 13, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Apr 22, 2019
Tag 0690 D Feb 13, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 22, 2019
Tag 0758 D Feb 13, 2019

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.

✓ Corrected: Apr 22, 2019
Tag 0804 D Feb 13, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Apr 22, 2019
Tag 0812 D Feb 13, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 22, 2019
Tag 0883 E Feb 13, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Apr 22, 2019
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2018 6 violations

Tag 0578 E Mar 23, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: May 12, 2018
Tag 0585 D Mar 23, 2018

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.

✓ Corrected: May 12, 2018
Tag 0677 D Mar 23, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 12, 2018
Tag 0684 D Mar 23, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 12, 2018
Tag 0695 E Mar 23, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: May 12, 2018
Tag 0880 E Mar 23, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: May 12, 2018

2017 7 violations

Tag 0329 D Sep 13, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Oct 23, 2017
Tag 0514 D Sep 13, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Oct 23, 2017
Tag 0309 E Apr 27, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Jun 5, 2017
Tag 0312 D Apr 27, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Jun 5, 2017
Tag 0323 E Apr 27, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Jun 5, 2017
Tag 0325 D Apr 27, 2017

Ensure residents maintain acceptable nutritional status.

✓ Corrected: Jun 5, 2017
Tag 0514 D Apr 27, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Jun 5, 2017
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