F677 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F677 more often than its own record predicts
Versus expected share1.23×
1.23 times the share F677 takes of citations nationally.
Share of Washington citations2.80%
Of every deficiency written in Washington in 2025, this is the portion that was F677.
Washington2.80%
National2.27%
Share of all citations that were F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F677 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, isolatedMay 17, 2021
Based on observation, interview and record review, the facility failed to provide assistance with activities of daily living (ADL's) related to nail care for one of six residents (#1) reviewed for ADL care. Failure to provide the resident who was dependent on staff for toenail and fingernail care caused harm by allowing the nails to grow so long they dug into the resident's skin causing skin breakdown and pain. Findings included .
Resident #1. Per review of the medical record, the resident was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
E · No harm, potential for more than minimal, patternAugust 27, 2026
Based on observation, interview and record review, the facility failed to provide assistance with meals and mobility for 2 of 3 residents (Resident 1 and 2) reviewed for activities of daily living (ADL). This failure placed residents at risk of hunger, frustration, decreased mobility and clinical complications.Findings included.On 08/17/2026 at 10:26 AM, Collateral Contact 1 (CC1), said when they visited their family member at the facility they found them with dirty clothes, food on their clothes and left in bed to fend for themselves.RESIDENT 1Resident 1 was admitted on [DATE] with diagnoses including multiple sclerosis (a progressive neurologic disease causing fatigue and muscle weakness) and dementia. …
C · No harm, potential for minimal, widespreadNovember 13, 2019
Based on interview and record review, the facility failed to provide necessary care and services to ensure that residents received showers as scheduled for three of three residents (Resident #1,2 &3) reviewed for activities of daily living (ADLs). This failure placed residents at risk for diminished quality of life.
Findings included:
Review of facility shower/bathing records on 11/05/19 for evidence that services were provided to Resident #1,2 &3 in the last thirty days. According to interviews and/or records the residents did not receive scheduled bathing/showers twice a week.
RESIDENT #1
Review of a Minimum Data Set (MDS, a required assessment tool) dated 08/26/19, showed that Resident #1 needed one person assistance with hygiene. …
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