F684 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F684 more often than its own record predicts
Versus expected share1.14×
1.14 times the share F684 takes of citations nationally.
Share of Washington citations4.89%
Of every deficiency written in Washington in 2025, this is the portion that was F684.
Washington4.89%
National4.29%
Share of all citations that were F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F684 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.
J · Immediate jeopardy, isolatedMay 20, 2025
Based on interview and record review, the facility failed to provide a thorough assessment to timely recognize a significant change in condition, take action to notify the medical provider as ordered, and to ensure required staff were certified in Cardiopulmonary Resuscitation (CPR) for 1 of 1 resident (Resident 1) reviewed for an unexpected death in the facility. Resident 1 experienced harm when they had a significant weight gain over a 24-hour period, swelling in their left arm, slurring of their speech, difficulty breathing and change in their mentation throughout the day of [DATE], until they were found unresponsive without a pulse when assessment and treatment were delayed for several hours that constituted an immediate jeopardy. …
Based on observation, interview, and record review, the facility failed to ensure 2 of 3 residents (Residents 1 & 4) reviewed, received the necessary care and services in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. The facility failed to ensure Resident 1, and Resident 4 had wheelchairs which fit properly and were in good repair. These failures placed Resident 1 and Resident 4 at risk skin breakdown, accidents/hazards, uncomfortable positioning, and diminished quality of life. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on observation, interview, and record review, the facility failed to ensure care, services and documentation that addressed skin integrity issues were provided in accordance with professional standards of practice for 3 of 4 residents (Residents 1, 2, and 6), reviewed for quality of care. The failure to consistently conduct skin evaluations to include assessing monitoring and necessary treatment This failure placed the residents at risk for unmet care needs and a diminished quality of life. Findings included . Review of the facility's policy titled, Non-Pressure Wound Treatment, reviewed on 10/08/2024. The policy documented that a wound assessment is completed at least weekly and as clinically indicated, based on wound status and resident condition. …
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