Senior Care Records.

Martha and Mary Health Service

19160 FRONT STREET NORTHEAST, Poulsbo, WA, 98370

Nursing home135 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 11 deficiencies against Martha and Mary Health Service in Poulsbo, Washington at its most recent standard inspection on 2026-02-13, 2 of them arising from complaints. Medicare rates it 4 out of 5 overall.

4 / 5Medicare overall rating
135certified beds
11deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.46
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2026-05-13 · from a complaint · No actual harm, potential for more than minimal harm

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-04-13 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

E

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies · F0692 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

E

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies · F0561 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Resident Rights Deficiencies · F0584 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · F0657 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · F0757 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2026-02-13 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2025-05-13 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2025-04-14 · from a complaint · No actual harm, potential for more than minimal harm

D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · F0657 · 2024-12-16 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Quality of Life and Care Deficiencies · F0700 · 2024-12-16 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · F0757 · 2024-12-16 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0758 · 2024-12-16 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2024-12-16 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies · F0552 · 2024-12-16 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2024-12-16 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.76847
Nursing staff turnoverShare of nursing staff who left in a year35.9%
Ownership

Who owns Martha and Mary Health Service

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
LADENBURG, LYNETTEIndividualNOT APPLICABLEsince 10/31/2016
LADENBURG, LYNETTEIndividualNOT APPLICABLEsince 10/31/2016
VERNON-COLE, CHRISTOPHERIndividualNOT APPLICABLEsince 04/25/2017
KOERNER, EDWARDIndividualNOT APPLICABLEsince 09/23/2024
LADENBURG, LYNETTEIndividualNOT APPLICABLEsince 10/31/2016
OCONER, ELLENIndividualNOT APPLICABLEsince 11/01/2016
SHARMAN, DONALDIndividualNOT APPLICABLEsince 04/01/2021
KOERNER, EDWARDIndividualNOT APPLICABLEsince 09/23/2024
LADENBURG, LYNETTEIndividualNOT APPLICABLEsince 10/31/2016
OCONER, ELLENIndividualNOT APPLICABLEsince 11/01/2016
SHARMAN, DONALDIndividualNOT APPLICABLEsince 04/24/2025
VERNON-COLE, CHRISTOPHERIndividualNOT APPLICABLEsince 04/25/2017
Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Martha and Mary Health Service a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Martha and Mary Health Service has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 3607797500 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 505474.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction