F646 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F646 more often than its own record predicts
Versus expected share2.67×
2.67 times the share F646 takes of citations nationally.
Share of Washington citations0.17%
Of every deficiency written in Washington in 2025, this is the portion that was F646.
Washington0.17%
National0.07%
Share of all citations that were F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F646 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, isolatedJune 4, 2026
Based on interview and record review, the facility failed to notify the state mental health authority coordinator of a significant change in physical condition, for 1 of 5 residents (Resident 7) reviewed for PASARR process (Preadmission Screening and Resident Review, a screening tool used to identify mental health needs). This failure placed the residents at risk for unmet care needs and a diminished quality of life. Findings included.Record review of the facility policy, titled, Preadmission Screening & [and] Resident Review Process, revision date 08/29/2025, documented, .4. …
B · No harm, potential for minimal, patternJune 18, 2026
Based on interview and record review, the facility failed to notify the state mental health authority coordinator of a significant change in physical condition, for 1 of 5 residents (Resident 25) reviewed for PASRR process (Preadmission Screening and Resident Review, a screening tool used to identify mental health needs). This failure placed the residents at risk for unmet care and a diminished quality of life. Findings included. Resident 25 was admitted to the facility on [DATE], with multiple diagnosis to include Depression (a serious mood disorder that causes persistent feelings of sadness, emptiness, and a loss of interest in daily activities). …
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