Based on observation, interview and record review the facility failed to develop and implement comprehensive care plans for 4 of 19 residents (Resident 14, 75, 77 and 89) reviewed for comprehensive care planning. This failure placed residents at risk of not receiving needed care, a decline in their condition, and diminished quality of life.Findings included. Review of the facility policy titled, Comprehensive Care Plans and Revisions, reviewed 08/29/2025 documented the facility would ensure the timeliness of each resident's person-centered, comprehensive care plan, and to ensure the comprehensive care plan was reviewed and revised.comprehensive care plans must be developed within seven days after completion of the comprehensive assessment. …
F656 citations in Washington
Comprehensive care plan · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F656 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F656 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.
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 3.13% | 0.87× |
| 2024 | 2.52% | 0.74× |
| 2025 | 2.73% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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