F657 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F657 more often than its own record predicts
Versus expected share1.42×
1.42 times the share F657 takes of citations nationally.
Share of Washington citations2.66%
Of every deficiency written in Washington in 2025, this is the portion that was F657.
Washington2.66%
National1.87%
Share of all citations that were F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F657 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.
E · No harm, potential for more than minimal, patternAugust 31, 2026
Based on observation, interview and record review, the facility failed to ensure resident care plans were reviewed, revised, and accurately reflected resident care needs for 3 of 3 sampled residents (1, 4, & 5) reviewed for care plan revisions. This failure placed residents at risk for unmet care needs and a diminished quality of life.Findings included.Resident 1Resident 1 was admitted to the facility on [DATE]. The quarterly Minimum Data Set (MDS), dated [DATE], documented Resident 1 had moderate cognitive impairment and was independent with most activities of daily living (ADLs).Care plan, dated 07/27/2026, documented Resident 1 was at risk for psychosocial well-being due to suicidal ideation. …
B · No harm, potential for minimal, patternNovember 13, 2019
Based on observation, interview and record review the facility failed to update Resident #1's care plan after the hand injury that occurred on 10/31/19 to reflect her current condition. Staff C, Resident Care Manager on 11/6/19 at 1:32 PM stated the skin care plan was not updated.
WAC 388-97-0640(a)(b)(c)
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction