Deficiency Index

Regency Harmony House Rehab & Nursing

Brewster, Washington · CCN 505430

21 surveys since 2011. The first finding at harm level was recorded in 2016.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
64
Surveys
21
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file15/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
54
Ownership
For profit - Limited Liability company
Chain
REGENCY PACIFIC MANAGEMENT
County
Okanogan · rural
Medicare-certified since
1992

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Nov 23, 2025

351 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.703.93
Registered-nurse hours per resident day0.81—
Annual nurse turnover27.5%43.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1386.7%E213.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 64 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5551×

    Honor the resident's right to choose his or her attending physician.

  • F6021×

    Protect each resident from the wrongful use of the resident's belongings or money.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

In the surveyor’s words

From the most serious findings on record at Regency Harmony House Rehab & Nursing, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF761Oct 18, 2023

    Based on observation, interview, and record review the facility failed to appropriately label, and store refrigerated controlled substances in a permanently affixed compartment as required in 1 of 1 medication rooms observed for medication storage. In addition, the facility failed to maintain records to reconcile refrigerated emergency kit controlled medications in 1 of 1 medication rooms. This failure placed the facility at risk of controlled drug diversion. Findings included . Review of pharmacy policy titled, Inventory Control of Controlled Substances, dated 01/2022, showed the facility should maintain a written record of all controlled substance medications transferred from the pharmacy to the facility's emergency medication kit. […]

  • No harm, potential for more than minimal, patternF812Oct 18, 2023

    Based on observation, interview, and record review, the facility failed to consistently maintain dish machine temperatures which placed all residents at increased risk for foodborne illness. Findings included . During an observation of the kitchen on 10/17/2023 at 12:21, Staff E, Dietary Manager, stated the dishwasher was a low temperature dishwasher, which must sanitize the dishes at 120 degrees or above. The temperature logs for October 2023 showed the temperatures were below 120 degrees on 16 different occasions. Staff E stated that maintenance was informed each time the dishwasher was below 120 degrees, and the temperature was fixed. Staff E was unable to provide documentation showing the temperature had been fixed and what the new temperature was afterward. […]

  • No harm, potential for more than minimal, patternF880May 27, 2022

    Based on observation, interview, and record review, the facility failed to ensure personal protective equipment (PPE) was used in accordance with the Centers for Disease Control (CDC) guidelines. This failure placed residents and staff at risk for contracting COVID-19. Findings included According to the Center for Disease Control document, How to use Your N95 Respirator, dated 03/16/2022, showed N95 masks must form a seal to the face to work properly. The N95 should be placed under the chin, with the nose piece bar at the top. The top strap should be pulled over the head and placed near the crown, and the bottom strap should be placed at the back of the neck, below the ears. […]

  • No harm, potential for more than minimal, isolatedF628Nov 23, 2025

    Based on record review and interview, the facility failed to notify the Office of the State Long-Term Care (LTC) Ombudsman (an advocate for residents of nursing homes who protected and promoted resident rights under federal and state law and regulations) of discharges and/or transfers, as required for 1 of 3 sampled residents (Resident 53), reviewed for hospitalization and discharges. This failure placed residents at risk of not having an advocate during and after discharge.Findings included .Review of admission assessment dated [DATE], documented Resident 53 had diagnoses including a stroke, dementia, and depression. Resident 53 was cognitively intact and able to make their needs known. […]

  • No harm, potential for more than minimal, isolatedF657Nov 23, 2025

    Based on observation, interview and record review, the facility failed to incorporate recommended behavioral health interventions into the comprehensive care plan timely for 1 of 5 sampled residents (Resident 3) reviewed for PASRR recommendations (Preadmission Screening and Resident Review, a behavioral health evaluation that identified psychosocial needs of residents). This failure placed the resident at risk for unmet care needs and a diminished quality of life. Findings included . Review of quarterly assessment dated [DATE], documented Resident 3 had diagnoses including anxiety, depression and a paranoid personality disorder (a pattern of distrust and suspicion of others). […]

Read 21 findings in full →The most serious and the most recent: 21 of 64 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 23, 2025Standard5 findings
  • Jul 30, 2025Complaint2 findings
  • Feb 18, 2025Complaint1 finding
  • Sep 11, 2024Standard3 findings
  • Oct 18, 2023Standard and complaint3 findings
  • Sep 7, 2023Complaint1 finding
  • May 27, 2022Standard4 findings
  • Jun 20, 2019Standard3 findings
Show the 13 earlier surveys
  • Apr 16, 2019Complaint2 findings
  • Dec 20, 2018Complaint4 findings
  • May 21, 2018Standard6 findings
  • Jul 17, 2017Complaint3 findings
  • Apr 14, 2017Standard9 findings
  • Apr 5, 2017Complaint2 findings
  • Jan 13, 2017Complaint1 finding
  • Mar 25, 2016Standard2 findings
  • Jan 12, 2016Complaint1 finding · 1 harm
  • May 7, 2015Standard8 findings
  • Feb 11, 2014—2 findings
  • Jan 17, 2013—1 finding
  • Nov 17, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction