Nursing homes › Washington › Martha and Mary Health Service
19160 Front Street Northeast, Poulsbo, WA 98370 · 3607797500 · 135 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 4.77 (Washington median: 4.15). RN hours: 1.11. Weekend total: 4.05. Nursing staff turnover: 36%.
All-time on record: 46 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-06-10 |
| 2026-04-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-05-15 |
| 2026-02-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-03-20 |
| 2026-02-13 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2026-03-20 |
| 2026-02-13 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-03-20 |
| 2026-02-13 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2026-03-20 |
| 2026-02-13 | Honor 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. | D | Health | corrected 2026-03-20 |
| 2026-02-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-03-20 |
| 2026-02-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-03-20 |
| 2026-02-13 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2026-03-20 |
| 2026-02-13 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2026-03-20 |
| 2025-05-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-06-11 |
| 2025-04-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-05-23 |
| 2024-12-16 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2025-01-24 |
| 2024-12-16 | Try 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. | E | Health | corrected 2025-01-24 |
| 2024-12-16 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | corrected 2025-01-24 |
| 2024-12-16 | Implement 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. | E | Health | corrected 2025-01-24 |
| 2024-12-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-01-24 |
| 2024-12-16 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-01-24 |
| 2024-12-16 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Health | corrected 2025-01-24 |
| 2024-07-08 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-08-16 |
| 2023-10-27 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Health | corrected 2023-12-11 |
| 2023-10-27 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | complaint | corrected 2023-12-11 |
| 2023-10-27 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Health | corrected 2023-12-11 |
| 2023-10-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-12-11 |
| 2023-10-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2023-12-11 |
| 2023-10-27 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2023-12-11 |
| 2023-10-27 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2023-12-11 |
| 2023-10-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-12-11 |
| 2023-10-27 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-12-11 |
| 2023-10-27 | Honor 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. | D | Health | corrected 2023-12-11 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LADENBURG, LYNETTE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/31/2016 |
| LADENBURG, LYNETTE | Corporate Officer | Individual | NOT APPLICABLE | since 10/31/2016 |
| VERNON-COLE, CHRISTOPHER | Corporate Officer | Individual | NOT APPLICABLE | since 04/25/2017 |
| KOERNER, EDWARD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/23/2024 |
| LADENBURG, LYNETTE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/31/2016 |
| OCONER, ELLEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2016 |
| SHARMAN, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505474. Corrections: data@carerecords.org.