nursing home in Poulsbo, WA
Martha and Mary Health Service
19160 Front Street Northeast, Poulsbo, WA 98370 · (360) 779-7500
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Martha and Mary Health Service at a glance
Martha and Mary Health Service is a 135-bed non-profit nursing home in Poulsbo, Washington (Kitsap County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Washington average of 3.3.
Residents receive about 4.8 hours of nursing care per day (1.1 of them from registered nurses), better than the state average of 4.4 hours.
Its most recent standard health inspection (February 13, 2026) found 11 health citations. The Washington average is 15.8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 35.9% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 135
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- July 1, 1992
- Resident/family council
- Resident
- County
- Kitsap County
- CMS Certification Number
- 505474
Ratings
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.1 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.9 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.77 hrs | 4.36 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.11 hrs | 0.94 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.04 hrs | 2.66 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.05 hrs | 3.80 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 35.9% | 45.1% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 22.6% | 45.4% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 72 | 116.6 | 80.6 | Better |
Penalties
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $52,633 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 135 | 97 | 107 | |
| Average residents per day | 111 | 76 | 86 | |
| Occupancy | 82.1% | 79.4% | 80.9% |
Long-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 2.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0.5% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 20.8% | 15.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.6% | 1.6% | Better |
| 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) | 16.3% | 14.2% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.3% | 5.5% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 40.2% | 17.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0.5% | 0.1% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.9% | 12.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 26.5% | 22.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 93.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98% | 96% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Washington avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 87.7% | 82% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.2% | 88.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 46 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 13, 2026 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 June 10, 2026 |
| April 13, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected May 15, 2026 |
| February 13, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected March 16, 2026 |
| February 13, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 16, 2026 |
| February 13, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 13, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 13, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 13, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 20, 2026 |
| February 13, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected March 20, 2026 |
| February 13, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected March 20, 2026 |
| February 13, 2026 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected March 20, 2026 |
| February 13, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 20, 2026 |
| February 13, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected March 20, 2026 |
| February 13, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 20, 2026 |
| February 13, 2026 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 March 20, 2026 |
| February 13, 2026 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected March 20, 2026 |
| May 13, 2025 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 June 11, 2025 |
| April 14, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 23, 2025 |
| December 16, 2024 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 January 5, 2025 |
| December 16, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 14, 2025 |
| December 16, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected December 13, 2024 |
| December 16, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected December 23, 2024 |
| December 16, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected December 23, 2024 |
| December 16, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 19, 2024 |
| December 16, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 13, 2025 |
| December 16, 2024 Standard | 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 · Tag F0700 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 16, 2024 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 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 16, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 16, 2024 Standard | 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 · Tag F0758 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 16, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 16, 2024 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 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 January 24, 2025 |
| December 16, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 Standard | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0773 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 24, 2025 |
| December 16, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected January 24, 2025 |
| July 8, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 16, 2024 |
| October 27, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 28, 2023 |
| October 27, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected November 28, 2023 |
| October 27, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 Standard | 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 · Tag F0725 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 Complaint | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 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 | E Potential harm, pattern | Corrected December 11, 2023 |
| October 27, 2023 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected December 11, 2023 |
| October 27, 2023 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected December 11, 2023 |
| October 27, 2023 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | D Potential harm, isolated | Corrected December 11, 2023 |
| October 27, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 11, 2023 |
| October 27, 2023 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 11, 2023 |
| October 27, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected December 11, 2023 |
| October 27, 2023 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected December 11, 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.
| Name | Role | Share | Since |
|---|---|---|---|
| KOERNER, EDWARD Individual | adp of the snf | NOT APPLICABLE | 09/23/2024 |
| LADENBURG, LYNETTE Individual | adp of the snf | NOT APPLICABLE | 10/31/2016 |
| OCONER, ELLEN Individual | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| SHARMAN, DONALD Individual | adp of the snf | NOT APPLICABLE | 04/24/2025 |
| VERNON-COLE, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 04/25/2017 |
| LADENBURG, LYNETTE Individual | corporate officer | NOT APPLICABLE | 10/31/2016 |
| VERNON-COLE, CHRISTOPHER Individual | corporate officer | NOT APPLICABLE | 04/25/2017 |
| LADENBURG, LYNETTE Individual | managing control - governing body | NOT APPLICABLE | 10/31/2016 |
| KOERNER, EDWARD Individual | operational/managerial control | NOT APPLICABLE | 09/23/2024 |
| LADENBURG, LYNETTE Individual | operational/managerial control | NOT APPLICABLE | 10/31/2016 |
| OCONER, ELLEN Individual | operational/managerial control | NOT APPLICABLE | 11/01/2016 |
| SHARMAN, DONALD Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
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Frequently asked questions
What is Martha and Mary Health Service's rating?
Martha and Mary Health Service has 4 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 Martha and Mary Health Service receive?
Its most recent standard health inspection found 11 citations, compared with a Washington average of 15.8. Every citation is listed on this page with its severity.
Does Martha and Mary Health Service 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 Martha and Mary Health Service?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Martha and Mary Health Service and how do I contact it?
Martha and Mary Health Service is at 19160 Front Street Northeast, Poulsbo, WA 98370. Phone: (360) 779-7500.
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.