With a score of 78/100 and a B grade, Martha And Mary Health Service is a well-regarded option in Poulsbo, Washington. The facility performs above average in most CMS categories, placing it in the 77th percentile statewide.
Staffing levels at Martha And Mary Health Service exceed national averages, with 4.72 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.05 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 47 deficiencies at Martha And Mary Health Service. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.72 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.05 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.88 | 2.4 | Above Average |
| Weekend Total Nursing | 3.93 | 3.8 | Average |
| Weekend RN Hours | 0.73 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.May 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Apr 13, 2025 · Quality of Life and Care Deficiencies
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Dec 15, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0700 Severity ETry 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 theseDec 15, 2024 · Quality of Life and Care Deficiencies
- Tag 0757 Severity EEnsure each resident’s drug regimen must be free from unnecessary drugs.Dec 15, 2024 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.5% | 4.5% | Better |
| Falls with major injury | 1.8% | 3.0% | Better |
| On antipsychotic medication | 20.4% | 14.5% | Worse |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 20.7% | 14.0% | Worse |
| Excessive weight loss | 6.0% | 7.5% | Better |
| New/worsened incontinence | 27.9% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 78 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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