Based on observation, interview and record review, the facility failed to ensure residents were provided opportunities to be involved in advance in making decisions about care and treatment to attain and maintain the highest practicable physical, mental and psychosocial well being for 1 of 4 sampled residents (#16) reviewed for participation in care planning. This failure placed residents at risk of unidentified and unmet care needs, unwanted behaviors and a diminished quality of life. This caused harm to Resident #16. Findings include . Resident #16 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. …
F553 citations in Washington
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F553 more often than its own record predicts
1.13 times the share F553 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F553.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F553 findings written in Washington, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to incorporate resident's and resident representative's preferences for medical oversight into the plan of care for 1 of 3 residents (Resident 2) reviewed for resident rights. This failure placed residents at risk of suboptimal clinical outcomes, medical complications and frustration.Findings included .Resident 2 was admitted on [DATE] with diagnoses including peripheral arterial disease (circulatory condition where narrowed blood vessels reduce blood flow to the limbs, most commonly the legs) and diabetes. The admission Minimum Data Set Assessment (MDS), an assessment tool, dated 10/13/2025, showed Resident 2 had moderate cognitive impairment, required substantial assistance from staff for dressing, bed mobility and transfers. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.97× |
| 2024 | 0.15% | 0.81× |
| 2025 | 0.21% | 1.13× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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