Based on observation, interview, and record review, the facility failed to maintain a clean, safe, and homelike environment for 5 of 6 residents (Residents 52, 26, 43, 42 & 3), reviewed for environment. These failures placed the residents at risk for injury, a less than homelike environment, and a diminished quality of life.Findings included.Review of the facility's policy titled, Homelike Environment, revised in February 2021, showed that the facility maximizes to the extent possible, the characteristics of the facility that reflect a personalized, homelike setting and that Residents are provided with a safe, clean, comfortable and homelike environment.Review of the facility's policy titled, Maintenance Service, revised in December 2009, showed that the Maintenance Department is… …
F584 citations in Washington
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F584 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F584 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 interviews, observation and record review, the facility failed to provide an environment with a comfortable temperature during an extended power outage, for 33 of 33 residents admitted to the facility on [DATE]. This failure placed Residents at risk for discomfort and a decreased quality of life.Findings included . During an interview with Staff E, Maintenance Director, on 12/18/2025 at 10:40 AM, they stated that the facility had experienced a power outage during a winter storm with high winds on 12/17/2025 from 5:10 AM until 3:30 PM. They stated that during that time period the facility backup generator powered seven lights, three outlets and the facility fire suppression system. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 1.89% | 0.85× |
| 2024 | 1.88% | 0.88× |
| 2025 | 1.64% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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