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Panorama City
Assisted Living, Independent Living, Nursing Home & Skilled Nursing · Lacey, WA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of the facility with artistic landscaping Outdoor seating area with a pond and building in the background Exterior view of a senior living facility with landscaped gardens Outdoor area with seating and a serene water feature Outdoor space with water features and residents enjoying the area. Entrance of a senior living facility with colorful decor Exterior view of Willow Lane assisted living facility Exterior view of the facility at dusk with gardens Exterior view of a senior living facility with landscaped gardens Exterior view of a modern assisted living facility Exterior view of Panorama City entrance with garden Exterior view of a dining area with residents Exterior view of a senior living facility surrounded by flowers Exterior view of a senior living facility with landscaped garden Exterior view of a nursing home with a garden and water feature Exterior view of the facility with landscaped garden Exterior view of the facility entrance with landscaping Outdoor view of a landscaped area with a garden statue Outdoor bocce court with seating area and trees Outdoor view of the facility's landscaped area Modern kitchen interior with stainless steel appliances Interior view of a sunny library space with bookshelves A landscaped pathway through a garden area Bright and spacious common area in the facility with tables Interior common area with a fireplace and seating Beautiful outdoor space with trees and landscaping Interior view of a staircase with stained glass Elegant dining room with tables set for residents Outdoor courtyard with a water feature and seating Beautiful outdoor space with a bridge and water feature Bright common area with chairs and windows Indoor swimming pool with wooden beams and seating area Well-maintained outdoor space with trees and landscaped gardens Cozy common area with modern decor and lighting Bright dining room with modern decor and large windows A picturesque tree-lined street in springtime Aerial view of green outdoor space with walking paths Bright and spacious interior with high ceilings and large windows Modern interior staircase with natural light Aerial view of a senior living community with greenery and houses Well-kept outdoor space with a sculpture and pathway Parking area with electric vehicle charging stations Dining area with modern decor and natural lighting Residents enjoying a meal at a dining area. A resident biking on a garden pathway in a senior living facility Residents enjoying the outdoor patio by the lake Outdoor gathering area with a pond and residents A resident working on a woodworking project in the workshop Residents walking on a path in a landscaped area Resident tending to a garden in a vibrant outdoor space Resident weaving a colorful butterfly tapestry Interior view of a performance space with seats Resident engaged in a woodworking activity at a workbench Residents walking in a landscaped outdoor area Aerial view of a residential area with trees and an American flag

Panorama City

Assisted Living, Independent Living, Nursing Home & Skilled Nursing · Lacey, WA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1751 Circle Ln Se, Lacey, WA 98503 View map Calculator: See prices in your area
Panorama City accepts Medicare, Medicaid, and private pay.
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Panorama City accepts Medicare, Medicaid, and private pay.

Overview of Panorama City

Panorama City is a not-for-profit continuing care retirement community in Lacey, Washington, offering independent living, assisted living, and skilled nursing care for those 62+ in Thurston County. Along with a 50-bed capacity, the community’s full continuum of care provides continuity and long-term stability under one roof. As a nonprofit organization, the community follows a mission-driven approach that appeals to families who prioritize resident well-being over profit.

While limited, the community has a well-detailed inspection record. The most recent inspection by the Washington State Department of Social and Health Services on July 19, 2023, identified 9 deficiencies, which is well below the state average of 31. These findings were primarily related to fire and life safety documentation and equipment maintenance. A confirmed complaint investigation in December 2022 also cited a failure to report a resident’s fall with serious injury within the required 24-hour timeframe. No fines, immediate jeopardy findings, or license actions were reported. Overall, the record points to procedural and documentation issues rather than direct care concerns, though families may want to verify current practices during a visit.

Along with a wide range of services and amenities, including skilled nursing care, 24-hour staffing, continuous urgent response, and on-site security, wellness checks, rehabilitation services, and respite care are also provided. Lifestyle services also include three meals per day with snacks, as well as weekly housekeeping and twice-weekly laundry services. Utilities are included in the monthly cost, and pets are allowed. Notably, the community does not accept Medicaid or Medicare, and payment options are limited to private pay and long-term care insurance.

Panorama City is well-suited for adults aged 62 and older seeking a full-service retirement community with a mission-focused approach. While its nonprofit structure and comprehensive continuum of care make it especially appealing for those planning ahead, it is more suitable for those who are able to pay privately or use long-term care insurance.

Facility Direct Line (360) 438-7539
Facility Direct Line (360) 438-7539

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 55.0% Above WA avg. ▲ 55.0% Above WA avg.WA average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 6.5% Above WA avg. ▲ 6.5% Above WA avg.WA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 46.1% Above WA avg. ▲ 46.1% Above WA avg.WA average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 27.2% Above WA avg. ▲ 27.2% Above WA avg.WA average: 3.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Washington state averages

Total nursing care / resident Info This home is ranked 17th out of 90 homes in Washington for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 30m per day
Rank #17 / 90Nurse hours — State benchmarkedThis home is ranked 17th out of 90 homes in Washington. Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 90 Washington facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Washington avg (4h 13m per day)
vs Washington avg
+7%

2 of 6 metrics below state avg

Standout metric Nurse Aide is +16% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 57m per day ▲ 4% State avg: 54m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 52m per day ▲ 10% State avg: 48m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 3h 6m per day ▲ 16% State avg: 2h 41m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 4h 7m per day ▲ 4% State avg: 3h 57m per day · National avg: 3h 27m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day ▼ 48% State avg: 6m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 38m per day ▼ 3% State avg: 39m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
160 days
Bed community size
50-bed community Rank #293 / 366Bed count — State benchmarkedThis home is ranked 293rd out of 366 homes in Washington. Shows this facility's certified or reported bed count compared to other Washington facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 4 / 100 Rank #604 / 628Walk Score — State benchmarkedThis home is ranked 604th out of 628 homes in Washington. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Washington facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
84%
Rank #82 / 310Occupancy rate — State benchmarkedThis home is ranked 82nd out of 310 homes in Washington. Shows this facility's occupancy rate versus the Washington average, with its Statewide rank out of 310. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Washington average: 72.5%
Occupied beds
42 / 50
Average occupied beds in Washington homes 73 beds

License Details

Facility TypeBh
StatusOp
ExpirationAugust 31, 2026
CountyThurston
License Number1161

Safety & Compliance

Emergency Systems24 Hour Urgent Response, 24 Hour Security
Safety Features24 hour wellness checks available.

Payment & Insurance

2 services
Does not accept Medicaid
Does not accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets Allowed
Minimum Age62
HousekeepingYes
Utilities IncludedYes

Amenities & Lifestyle

ActivitiesActivities program available

Pricing & Financial Information

Starting Price$1,450 per month

Dining & Nutrition

Food Description3 meals per day and snacks, housekeeping once per week, laundry twice per week.

Contact Panorama City

Inspection History

In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.

Since 2022 · 4 years of data 10 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Washington state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Washington state average
Overall vs. WA average 0 Worse No metrics in this bucket. 2 Better Metrics better than Washington average:
• Total deficiencies (68% below)
• Deficiencies per year (68% below)
Latest Inspection July 19, 2023 Life Safety

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityWA Averagevs. WA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1031 This facility has 68% fewer total deficiencies than a typical Washington assisted living residence (10 vs. WA avg 31).↓ 68% better
Deficiencies per year Info Average deficiencies per year since 2022. 2.57.8 This facility has 68% fewer deficiencies per year than a typical Washington assisted living residence (2.5 vs. WA avg 7.8).↓ 68% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • July 19, 2023 fire safety inspection found nine deficiencies, including missing documentation for fire system inspections and fire door failures to self-close and latch.
  • December 20, 2022 complaint investigation cited failure to report a resident fall with significant injury within 24 hours, resulting in a citation for noncompliance.
  • Facility showed repeated documentation and safety system maintenance lapses between 2022 and 2023, indicating ongoing issues with regulatory compliance and safety oversight.
Show Inspection Reports

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Breakdown by payment type

Medicare

49% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

50% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 07/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$55.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$160.0K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$55.7M Rank #1 / 94Revenue — State benchmarkedThis home is ranked 1st out of 94 homes in Washington. Shows this facility's annual revenue compared to the Washington average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$160.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$3.4M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #2 / 94Payroll — State benchmarkedThis home is ranked 2nd out of 94 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$25.7M 46.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #69 / 94Payroll % — State benchmarkedThis home is ranked 69th out of 94 homes in Washington. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$29.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$55.5M
How we calculate these figures

This home is owned by William Gavin

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 505059

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 10 - 11 months.

Admissions
265 total

Coverage residents most often arrive under.

Medicare 49%
Private pay 50%
Medicaid 1%
Discharges
252 total

Coverage residents most often leave under.

Medicare 47%
Private pay 50%
Medicaid 3%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Panorama City

Address 1.7 miles from city center Info Estimated distance in miles from Lacey's city center to Panorama City's address, calculated via Google Maps.

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Financial Assistance for
Assisted Living in Washington

Panorama City is located in Lacey, Washington.
Here are the financial assistance programs available to residents in Washington.

Get Financial aid guidance

Community Options Program Entry System (COPES)

WA Medicaid COPES

Age 65+ or disabled
General Washington resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
WA

High demand in urban areas (e.g., Seattle).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Washington Family Caregiver Support Program

WA NFCSP

Age Caregiver of someone 60+ (or with dementia)
General Washington resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
WA

High urban demand; rural outreach.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$70/day) Short-term facility care (up to 5 days)

Community First Choice (CFC)

Washington Community First Choice

Age 65+ (or disabled 18+)
General WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
Income Limits (2025) ~$2,829/month; QIT optional.
Asset Limits $2,000 (individual), $3,000 (couple).
WA

Broader than COPES; serves ~20,000; self-directed option.

Benefits
Personal care (4-6 hours/day) Respite (~240 hours/year) Assistive devices Training Transportation

Older Americans Act (OAA) Services

Washington OAA Services

Age 60+
General WA resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
WA

13 AAAs; includes Meals on Wheels; rural focus.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Washington Medicare Savings Program

Age 65+ or disabled
General WA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
WA

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Washington VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General WA resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
WA

High veteran use; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Senior Citizens Property Tax Exemption

Washington Senior Property Tax Exemption

Age 61+ or disabled retiree
General WA resident, homeowner, income-based.
Income Limits (2025) ~$45,000-$70,000/year varies by county, e.g., King: $70,000
Asset Limits Not assessed; home value cap varies ~$250,000-$400,000
WA

Saves ~$500-$1,500/year; offered statewide.

Benefits
Tax exemption (~$500-$1,500/year depending on county)

Senior Farmers’ Market Nutrition Program (SFMNP)

Washington SFMNP

Age 60+
General WA resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
WA

Vouchers (~$80/season); serves ~20,000 via AAAs.

Benefits
Vouchers (~$80/season) for produce at farmers’ markets

Frequently Asked Questions about Panorama City

Is Panorama City in a walkable area?

Panorama City has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Panorama City?

According to WA state health department records, Panorama City's license number is 1161.

When does Panorama City's license expire?

According to WA state health department records, Panorama City's license expires on August 31, 2026.

What is the occupancy rate at Panorama City?

Panorama City's occupancy is 84%.

Does Panorama City operate as a for-profit or non-profit?

Panorama City is registered as a non-profit in WA.

How many beds does Panorama City have?

Panorama City has 50 beds.

Are there photos of Panorama City?

Yes — there are 55 photos of Panorama City in the photo gallery on this page.

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