nursing home in Brewster, WA

Regency Harmony House Rehab & Nursing

100 River Plaza, Brewster, WA 98812 · (509) 689-2546

★★★★★5
Much above average
CMS overall star rating
  • Health inspections★★★★★5
  • Staffing★★★★★4
  • Quality measures★★★★★2
  • CMS high performer

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Regency Harmony House Rehab & Nursing at a glance

Regency Harmony House Rehab & Nursing is a 54-bed for-profit nursing home in Brewster, Washington (Okanogan County).

CMS gives it 5 out of 5 stars on its overall star rating, better than the Washington average of 3.3.

Residents receive about 3.7 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 4.4 hours.

Its most recent standard health inspection (November 23, 2025) found 5 health citations. The Washington average is 15.8.

It has not received a federal fine in the past three years.

Nursing staff turnover is 27.5% per year (state average 45.1%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
54
Certified for
Medicare and Medicaid
Chain / affiliated entity
Regency Pacific Management
Medicare-certified since
January 1, 1992
Resident/family council
Resident
County
Okanogan County
CMS Certification Number
505430

Ratings

MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)5 / 53.3 / 53 / 5Better
Health inspection rating ⓘ (higher is better)5 / 52.8 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)4 / 53.6 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)2 / 54 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 54.1 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 53.9 / 53.3 / 5Worse

Staffing

This facility3.70 hrsWashington average4.36 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.70 hrs4.36 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.81 hrs0.94 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.53 hrs2.66 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)2.89 hrs3.80 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)27.5%45.1%45.8%Better
Registered nurse turnover (yearly) (lower is better)36.4%45.4%42.9%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility5Washington average16U.S. average9
Health citations in the most recent inspection: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)5169Better
Citations from complaint investigations (latest cycle) (lower is better)043Better
Weighted health inspection score ⓘ (lower is better)27116.680.6Better

Penalties

This facility0Washington average1U.S. average1
Fines in the past 3 years: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$52,633$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Certified beds5497107
Average residents per day497686
Occupancy91.1%79.4%80.9%

Long-stay residents

This facility5.7%Washington average2.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.7%2.6%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)21.1%15.1%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)3.2%1.6%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0%1%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)21.2%14.2%13.9%Worse
Long-stay residents whose walking worsened (lower is better)18.5%17.2%14.1%Worse
Long-stay residents who lose too much weight (lower is better)9.5%5.5%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)11.7%17.7%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)12.2%12.4%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)21.3%22.5%19%Worse
Long-stay residents given a flu vaccine (higher is better)95.5%93.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)96.9%96%93.6%Average

Short-stay residents

This facility4.1%Washington average1.3%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Washington and U.S. averages
MeasureThis facilityWashington avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)4.1%1.3%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)67.9%82%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)98.9%88.3%82%Better

Inspection citations

State inspectors cited this home for 15 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
November 23, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
F
Potential harm, widespread
Corrected December 23, 2025
November 23, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected December 23, 2025
November 23, 2025
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected December 23, 2025
November 23, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected December 25, 2025
November 23, 2025
Standard
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 · Tag F0657
D
Potential harm, isolated
Corrected December 23, 2025
November 23, 2025
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected December 23, 2025
July 30, 2025
Complaint
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 · Tag F0605
D
Potential harm, isolated
Corrected August 15, 2025
July 30, 2025
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected August 15, 2025
February 18, 2025
Complaint
Honor the resident's right to choose his or her attending physician.
Resident Rights Deficiencies · Tag F0555
D
Potential harm, isolated
Corrected March 7, 2025
September 11, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected October 8, 2024
September 11, 2024
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected October 8, 2024
September 11, 2024
Fire safety
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies · Tag E0036
F
Potential harm, widespread
Corrected October 8, 2024
September 11, 2024
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected October 8, 2024
September 11, 2024
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected October 8, 2024
September 11, 2024
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected October 8, 2024
September 11, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected October 8, 2024
September 11, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
F
Potential harm, widespread
Corrected October 8, 2024
September 11, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected October 10, 2024
September 11, 2024
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected October 10, 2024
September 11, 2024
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected October 10, 2024
October 18, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies · Tag E0007
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
F
Potential harm, widespread
Corrected November 14, 2023
October 18, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected November 14, 2023
October 18, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected November 14, 2023
October 18, 2023
Fire safety
Meet other general requirements.
Construction Deficiencies · Tag K0100
D
Potential harm, isolated
Corrected November 14, 2023
October 18, 2023
Complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected November 13, 2023
October 18, 2023
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected November 13, 2023
October 18, 2023
Complaint
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected November 13, 2023
September 7, 2023
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected September 27, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
REGENCY PACIFIC MANAGEMENT LLC
Organization
5% or greater direct ownership interest—04/01/2010
TRETWOLD, JERRY
Individual
5% or greater direct ownership interest—09/01/1979
REGENCY PACIFIC MANAGEMENT LLC
Organization
operational/managerial controlNOT APPLICABLE06/01/2016
TRETWOLD, JERRY
Individual
operational/managerial controlNOT APPLICABLE06/01/2016

Other nursing homes near Regency Harmony House Rehab & Nursing

  1. Regency Omak

    901 Shumway Rd, Omak, WA 98841 · 25.1 mi

    For-profit · 56 beds · Part of Regency Pacific Management

    ★★★★★5Much above average
  2. Colville Tribal Convalescent C

    1 Convalescent Center Blvd, Nespelem, WA 99155 · 37.4 mi

    Government · 44 beds

    ★★★★★3Average

All nursing homes in Brewster, WA · Compare side by side

Frequently asked questions

What is Regency Harmony House Rehab & Nursing's rating?

Regency Harmony House Rehab & Nursing has 5 out of 5 stars on the CMS overall star rating. The average for Washington nursing homes is 3.3 stars.

How many inspection citations did Regency Harmony House Rehab & Nursing receive?

Its most recent standard health inspection found 5 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.

Does Regency Harmony House Rehab & Nursing accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Regency Harmony House Rehab & Nursing?

It is for profit - limited liability company and part of Regency Pacific Management. The ownership section on this page lists the owners and managers reported to CMS.

Where is Regency Harmony House Rehab & Nursing and how do I contact it?

Regency Harmony House Rehab & Nursing is at 100 River Plaza, Brewster, WA 98812. Phone: (509) 689-2546.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.