Based on interview and record review the facility failed to implement their abuse/neglect policies and procedures to identify, prevent, protect, investigate, and report abuse/neglect allegations for 3 of 3 residents (Residents 2, 38, and 62) who had reported allegations of abuse and neglect by filing out grievance forms. Review of the facility's Grievance/Concern forms, dated 06/01/2024 to 11/14/2024, showed 10 additional allegations of abuse/neglect involving 7 of 7 residents (Residents 226, 228, 227, 2, 54, 11, and 40) reviewed for abuse/neglect. The facility did not have a process to identify allegations of abuse/neglect, that were written as grievances and required thorough and timely investigations. …
F607 citations in Washington
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F607 more often than its own record predicts
1.06 times the share F607 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F607 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 implement written abuse and neglect policies and procedures related to the required resident protection, abuse reporting and investigation for 2 of 3 residents (Residents 1 and 2) reviewed for abuse and neglect. These failures caused harm to Resident 1 who experienced potential on-going abuse/neglect of care that resulted in psychosocial harm in the form of fear, embarrassment and change in mood. The facility's failure to address and investigate allegations of abuse and neglect placed the residents at risk for harm and a diminished quality of life. …
Based on interview and record review, the facility failed to make a reasonable effort to uncover information about prospective employees by not completing reference checks for 3 of 3 employees (Staff D, Staff E, and Staff F) reviewed for implementation of abuse and neglect policies. This failure placed residents at risk for unmet care needs and services and a diminished quality of life. Findings included .Staff D was hired by the facility on 05/06/2026 as a Registered Nurse. Staff E was hired on 07/01/2024 as a Student Nurse. Staff F was hired on 07/16/2016 as a Certified Nursing Assistant. Review of the facility's personnel files showed neither Staff D, Staff E, nor Staff F had reference checks completed before they were hired or during their employment. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.70% | 0.94× |
| 2024 | 0.64% | 0.85× |
| 2025 | 0.70% | 1.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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