Martha and Mary Health Service
19160 Front Street Northeast · Poulsbo, WA · 98370 · 3607797500
135 certified beds Non profit - Corporation
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 81 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.07 | 0.55–0.75 |
| Weekend hours / resident-day | 3.95 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (45 in the current record)
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Potential for harm · D April 13, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · D February 13, 2026
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.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · D February 13, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · E February 13, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · E February 13, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · D February 13, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 20, 2026 · Pharmacy Service
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Potential for harm · D February 13, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 20, 2026 · Pharmacy Service
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Potential for harm · E February 13, 2026
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Potential for harm · D May 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D April 14, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D December 16, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 24, 2025 · Resident Rights
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Potential for harm · D December 16, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected January 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 16, 2024
Ensure each resident receives an accurate assessment.
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 16, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 16, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 16, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 16, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 16, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 24, 2025 · Quality of Life and Care
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Potential for harm · D December 16, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 24, 2025 · Quality of Life and Care
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Potential for harm · D December 16, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 24, 2025 · Quality of Life and Care
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Potential for harm · D December 16, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 24, 2025 · Quality of Life and Care
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Potential for harm · E December 16, 2024
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.
Corrected January 24, 2025 · Quality of Life and Care
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Potential for harm · E December 16, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 24, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505474 · certified since July 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.