The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Washington Veterans Home
Registered name: Washington Veteran Home-Retsil
PT ORCHARD, WA · Medicare-certified · 240 beds
Needs attention
Government-run
Data as of July 1, 2026
3 of 5 overall
Washington Veterans Home in PT Orchard, WA has an overall 3-star rating. Its health inspection rating is low at 2 stars, staffing is 5 stars, quality measures are 4 stars, reported nurse staffing is 3.88 hours per resident per day versus the 4.1-hour federal benchmark, and it had $23,920 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.8836 hrs/resident/day
Quality measures
Last inspection: May 11, 2026Penalties, last 24 months: $23,920recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8836.
Staffing detail
- Registered nurses
- 0.91
- Licensed practical nurses
- 0.51
- Nurse aides
- 2.47
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 26%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.8%10.2%Worsening
Residents with a fall causing major injury
3.4%3.5%No change
Residents with pressure ulcers (bedsores)
2.8%3.8%Worsening
Residents with a urinary tract infection
4.4%4.5%No change
Residents who lost too much weight
11.2%5.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.1%23.4%Worsening
Residents whose ability to walk got worse
8.1%30%Worsening
Long-stay residents on antianxiety or sleep medication
16.6%17%No change
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0.6%0.5%No change
Residents with new or worsening incontinence
27.2%25.8%Improving
Residents with depressive symptoms
10.9%11.2%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.9%—
Long-stay residents given the pneumonia vaccine
90.2%99.6%Improving
Short-stay residents given the seasonal flu vaccine
—70%—
Short-stay residents given the pneumonia vaccine
71.1%80.4%Improving
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 567 — 42 CFR §483.10 — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $23,920 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $23,920 in total fines · 1 payment denial.
- $23,920
Federal fine
Jul 2, 2025
- 3 days
Medicare/Medicaid payment denial
Mar 14, 2025
Operator & ownership
- Ownership
- Government - State
- Occupancy
- 231.6 residents on an average day (96% of 240 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.