Based on observation, interview, and record review the facility failed to ensure residents received care and services to maintain acceptable parameters of nutritional status and there was a safe and accurate system to prevent complications from enteral (feedings administered through a tube) feedings for 12 of 12 residents (Residents 8, 19, 20, 22, 33, 21, 18, 26, 24, 14, 31 & 40) reviewed for nutrition and hydration. The failure to: accurately assess (and re-assess as needed) residents nutritional status and develop/revise/implement person-centered care plans (CP) for residents at risk; reconcile, accurately transcribe, and implement nutrition related physician orders and/or Registered Dietician (RD) recommendations; ensure timely RD evaluations; ensure residents were weighed according to… …
F692 citations in Washington
Nutrition and hydration · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F692 more often than its own record predicts
1.41 times the share F692 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F692.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F692 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 timely assess, investigate and implement interventions for significant weight loss for 1 of 3 sampled residents (Resident 112) reviewed for nutrition services. Resident 112, a resident identified as at risk for weight loss, experienced harm when they had a significant weight loss of 20 percent total body weight in a month, mild-moderate wasting as observed in temples and orbitals and appeared thin. This failure placed them at risk for functional decline, impaired wound healing, and a diminished quality of life. …
Based on observation, interview and record review, the facility failed to identify, assess and intervene for a significant weight gain for 1 of 2 sampled residents (Resident 11) reviewed for nutrition. This failure placed residents at risk for discomfort, health complications and a diminished quality of life.Findings Included . Record review of the facility policy titled, Weight Assessment and Intervention, dated 10/01/2021, documented: 4. Any weight change of 5% [percent] or more (unless otherwise specified in the resident's care plan or physician's order) since the last weight will be retaken for confirmation. If the weight is verified, nursing will immediately notify the physician/practitioner and dietary team. 5. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 1.51% | 1.20× |
| 2024 | 1.34% | 1.13× |
| 2025 | 1.61% | 1.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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