Bremerton Trails Post Acute
Bremerton · 2.6 mi · 125 beds
Citations0Substantiated0
Washington Veteran Home-retsil
1141 BEACH DRIVE, PT Orchard, WA, 98366
Nursing home240 licensed beds0 citations on record
5 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 19 deficiencies against Washington Veteran Home-retsil in PT Orchard, Washington at its most recent standard inspection on 2026-05-11, 4 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $23,920. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
240certified beds
19deficiencies at the last inspection
0immediate-jeopardy findings on record
1actual-harm findings on record
1federal fines, $23,920
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.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.58
Potential for minimal harmThe least serious band.0
Most recentEEEEEDDDDDDDDDDDDDGE
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.
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · F0567 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · F0578 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · F0585 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
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 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · F0688 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2026-05-11 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-04-07 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-07-11 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-07-11 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-07-02 · from a complaint · Actual harm to a resident
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-04-28 · standard survey · No actual harm, potential for more than minimal harm
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 below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are5 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.88356
Nursing staff turnoverShare of nursing staff who left in a year45.1%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$23,920
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Washington Veteran Home-retsil
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.
| Owner | Role | Share | Since |
|---|---|---|---|
| WASHINGTON STATE DEPARTMENT OF VETE | Organization | 100% | since 03/01/2007 |
| GILBERT, SOLOMON | Individual | NOT APPLICABLE | since 05/22/2023 |
| MURRAY, DANIEL | Individual | NOT APPLICABLE | since 11/16/2021 |
| PUENTE, DAVID | Individual | NOT APPLICABLE | since 02/01/2023 |
| FANG, AARON | Individual | NOT APPLICABLE | since 05/07/2024 |
| LYSOBEY, MATTHEW | Individual | NOT APPLICABLE | since 03/20/2023 |
| PUENTE, DAVID | Individual | NOT APPLICABLE | since 02/01/2023 |
| WESTHOFF, TERRANCE | Individual | NOT APPLICABLE | since 09/01/2020 |
| FANG, AARON | Individual | NOT APPLICABLE | since 05/07/2024 |
| LYSOBEY, MATTHEW | Individual | NOT APPLICABLE | since 11/24/2025 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Belmont Terrace
Bremerton · 2.7 mi · 102 beds
Citations0Substantiated0
Life Care Center of Port Orchard
Port Orchard · 3.0 mi · 125 beds
Citations0Substantiated0
Port Washington Post Acute
Bremerton · 3.0 mi · 98 beds
Citations0Substantiated0
Avamere Rehabilitation at Ridgemont
Port Orchard · 3.0 mi · 96 beds
Citations0Substantiated0
Contact
Ask Washington Veteran Home-retsil a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 505517.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction