Olympia Transitional Care And Rehabilitation
OLYMPIA TRANSITIONAL CARE AND REHABILITATION in OLYMPIA, WA — inspection on January 30, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the admission Minimum Data Set (MDS), an assessment tool, dated 10/25/2025 showed the resident had cognitive impairment and required assistance for activities of daily living.Review of Resident 4's laboratory results dated [DATE] showed a high calcium level of 12.2 (8.6 - 10.2 normal range).Review of a physician's order, dated 11/14/2025, showed an order to obtain PTH, vitamin D and ionized calcium one time only for hyperparathyroidism.Review of Resident 4's laboratory results, dated 11/14/2025, showed a PTH and ionized calcium were not performed/ no specimen was received.Review of a provider note, dated 11/22/2025, showed .calcium 12.2 on 11/7/25. PTH and ionized calcium was not performed, reordered today.Review of a physician's order, dated 11/28/2025, showed an order to obtain PTH and ionized calcium one time only for hyperparathyroidism.Review of Resident 4's laboratory results, dated 11/29/2025, showed PTH and ionized calcium not performed, no specimen received.Review of a physician's order, dated 12/01/2025, showed an order to obtain a CBC (complete blood count) and CMP (comprehensive metabolic panel).Review of a progress note, dated 12/02/2025 at 11:17 PM, showed the nurse received call from the lab related to a critical lab value for calcium.
Resident transferred to the hospital for evaluation and treatment.Review of Resident 4's hospital record showed the resident was admitted to the hospital on [DATE].
Hospital records showed .Blood work.Calcium was elevated at 17.Pt [patient] was admitted .for acute pulmonary embolism (blood clot that blocks and stops blood flow to an artery in the lungs), aspiration pneumonia (infection caused by inhaling something other than air in the lungs) and hypercalcemia (abnormally high calcium levels in the blood, primarily caused by hyperparathyroidism or malignancy).
During an interview with Staff A, Administrator on 01/30 /2026 at 11:45 PM, he acknowledged Resident 4 had physician orders for labs on 11/14/2025 and 11/29/2025 for PTH and calcium ionized levels. He acknowledged the lab indicated the specimens for calcium and PTH were not obtained on those dates.
Staff A acknowledged the lab notified the facility Resident 4 had a high calcium level on 12/02/2025 and the resident was sent to the hospital for evaluation and treatment.
Staff A stated it was a nursing responsibility to ensure labs were collected, sent and results were received as ordered.Reference WAC 388-97-1620 (2)(b)(i)(ii) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE