Based on observation, interview and record review, the facility failed to comprehensively assess, care plan, and document chemical restraint use for one of one resident (# 6) reviewed for restraints. Failure to: 1) comprehensively assess the risks and benefits and parameters of use of a chemical restraint, 2) to follow care plan interventions to ensure the least restrictive alternatives were attempted and were ineffective prior to chemical restraint use and 3) to monitor for sedation and adverse side effects including AIMS (Abnormal Involuntary Movement Scale) testing and to ensure she was not sedated resulted in harm related to a decline in her ability to complete her activities of daily living, poor quality of life, somnolence and the residents inability to open her eyes. …
F605 citations in Washington
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F605 more often than its own record predicts
1.69 times the share F605 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F605 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 ensure 1 of 5 sampled residents (Resident 5) were free from unnecessary psychotropic medications (drugs that affect brain activities associated with mental processes and behavior) as required. The facility failed to obtain necessary information to demonstrate adequate indication of use of antipsychotic medication including the duration of use. These failures placed the residents at risk for medication-related complications such as drowsiness, withdrawal from activities and socialization, movement disorders, falls with injury, stroke, and increased risk of death, for receiving unnecessary psychotropic medication. …
What else Washington surveyors cite →
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