Based on observation, interview, and record review, the facility failed to ensure there was a comprehensive and safe system in place for residents dependent on emergency respiratory equipment in a power failure including the proper emergency equipment at the bedside, a written emergency plan for residents dependent on life sustaining equipment and staff who specialized in respiratory care equipment and were knowledgeable in respiratory care for 1 of 1 sampled resident (Resident 10) reviewed for respiratory services. This facility failure, to have a necessary respiratory care system placed residents at risk of death in an emergency situation and was determined to be a Immediate Jeopardy. …
F695 citations in Washington
Respiratory care · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F695 less often than its own record predicts
0.86 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F695 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 ensure residents were administered oxygen according to the provider orders for 1 of 3 sample residents (1) reviewed for respiratory care. This failure resulted in harm to Resident 1 when their oxygen was not maintained at the ordered rate and the resident experienced hypoxia (low oxygen blood levels) and requried hospitalization . This failure placed residents at risk for shortness of breath, unmet care needs and a decreased quality of care. …
Based on observation, interview and record review, the facility failed to ensure BiPAP (bilevel positive airway pressure - a non-invasive breathing device that delivers two distinct air pressure levels-higher when you inhale and lower when you exhale-to help people get air into and out of their lungs easily) orders were complete and in place, to include the prescribed pressure settings, checking, refilling and cleaning of the humidifier reservoir, and identifying what solution was to be used in the humidifier for 4 of 4 residents (2, 3, 4, & 9) reviewed. These failures placed residents at risk for ineffective assisted ventilation, shortness of breath, decreased oxygen saturation and other respiratory complications. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 2.37% | 1.02× |
| 2024 | 1.79% | 0.81× |
| 2025 | 1.89% | 0.86× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction