Based on observation, interview and record review, the facility failed to provide appropriate treatment, services and interventions to prevent an avoidable reduction of Range of Motion (ROM) for 1 of 5 sampled residents (Resident 4) reviewed for limited ROM. Resident 4 experienced harm as evidenced by after discharge from specialized rehab services the resident was able to open/close their right hand and perform Active ROM (AROM) and now Resident 4's right hand developed a contracture due not implementing therapy gloves, staff not consistently assisting resident with AROM as assessed and care planned. …
F688 citations in Washington
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F688 more often than its own record predicts
1.53 times the share F688 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F688 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 interview and record review, the facility failed to implement and follow a restorative nursing program (a structured care plan designed to help residents maintain their highest level of independence - common types of programs include bed mobility and transfers, walking, range of motion (ROM), and activities of daily living) for one of three residents (Resident 1) reviewed for restorative nursing programs. This failure place the resident at risk for declines in mobility and ROM, contractures (a permanent tightening of muscles, tendons, and nearby tissues that causes joints to shorten, stiffen and lose their full ROM), pain, and a diminished quality of life.Findings included. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 1.46% | 1.58× |
| 2024 | 1.49% | 1.68× |
| 2025 | 1.22% | 1.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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