Cycle 1
Health 2025-01-13 · Fire 2025-01-13
19 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Silverdale, WA
Northwoods Lodge
3-star overall rating with 3-star inspections with $51,942 in total fines with 19 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2321 Schold Place Northwest, Silverdale, WA
(360) 698-3930
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
57
Certified beds
Average residents
51
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sante
Operator or chain grouping
Approved since
1994-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.27
Registered nurse staffing · state 0.88 · national 0.68
LPN hours / resident day
1.60
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.87
Nurse aide staffing · state 2.69 · national 2.35
Total nurse hours
5.74
All reported nurse hours · state 4.39 · national 3.89
Licensed hours
2.87
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.70
Weekend nurse staffing · state 3.79 · national 3.43
Weekend RN hours
0.82
Weekend registered nurse coverage · state 0.63 · national 0.47
Physical therapist
0.29
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.02
CMS adjusted RN staffing hours
Adjusted total hours
4.62
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,668
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.88
Composite VBP score used to determine payment impact.
Payment multiplier
1.0098
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.93
Baseline 15.81% · Performance 17.29% · Measure score 8.93 · Achievement 8.93 · Improvement 0
Healthcare-associated infections
3.53
Baseline 4.52% · Performance 6.78% · Measure score 3.53 · Achievement 3.53 · Improvement 0
Total nurse turnover
3.92
Baseline 53.33% · Performance 47.67% · Measure score 3.92 · Achievement 3.92 · Improvement 1.49
Adjusted total nurse staffing
5.57
Baseline 4.84 hours · Performance 4.66 hours · Measure score 5.57 · Achievement 5.57 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.58% |
10.72%
2.1 pts better
|
Better than the National Rate · Eligible stays 813 · Observed rate 7.5% · Lower 95% interval 7.08% |
| Discharge to community | 72.58% |
50.57%
22 pts better
|
Better than the National Rate · Eligible stays 911 · Observed rate 68.5% · Lower 95% interval 68.62% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.31% |
95.27%
4 pts better
|
Numerator 572 · Denominator 576 |
| Falls with major injury | 0.17% |
0.77%
0.6 pts better
|
Numerator 1 · Denominator 576 |
| Discharge self-care score | 64.82% |
53.69%
11.1 pts better
|
Numerator 269 · Denominator 415 |
| Discharge mobility score | 55.66% |
50.94%
4.7 pts better
|
Numerator 231 · Denominator 415 |
| Pressure ulcers or injuries, new or worsened | 3.65% |
2.29%
1.4 pts worse
|
Numerator 21 · Denominator 576 · Adjusted rate 4.81% |
| Healthcare-associated infections requiring hospitalization | 6.78% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 549 · Observed rate 6.56% · Lower 95% interval 5.07% |
| Staff COVID-19 vaccination coverage | 51.38% |
8.2%
43.2 pts better
|
Numerator 56 · Denominator 109 |
| Staff flu vaccination coverage | 45.45% |
42%
3.5 pts better
|
Numerator 45 · Denominator 99 |
| Discharge function score | 66.99% |
56.45%
10.5 pts better
|
Numerator 278 · Denominator 415 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 161 · Denominator 161 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 404 · Denominator 404 |
| Resident COVID-19 vaccinations up to date | 17.18% |
25.2%
8 pts worse
|
Numerator 50 · Denominator 291 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
87.7%
5.6 pts better
|
81.7%
11.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 92.7% · Q3 94.0% · Q4 94.7% · 4Q avg 93.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
13.2%
0.9 pts better
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 11.5% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.4%
1 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.6% · Q3 0.6% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.0% |
82.0%
8 pts better
|
79.7%
10.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% |
19.9%
2.9 pts worse
|
23.9%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.8% · Observed 21.1% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-12 · Fire 2024-01-12
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-12-16 · Fire 2022-12-16
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-13
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-03
D · Potential for more than minimal harm
2025-01-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-03
D · Potential for more than minimal harm
2025-01-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-03
F · Potential for more than minimal harm
2024-01-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-12
F · Potential for more than minimal harm
2024-01-12
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-02-12
D · Potential for more than minimal harm
2024-01-12
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-12
D · Potential for more than minimal harm
2022-12-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-13
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-25
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-07-29
G · Actual harm
2025-01-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-18
E · Potential for more than minimal harm
2025-01-13
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-02-18
E · Potential for more than minimal harm
2025-01-13
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-02-18
E · Potential for more than minimal harm
2025-01-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-18
E · Potential for more than minimal harm
2025-01-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-18
E · Potential for more than minimal harm
2025-01-13
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-18
D · Potential for more than minimal harm
2025-01-13
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-02-18
G · Actual harm
2024-09-27
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-28
E · Potential for more than minimal harm
2024-09-27
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-28
G · Actual harm
2024-03-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
E · Potential for more than minimal harm
2024-01-12
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-12
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-13
D · Potential for more than minimal harm
2024-01-12
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-02-13
D · Potential for more than minimal harm
2023-10-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-05
F · Potential for more than minimal harm
2022-12-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-16
E · Potential for more than minimal harm
2022-12-16
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-16
E · Potential for more than minimal harm
2022-12-16
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-16
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-16
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-01-16
D · Potential for more than minimal harm
2022-12-16
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-01-16
Penalties and ownership
What sits behind the stars
$51,942
2025-01-13
Fine
Fine · fine $51,942
Fine
Ownership
Sp Silverdale LLC
5% Or Greater Direct Ownership Interest · Organization
Halverson, Melissa
5% Or Greater Indirect Ownership Interest · Individual
Hansen, Charles
5% Or Greater Indirect Ownership Interest · Individual
Hansen, Charles
Operational/Managerial Control · Individual
Munch Tooke, LLC
5% Or Greater Indirect Ownership Interest · Organization
Munch, Michael
5% Or Greater Indirect Ownership Interest · Individual
Munch, Michael
Operational/Managerial Control · Individual
Sante Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sante Partners Ii LLC
5% Or Greater Indirect Ownership Interest · Organization
Schaefer, Jacob
Corporate Officer · Individual
Sp Re Silverdale LLC
5% Or Greater Indirect Ownership Interest · Organization
Tooke, Arthur
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Martha And Mary Health Service
Poulsbo, WA
4-star overall rating with 3-star inspections with 18 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Bremerton Trails Post Acute
Bremerton, WA
1-star overall rating with 1-star inspections with $65,908 in total fines with 29 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Belmont Terrace
Bremerton, WA
2-star overall rating with 1-star inspections with $9,750 in total fines with 39 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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