Based on interview and record review the facility failed implement a safe discharge plan that included ensuring home health was set up for wound care treatments one of one residents (1) reviewed for discharge planning. In addition, failed to ensure clear concise instructions for care and follow up were given to the resident and their representative. This failure caused harm to Resident #1 when their pressure ulcer worsened due to lack of treatment required for pressure ulcers. Findings included . Resident 1 admitted to the facility on [DATE] with diagnoses including caude equina syndrome (dysfunction of lower spinal nerves), and conus medullaris syndrome (spinal injury that cause numbness). …
F660 citations in Washington
Discharge planning · Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F660 more often than its own record predicts
3.56 times the share F660 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F660.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F660 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 ensure a safe discharge including documenting the reason for leaving or explaining the risks of discharging for 1 of 1 (Resident 67) resident who chose to leave the facility Against Medical Advice (AMA). This failure placed the resident at increased risk of hospital readmission and diminished quality of life. Findings included . <Facility Policy> According to a facility policy titled, Against Medical Advice Discharge, revised 05/2023, the facility would complete an AMA form, read the information with the resident, and carefully explain the information before witnessing the resident sign the form before the resident left the facility AMA. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 2.54× |
| 2024 | 0.49% | 2.32× |
| 2025 | 0.28% | 3.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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