Starfile / Washington

MARTHA AND MARY HEALTH SERVICE

19160 FRONT STREET NORTHEAST, POULSBO, WA 98370 · CCN 505474

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Inspection citations (47)

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-13 · Health · corrected 2025-06-11

   Potential for more than minimal harm

2. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-14 · Health · corrected 2025-05-23

   Potential for more than minimal harm

3. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-12-16 · Health · corrected 2025-01-24

   Potential for more than minimal harm

4. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-12-16 · Health · corrected 2025-01-24

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2024-12-16 · Health · corrected 2025-01-24

   Potential for more than minimal harm

6. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-16 · Health · corrected 2025-01-24

   Potential for more than minimal harm

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-16 · Health · corrected 2025-01-24

   Potential for more than minimal harm

8. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-16 · Health · corrected 2025-01-24

   Potential for more than minimal harm

9. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-16 · Health · corrected 2025-01-24

   Potential for more than minimal harm

10. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

12. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

14. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

15. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

16. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

17. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

18. EF0880Provide and implement an infection prevention and control program.2024-12-16 · Health · corrected 2025-01-24

    Potential for more than minimal harm

19. EF0880Provide and implement an infection prevention and control program.2024-07-08 · Health · corrected 2024-08-16

    Potential for more than minimal harm

20. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

21. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

22. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

23. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

24. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

25. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

26. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

27. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

28. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

29. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

30. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

31. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

32. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

33. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

34. EF0880Provide and implement an infection prevention and control program.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

35. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-10-27 · Health · corrected 2023-12-11

    Potential for more than minimal harm

36. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

37. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

38. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

39. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

40. DF0692Provide enough food/fluids to maintain a resident's health.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

41. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

42. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

43. DF0759Ensure medication error rates are not 5 percent or greater.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

44. DF0778Help the resident make transportation arrangements to and from radiology services.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

45. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

46. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

47. DF0881Implement a program that monitors antibiotic use.2022-10-20 · Health · corrected 2022-12-02

    Potential for more than minimal harm

Ownership

Other facilities in POULSBO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.