Based on interview and record review, the facility failed to ensure the primary care physician was timely notified when medications were not administered for 1 of 4 residents (Resident 1), reviewed for notification of change. The failure to notify the primary care physician when the medication (clozapine-used to treat Schizophrenia [a chronic mental illness characterized by a combination of symptoms that significantly impair a person's thinking, feeling, and behavior]) were not administered caused harm for Resident 1 who had increased anxiety, behaviors, and suicidal ideation requiring hospitalization . …
F580 citations in Washington
Notifying of changes · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F580 less often than its own record predicts
0.56 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F580 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 notify the responsible party for 1 of 3 residents (Resident 1) reviewed for hospitalization. Failure to notify the resident representative of transfer to a hospital placed the resident at risk for not having their representative involved in their health care decision-making with timely care and services. Findings included .Resident 1 was admitted to the facility on [DATE]. Review of Resident's 1's admission record documented a brother as the resident's Power of Attorney for Health Care.During an interview on 08/06/2026 at 11:32 AM, Collateral Contact 1 (CC1), Resident 1's family member, stated that the resident had been sent to the hospital on [DATE] and nobody at the facility called to let the family know until the day after… …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.97% | 0.68× |
| 2024 | 0.91% | 0.60× |
| 2025 | 0.84% | 0.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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