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Olympia Transitional Care and Rehabilitation

Nursing Home Facility

430 Lilly Road Northeast, Olympia, WA 98506

Nursing Home Care Senior Living

Evergreen Nursing & Rehabilitation Center is a leading provider of long-term skilled nursing care and short-term rehabilitation solutions. Our 129 bed facility offers a full continuum of services and care focused around each individual in today’s ever-changing healthcare environment.

Operated by The Ensign Group, which runs 419 communities in our directory.

With 113 beds, Olympia Transitional Care and Rehabilitation is one of the larger communities in the area, senior care communities in Olympia average about 14 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 71% of its licensed beds.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in April 2026 and recorded 15 deficiencies.

Residents receive about 4.2 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 42%.

The community is located in Thurston County, WA.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 42 problems at Olympia Transitional Care and Rehabilitation. 1 finding involved harm to a resident. 7 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected April 2026. Corrected by June 10, 2026.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate foot care.

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Implement a program that monitors antibiotic use.

    Inspected April 2026. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026, after a complaint. Corrected by March 24, 2026.

  • Could cause more than minimal harm, one or a few residents Administration

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Inspected January 2026, after a complaint. Corrected by February 27, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Olympia Transitional Care and Rehabilitation offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 113
  • Occupancy 71%
  • Nursing hours per resident/day 4.2
  • Annual staff turnover 42%
  • Last health inspection April 2026

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