← Back to search results

LOWERS HOLDINGS LLC

LACEY, WA · Thurston County · For profit - Limited Liability company · 96 certified beds

📍 1505 Carpenter Road Se, Lacey, WA 98503  ·  📞 (360) 491-1765

Medicare ID: 505254  ·  Last Medicare inspection: Jan 13, 2026

Special Focus Facility (SFF)
CMS has identified this as a facility with a history of serious quality issues that requires enhanced oversight and more frequent inspections.
Overall Safety Score
28
out of 100
Poor
Component Scores
2
Inspection
47
Staffing
Enforcement
40
Complaints
60
Quality
📋 Last inspected: January 13, 2026 📦 CMS data as of: May 2026

Score Breakdown

Inspection
2
Staffing
47
Enforcement
0
Complaints
40
Quality Outcomes
60

What the numbers mean

LOWERS HOLDINGS LLC scored 28 out of 100 — 37 points below the state average of 65.

📋 Inspections: 135 citations over the last 36 months — 92 more than the state average (43). 6 were rated serious (G+) — inspectors found actual or potential harm to residents. 62 findings recurred across inspection cycles — indicating a problem that was not fixed.

⚠️ Staffing: Staffing levels are below average. Lower staffing is associated with longer response times, more pressure injuries, and higher hospitalization rates. Ask the facility directly about their RN-to-resident ratio and how they handle shortfalls.

⚠️ Penalties & enforcement: CMS has recorded 5 enforcement actions totaling $202,635 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.

⚠️ Complaints: Above-average complaint activity. Complaint surveys are unannounced and targeted — they often surface problems that routine annual inspections miss. Ask management about the nature of complaints filed and how each was resolved.

📊 Resident quality outcomes: Quality outcome measures are in an acceptable range. Some measures are at or near national benchmarks. Review the quality section in the full report for specifics.

What inspectors found (last 3 surveys)

135
Total citations
State avg: 42.7
6
Serious (G+)
State avg: 1.9
62
Repeat findings

Top concern areas

135

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

$202,635
Total federal fines
5
Enforcement actions

⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.

📋 Enforcement Context Analysis
📊
Enforcement score: 0/100 — 56 points below the state average of 56/100 — worse than most comparable facilities. A score below 70 indicates a meaningful enforcement history that warrants direct conversation with facility management.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
1.5% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
28.4% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
27.0% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
21.7% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 21 total measures shown
Premium unlocks all quality measures, quarterly trends, hospitalization rates, and how this facility compares to others in the state.
See full quality data →

Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 7, 2026.