Based on interviews and record review, the facility failed to ensure 1 of 7 sampled staff (Staff EE) had an active professional Nursing Assistant Certification (NAC). Findings included . Review of Staff EE's employment record showed they were hired on [DATE] as an NAC. Review of the NAC certification in Staff EE's employee record dated [DATE] showed it had expired on [DATE]. Review of the staff roster provided on [DATE] showed Staff EE was an NAC. Review of the website Washington State Provider Credential Search on [DATE] showed Staff EE's, NAC certification expired as of [DATE]. Review of Staff EE's timecard showed they had worked at the facility on the following dates, without a certification: [DATE], [DATE], [DATE], [DATE], [DATE] and [DATE], [DATE], and [DATE]. …
F659 citations in Washington
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F659 more often than its own record predicts
1.80 times the share F659 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F659 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 | 0.05% | 1.41× |
| 2025 | 0.07% | 1.80× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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