Based on observation, interview and record review, the facility failed to provide care in a manner that promoted resident respect and dignity for one of three residents (1) reviewed for dignity. Staff directing the resident to urinate in their brief instead of assisting the resident with toileting, which resulted in embarrassment, anxiety, humiliation, and diminished self-worth. Findings included . Review of the facility Dignity Policy titled Resident Rights, revised 11/2016 showed Resident has a right to a dignified existence, self-determination . and Resident has the right to receive treatment and care with respect and dignity in a manner . …
F557 citations in Washington
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F557 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F557.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F557 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 observation, interview, and record review, the facility failed to ensure dignity was provided during dining observations for 2 of 10 residents (Residents 89 & 47), reviewed for dining. The failure to ensure licensed nurses refrained from administration of medications during resident meals placed the residents at risk for a diminished quality of life.Findings included.Review of the facility's policy titled, Dignity, revised in October 2025, showed, Residents are treated with dignity and respect at all times.RESIDENT 89Observation on 02/17/2026 at 12:54 PM, showed multiple residents were eating their meals in the dining room. Staff K, Licensed Practical Nurse, entered the dining room and mixed Resident 89's medication with yogurt. …
Based on observation, interview and record review, the facility failed to provide eating assistance in a manner that promoted resident respect and dignity for 1 of 9 residents (Resident 14) reviewed for dining. This failure place residents at risk for diminished self-worth, embarrassment, and a deceased quality of life. Findings included. Review of the facility's policy, titled Dignity, dated 09/12/2025, documented, Each resident has the right to be treated with dignity and respect. Interactions and activities with residents by staff, temporary agency staff, or volunteers must focus on maintaining and enhancing the resident's self-esteem, self-worth, and incorporating the resident's goals, preferences, and choices. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.21× |
| 2024 | 0.24% | 0.91× |
| 2025 | 0.10% | 0.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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