Based on observation, interview, and record review, the facility failed to ensure residents were assessed for hearing needs, obtained needed hearing devices, and hearing devices used were included in plans of care for 1 of 2 sampled residents (Resident 35) reviewed for communication/sensory. This failure placed the residents at risk of inability to hear, reduced ability to participate in activities, and a diminished quality of life. Findings included.Review of the electronic health record (EHR) showed Resident 35 admitted to the facility on [DATE] with diagnoses to include spondylosis with myelopathy (compression of the bones in the spine), metabolic encephalopathy (brain dysfunction causing confusion and memory loss), and repeated falls. Resident 35 was able to make needs known. …
F676 citations in Washington
Activities of daily living · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F676 more often than its own record predicts
2.23 times the share F676 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F676.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F676 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 | 0.54% | 1.53× |
| 2024 | 0.40% | 1.09× |
| 2025 | 0.66% | 2.23× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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