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Nursing HomeMedicaid Top Rated

Regency Harmony House Rehab & Nursing

Strong Medicare quality ratings; families often praise small, intimate facility environment. Still worth an in-person visit.

100 River Plaza, Brewster, WA 9881254 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 10 Google reviews

5
4
3
2
1

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What this means for your family

While some families appreciate the small, communicative environment, recent reviews indicate a concerning trend of unprofessional and disrespectful behavior by nursing staff. We strongly recommend visiting the facility during different shifts to observe staff-resident interactions firsthand before making a decision.

Google Reviews

Google Reviews

10 reviews on Google
Regency Harmony House receives highly polarized feedback, with some families praising the intimate, small-facility environment and proactive communication, while others report serious concerns regarding staff conduct and patient safety. Critics frequently cite rude, disrespectful behavior from nursing staff and instances of poor care, while supporters highlight the facility's responsiveness and attentive treatment of long-term residents.

Quality Themes

Tap a score for details
FoodN/AStaff4.0Clean8.0ActivitiesN/AMeds7.0MemoryN/AComms8.0ValueN/A

Strengths

  • Small, intimate facility environment
  • Proactive communication with family members
  • Well-maintained grounds and scenic location

Concerns

  • Unprofessional and rude nursing staff (mentioned by 2 reviewers)
  • Lack of compassionate care from long-term staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(1)'21(2)'23(1)'25(1)

Distribution · 11 analyzed

5
6
4
0
3
0
2
0
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that you have a smaller capacity of 54 residents, how do you foster a warm and compassionate culture among your long-term nursing staff?
  • 2I noticed some feedback regarding staff interactions; what kind of ongoing training or mentorship programs do you have in place to ensure all team members provide consistent, patient-centered care?
  • 3With your beautiful, well-maintained grounds, what kind of outdoor activities or social programs are available for residents to enjoy the space daily?
  • 4Since you have a 5-star CMS staffing rating, how do you ensure that this high level of staffing translates into personalized attention for each resident throughout the day?
  • 5How does your leadership team handle communication and conflict resolution if a family member has a concern about the care their loved one is receiving?
  • 6In the event of a medical emergency, what is your specific protocol for coordinating with local hospitals and keeping family members informed in real-time?

Personalized based on this facility's data


Key Review Excerpts

The staff treat my mom like family, they call me whenever they need to update me about something like medication change, she fell, etc. I like that they are small, have plenty of staff, etc.

Long-term resident's family · 2018★★★★★

I am putting 1 star to a zero if I can I would not recommend this place the nurses are not friendly and very rude to people and the elderly people too just very disrespectful and give you problems for no reason

Visitor · 2024☆☆☆☆

I witnessed aides who were there long term not being very caring to the residents.

Former employee · 2021☆☆☆☆
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.97hrs
OK
Registered nurses for medical care
Total Nursing
3.90hrs
95%
All nurses + aides combined
Staff Turnover
29%
Lower is better (< 30% = good)
RN Turnover
30%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.8%
Worse than Avg
Here
24.8%
US
14.4%
WA
15.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.1%
Worse than Avg
Here
24.1%
US
15.5%
WA
15.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.0%
Better than Avg
Here
11.0%
US
19.5%
WA
12.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.7%
Worse than Avg
Here
21.7%
US
15.3%
WA
18.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
93.4%
WA
95.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
12.1%
WA
17.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
81.8%
WA
87.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility67.9%
Worse than Avg
Here
67.9%
US
79.8%
WA
82.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.0%
Worse than Avg
Here
4.0%
US
1.6%
WA
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Well below state avg (17.1)
7 complaint-triggered

This facility has 36 deficiencies across six surveys, with families filing seven complaints about serious care issues including medication management, protection from neglect, and resident rights. The most recurring problems involve emergency preparedness, building safety systems, and quality of care. While all deficiencies show correction dates, some issues like emergency preparedness and electrical safety have repeated across multiple surveys, suggesting ongoing challenges with facility operations and resident safety.

Nov 23, 2025Routine
6
0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 30, 2025Complaint
2
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Feb 18, 2025Complaint
1
0555Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Sep 11, 2024Routine
11
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Oct 18, 2023Complaint
3
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Oct 18, 2023Routine
12
0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0030Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0223Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Regency Harmony House Rehab & Nursing

Organization Type

for profit

Chain Affiliation

Chain Name

Regency Pacific Management

Chain Size

27 facilities nationwide

Chain avg rating: 3.6/5 · Rank 6 of 27 (Best)

Ownership & Management

Owners

Regency Pacific Management LLC

Owner · Organization

Tretwold, Jerry

Owner

Key personnel

Regency Pacific Management LLCManagerTretwold, JerryManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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