MARTHA AND MARY HEALTH SERVICES

POULSBO, WA · Kitsap County · For profit - Individual · 135 certified beds

📍 19160 Front Street Northeast, Poulsbo, WA 98370  ·  📞 (360) 779-7500

Medicare ID: 505474  ·  Last Medicare inspection: May 13, 2025

Overall Safety Score
84
out of 100
Good
Component Scores
60
Inspection
100
Staffing
✓ Clean
Enforcement
90
Complaints
64
Quality
📋 Last inspected: May 13, 2025 📦 CMS data as of: May 2026

Score Breakdown

Inspection
60
Staffing
100
Enforcement
100
Complaints
90
Quality Outcomes
64

What the numbers mean

MARTHA AND MARY HEALTH SERVICES scored 84 out of 100 — 19 points above the state average of 65.

📋 Inspections: 35 citations over the last 36 months — 8 fewer than the state average (43). None were rated as causing actual harm to residents. 13 findings recurred across inspection cycles — indicating a problem that was not fixed.

👥 Staffing: Staffing levels are strong — RN hours and total nurse hours per resident are in the favorable range. Adequate staffing is one of the most important factors in resident safety.

⚖️ Penalties & enforcement: No significant federal fines or enforcement actions on record — a positive indicator of consistent regulatory compliance.

💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.

📊 Resident quality outcomes: Quality outcome measures are in an acceptable range. Some measures are at or near national benchmarks. Review the quality section in the full report for specifics.

What inspectors found (last 3 surveys)

35
Total citations
State avg: 42.8
0
Serious (G+)
State avg: 1.9
13
Repeat findings

Top concern areas

35

⚖ Penalties & Enforcement

Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.

No federal penalties on record. CMS has not issued civil monetary penalties or payment denials against this facility in the current reporting period.
📋 Enforcement Context Analysis
📊
Enforcement score: 100/100 — above the state average of 56/100 — relatively better than peer facilities. This is a positive indicator — limited enforcement history compared to peer facilities.
✅ No enforcement actions on record. This facility's enforcement score of 100/100 reflects a clean enforcement history in the current CMS reporting cycle.

📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.

🩹

Resident Wellbeing — Key Indicators

These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.

Antipsychotic medication use
0.3% lower is better
Share of long-stay residents given antipsychotic drugs. High use can signal residents being over-medicated rather than receiving attentive care.
Flu vaccination rate
14.7% higher is better
Share of long-stay residents vaccinated against the flu this season. Higher is better.
Re-hospitalized after discharge
18.6% lower is better
How often short-stay residents who went home ended up back in the hospital within 30 days. Risk-adjusted for resident health.
Hospitalization rate
13.8% lower is better
How often long-stay residents were hospitalized over the past year. Adjusted for how sick residents were.
🔒 Full breakdown — 4 of 21 total measures shown
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Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.

See every citation, score history, ownership, and get monthly alerts

Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.

Watch this facility — $14.99/yr Family plan — 3 facilities for $29.99/yr

Data source: CMS Care Compare · Methodology · State Ombudsman

This report uses public CMS nursing home data and simplified scoring to help families ask better questions. It is not a recommendation, ranking, medical opinion, legal opinion, or substitute for an in-person visit. Source data last published by CMS: May 7, 2026.