F658 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F658 more often than its own record predicts
Versus expected share1.53×
1.53 times the share F658 takes of citations nationally.
Share of Washington citations2.73%
Of every deficiency written in Washington in 2025, this is the portion that was F658.
Washington2.73%
National1.78%
Share of all citations that were F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F658 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.
G · Actual harm, isolatedJuly 22, 2021
Based on observation, interview and record review, the facility failed to ensure professional standards were met for 9 of 22 (Residents 34, 16, 63, 43, 64, 45, 74, 31, & 137) sampled residents. Facility failure to timely and accurately assess an acute condition (Resident 43); follow and /or clarify physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER]
Failure to timely and adequately assess Resident 43's urinary status caused a delay in treatment and required transfer to emergency room for treatment, which constituted harm.
Findings included .
FAILURE TO ASSESS
Resident 43
Resident 43 admitted to the facility on [DATE]. …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 of 4 residents (Resident 1) reviewed for continuity of care (the process by which a patient and their healthcare team work together to provide smooth, ongoing, and connected medical care over time). This failure placed the residents at risk for delays in care and treatment. Findings included. Review of a policy titled, Administration Resident Records - Identifiable Information, dated 07/2018, showed the facility would maintain a complete, accurate, readily accessible and systematically organized medical record in accordance with accepted professional standards and practices for each resident. …
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