Based on observation, interview and record review, the facility failed to identify, report, protect, assess and prevent a pattern of resident-to-resident verbal and physical abuse. This included identifying a known pattern of aggressive behaviors by Residents 19. Abusive behaviors identified by staff included hitting, punching, kicking, ramming into other residents with a wheelchair (w/c), verbal abuse, threats and intimidation of other residents. The facility failed to recognize these instances as abuse, analyze the circumstances of these abusive behaviors, or implement plans for prevention or recurrence of abuse for 11 of 12 sampled residents (Resident 19, 31, 49, 21, 43, 27, 37, 33, 45, 3, and 41), reviewed for abuse. …
F600 citations in Washington
Abuse and neglect · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F600 less often than its own record predicts
0.31 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F600 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 protect the resident's right to be free from physical abuse by a resident for 1 of 3 residents (Resident 1) reviewed for abuse. Resident 1 experienced harm when they were punched and grabbed around the neck, causing bruising and abrasions by a resident with a known history of physical abuse. The facility's failure placed residents at risk of physical injury, fear, intimidation and a decreased quality of life.Findings included.Resident 1 was admitted on [DATE] with diagnoses including severe dementia and dysarthria (slurred and/or slowed speech) following a cerebral vascular accident (interruption of blood supply to the brain causing brain tissue damage). …
.Based on interviews and record review, the facility failed to ensure 1of 4 sample residents (Resident 1) reviewed for abuse and neglect were free from physical abuse. These failures subjected Resident 1 to physical abuse and the potential for physical injury, psychological harm, and a decreased quality of life. Record review of the facility policy titled, Abuse, Neglect, Exploitation or Misappropriation-Reporting and Investigating, dated September 2022, showed Upon receiving any allegations of abuse, neglect, exploitation, misappropriation of resident property or injury of unknown source, the administrator is responsible for determining what actions (if any) are needed for the protection of residents.Resident 1 was admitted to the facility on [DATE] for rehabilitation and long-term care… …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.97% | 0.55× |
| 2024 | 1.19% | 0.50× |
| 2025 | 0.80% | 0.31× |
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