Based on observation, interview, and record review, the facility failed to implement preventive measures to protect residents' feet from injury, monitor the feet of high-risk residents, identify changes in skin integrity, report changes in wounds, seek treatment from the physician, ensure foot care treatments were completed consistently and according to physician orders, and arrange timely appointments with a podiatrist or wound care specialist for 2 of 3 Residents (Resident 1 and 2) reviewed for foot care. …
F687 citations in Washington
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F687 more often than its own record predicts
1.21 times the share F687 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F687.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F687 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 observation, interview, and record review the facility failed to provide toenail care services for 1 of 4 residents (Resident 1) reviewed for foot care. This failure placed residents at risk for pain, decreased mobility, and a diminished quality of life.Findings included.Resident 1 was admitted to the facility on [DATE] with diagnoses of Diabetes and Dementia. The quarterly Minimum Data Set, an assessment tool, dated 07/23/2026, showed Resident 1 was severely cognitively impaired and needed moderate assistance for transfers and ambulating.Review of Resident 1's orders, dated 07/30/2024, showed diabetic foot checks were to be completed every week on Fridays, and that if there was an issue, the provider was to be notified. …
Based on observation, interview, and record review the facility failed to provide toenail care for one of three Residents (#1). Failure to provide toenail care placed the residents at potential risk for complications. Findings include: RESIDENT #1 Resident #1 admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Observations on 11/04/19 at 7:53 PM revealed resident with thick, discolored toenails. A family member present at the time of the observation reported the resident has not seen a podiatrist in a while. Review of Resident #1's record found the last podiatry service was provided in (MONTH) 2019. On 11/05/19 at 2:43 PM Staff C, RCM was asked about podiatry services for Resident #1. Staff C, RCM verified with social services about podiatry appointments. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.32× |
| 2024 | 0.12% | 0.64× |
| 2025 | 0.21% | 1.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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