F641 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F641 more often than its own record predicts
Versus expected share1.10×
1.10 times the share F641 takes of citations nationally.
Share of Washington citations2.03%
Of every deficiency written in Washington in 2025, this is the portion that was F641.
Washington2.03%
National1.84%
Share of all citations that were F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F641 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.
D · No harm, potential for more than minimal, isolatedAugust 31, 2026
Based on interview and record review, the facility failed to ensure resident assessments accurately reflected their health status and/or care needs for 1 of 18 sampled residents (1) whose Minimum Data Sets (MDS, an assessment tool) were reviewed. The failure placed residents at risk for diminished quality of life and unidentified and/or unmet care needs.Findings included.Resident 1 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus (body can't control amount of sugar in blood properly) and a fracture to the lumbar spine. The quarterly MDS, dated [DATE], documented Resident 1 had moderate cognitive impairment and was independent with most activities of daily living (ADLs). …
B · No harm, potential for minimal, patternJanuary 30, 2020
Based on interview and record review, the facility failed to complete accurate assessments for two of four residents sampled for Minimum Data Set (MDS) assessment accuracy. Failure to accurately assess resident needs placed them at risk for unmet or unidentified care needs.
Findings included .
RESIDENT #1
Review of facility medical records showed Resident #1 admitted to the facility in 2019 for long term care.
Review of the admission MDS assessment, dated 08/02/19, showed the facility did not code the J0200 item for surgery within 100 days of admission, although the medical record showed Resident #1 had a feeding tube placement surgery on 06/16/19, which was 38 days prior to admission to the facility.
In addition, the MDS, dated [DATE], showed the I0100 item listed a [DIAGNOSES REDACTED]. …
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