The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
Nursing home report
MARTHA AND MARY HEALTH SERVICE
POULSBO, WA · Medicare-certified · 135 beds
In good standing
Non-profit
5 of 5 overall
Martha and Mary Health Service in Poulsbo, WA has a 5-star overall rating, with strong quality measures and staffing, a 4-star health inspection rating, and reported nurse staffing above the federal benchmark (4.69 vs 4.1 hours per resident per day). It had $0 in fines over the last 24 months, though recent inspection citations included treatment/care orders, food/fluids, and infection prevention/control.
Facility ratings
Health inspections
Staffing
4.6936 hrs/resident/day
Quality measures
Last inspection: February 13, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6936.
Staffing detail
- Registered nurses
- 1.07
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.87
- Weekend nursing
- 3.95
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 27%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.8%Worsening
Residents with a fall causing major injury
3.1%Worsening
Residents with pressure ulcers (bedsores)
0.3%Steady
Residents with a urinary tract infection
0.3%Improving
Residents who lost too much weight
5.1%Improving
Residents who were physically restrained
0.8%Improving
Residents needing more help with daily activities
19.6%Improving
Residents whose ability to walk got worse
14.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
21.5%Improving
Short-stay residents newly given an antipsychotic
1.9%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26.3%Steady
Residents with depressive symptoms
42.3%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.4%Worsening
Short-stay residents given the seasonal flu vaccine
87.7%Steady
Short-stay residents given the pneumonia vaccine
91.9%Improving
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 757 — 42 CFR §483.45(d) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 108.1 residents on an average day (80% of 135 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.