F686 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F686 less often than its own record predicts
Versus expected share0.87×
0.87 times the national share — cited less often here than elsewhere.
Share of Washington citations1.71%
Of every deficiency written in Washington in 2025, this is the portion that was F686.
Washington1.71%
National1.97%
Share of all citations that were F686.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F686 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, isolatedMarch 12, 2024
Based on observation, interview and record review the facility failed to provide the vital services needed for wound healing and treatment of serious infection by consistently providing dressing changes and initiating antibiotics timely for 3 of 3 residents (Resident's 1, 2 and 8) reviewed for pressure injuries (wounds over a bone caused by pressure). Resident 1 experienced harm when the Stage 4 pressure injury (a wound with full tissue loss and exposed bone, tendon and muscle) that was acquired at the facility worsened, they experienced pain and the osteomelitis (a high risk infection in the bone that can lead to full body system wide infection) was not treated timely. …
Based on interview and record review, the facility failed to provide enter post hospital discharge wound care orders and provide consistent wound care treatments for pressure ulcers for 1 of 3 residents (Resident 1) reviewed for wounds. Resident 1 experienced harm when the sacral pressure ulcer (injury to the skin and underlying tissue over the tailbone), present on hospital discharge and readmission to the facility, worsened became infected and required surgical incision and drainage of the wound. The facility's failure placed residents at risk of worsening wounds, clinical complications and pain.Findings included.Resident 1 was readmitted to the facility on [DATE] with diagnoses of diabetes and kidney disease. …
D · No harm, potential for more than minimal, isolatedAugust 31, 2026
Based on observation, interview and record review, the facility failed to ensure identification and monitoring of pressure ulcers (PU) were in place to prevent worsening of the wound for 1 of 3 sampled residents (3) reviewed for PU. This failure placed residents at risk of developing avoidable pressure injuries and a diminished quality of lifeFindings included.Resident 2 was admitted to the facility on [DATE] with a diagnosis of chronic obstructive pulmonary disease (COPD - a chronic lung disease which makes it difficult to breathe). The admission minimum data set (MDS), dated [DATE], documented Resident 2 had no cognitive impairment and required partial to moderate assistance with activities of daily living. …
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