MARTHA AND MARY HEALTH SERVICE
MARTHA AND MARY HEALTH SERVICE, in POULSBO, Washington, holds 135 certified beds and has been certified for Medicare and Medicaid since 1992-07-01, averaging 110.9 residents a day.
Has MARTHA AND MARY HEALTH SERVICE been cited for violations?
CMS lists 46 health-inspection deficiencies for MARTHA AND MARY HEALTH SERVICE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-05-13.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-13 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2026-04-13 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-02-13 | F0684, F0692, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide and implement an infection prevention and control program. | E |
| 2026-02-13 | F0561, F0584, F0657, F0677, F0757, F0759 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. | D |
| 2025-05-13 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-04-14 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-12-16 | F0657, F0700, F0757, F0758, F0880 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Provide and implement an infection prevention and control program. | E |
| 2024-12-16 | F0552, F0604, F0641, F0645, F0656, F0658, F0677, F0684, F0686, F0695, F0773 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D |
| 2024-07-08 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-10-27 | F0561, F0636, F0638, F0677, F0684, F0695, F0725, F0812, F0880 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2023-10-27 | F0584, F0657, F0658, F0690, F0810, F0849, F0883 | 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
How is MARTHA AND MARY HEALTH SERVICE staffed?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.76847 | 4.36934 |
| Total nursing staff turnover (%) | 35.9 | 45.1 |
| Average number of residents per day | 110.9 | 76.0 |
Who owns MARTHA AND MARY HEALTH SERVICE?
MARTHA AND MARY HEALTH SERVICE is registered with CMS as Non profit - Corporation, operates under the legal business name MARTHA AND MARY HEALTH SERVICES.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | LADENBURG, LYNETTE | since 10/31/2016 |
| CORPORATE OFFICER | LADENBURG, LYNETTE, VERNON-COLE, CHRISTOPHER | since 04/25/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | KOERNER, EDWARD, LADENBURG, LYNETTE, OCONER, ELLEN, SHARMAN, DONALD | since 04/01/2021 |
| ADP OF THE SNF | KOERNER, EDWARD, LADENBURG, LYNETTE, OCONER, ELLEN, SHARMAN, DONALD, VERNON-COLE, CHRISTOPHER | since 04/24/2025 |
Were you or a family member harmed at MARTHA AND MARY HEALTH SERVICE?