Based on interview and record review, the facility failed to provide the baseline care plan to the resident and/or representative within 48 hours for 2 of 6 residents (Residents 24 and 113) reviewed for baseline care plan. These failures placed residents at risk of not being informed of their initial plan for delivering care and services and placed residents at risk for unmet care needs and possible complications. Findings included .Review of an undated facility policy titled, Baseline Care Plans, showed the baseline care plan would be developed within 48 hours of a resident's admission, and a summary would be provided to the residents and their representative that included the initial goals, a summary of medications, and any services and/or treatments to be administered by the facility. …
F655 citations in Washington
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F655 more often than its own record predicts
1.28 times the share F655 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F655 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 provide 5 of 10 sampled residents (Resident 71, 225, 33, 42, and 275) and/or their representatives with a summary of their baseline care plan with 48 hours of admission. This failure placed residents at risk of not being informed of their initial plan for delivery of care and services to work on resident specific goals. Findings included . Review of a facility policy titled, Comprehensive Person-Centered Care Planning, revised date 08/2017, showed the facility was to complete a baseline care plan within 48 hours of admission included information to provide person centered care. <RESIDENT 71> Resident 71 admitted to the facility on [DATE]. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 1.19% | 1.49× |
| 2024 | 0.85% | 1.24× |
| 2025 | 0.84% | 1.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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