Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F585 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F585 more often than its own record predicts
Versus expected share2.18×
2.18 times the share F585 takes of citations nationally.
Share of Washington citations1.40%
Of every deficiency written in Washington in 2025, this is the portion that was F585.
Washington1.40%
National0.64%
Share of all citations that were F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F585 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.
G · Actual harm, isolatedJanuary 12, 2018
Based on interview and record review, the facility failed to promptly and thoroughly resolve and document resident and/or family grievances for 3 of 3 residents/grievances (15, 75, family member) reviewed for grievance resolution. The facility failed to implement the facility Concern & Comment Program to: identify and thoroughly document the specific issues, to timely resolve the grievances, to ensure all grievances were properly logged and investigated and not documented as Completed until actually resolved, to prevent further potential violation of resident rights related to grievances, and to perform ongoing monitoring and to obtain feedback whether the grievances were resolved after initial attempts to resolve them. …
D · No harm, potential for more than minimal, isolatedAugust 31, 2026
Based on observation, interview and record review, the facility failed to initiate, thoroughly investigate, and resolve a grievance for 1 of 4 sampled residents (Resident 2) reviewed for grievances. This failure placed the residents at risk for emotional distress, a denial of personal rights, and a diminished quality of life. Findings included.Resident 2 was admitted to the facility on [DATE] with a diagnosis of chronic obstructive pulmonary disease (COPD - a chronic lung disease which makes it difficult to breathe). …
B · No harm, potential for minimal, patternJuly 25, 2019
Based on interview and record review, the facility failed to have a system in place to thoroughly investigate and timely follow up to resolve grievances for two of three residents (Resident #s 3 and 6) reviewed for grievances. Failure to ensure grievances/resident concerns were thoroughly addressed and resolved timely, with supportive documentation in place, had the potential for residents to have continued concerns and affect the quality of life.
Findings included .
Review of the facility's policy titled, Grievance, dated (MONTH) (YEAR), showed that grievances should be resolved immediately when possible, by the individual receiving the grievance. …
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