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 VETERAN HOME-RETSIL
PT ORCHARD, WA · Medicare-certified · 240 beds
Needs attention
Government-run
4 of 5 overall
WASHINGTON VETERAN HOME-RETSIL has an overall rating of 4 out of 5 stars. Its staffing and quality ratings are 5 stars, but health inspections are lower at 2 stars; reported nurse staffing is 3.95 hours per resident per day, slightly below the federal benchmark of 4.1, and it had $23,920 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.9459 hrs/resident/day
Quality measures
Last inspection: July 29, 2025Penalties, last 24 months: $23,920recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9459.
Staffing detail
- Registered nurses
- 0.94
- Licensed practical nurses
- 0.46
- Nurse aides
- 2.54
- Weekend nursing
- 3.63
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
3.6%5.6%Worsening
Residents with a fall causing major injury
2.6%4.6%Worsening
Residents with pressure ulcers (bedsores)
3.4%3.8%No change
Residents with a urinary tract infection
7.2%4.6%Improving
Residents who lost too much weight
3.6%6.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.2%18.8%Worsening
Residents whose ability to walk got worse
24.1%25.5%Worsening
Long-stay residents on antianxiety or sleep medication
14.5%16.4%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0.6%1.3%Worsening
Residents with new or worsening incontinence
32.4%32.1%No change
Residents with depressive symptoms
8%12.6%Worsening
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
85.2%98.2%Improving
Short-stay residents given the seasonal flu vaccine
—70%—
Short-stay residents given the pneumonia vaccine
69.6%77.4%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 make sure each resident got an accurate assessment of their needs and condition. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 645 — 42 CFR §483.20 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — 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 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
- 230.3 residents on an average day (96% of 240 beds)
- Resident voice
- Resident & family councils
- 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.