Based on observation, interview and record review, the facility failed to implement an effective pain management regime for three of five sampled residents (45, 36, and 156) reviewed for pain. This failure resulted in ongoing, unrelieved pain, causing distress, physical and psychosocial harm. The failure of the facility's lack of understanding of effective pain management, resulted in an Immediate Jeopardy (IJ) on [DATE] for residents 45, and 36. On [DATE] at 5:30 PM, the facility was notified of an IJ at CFR 483.25 (k) F697 related to the facility's failure to identify ongoing, untreated pain. …
F697 citations in Washington
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F697 more often than its own record predicts
1.08 times the share F697 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F697 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 necessary pain management for 2 of 3 sampled residents (Resident 1 and 3), reviewed for pain. Resident 1 and 3 each experienced harm when the facility did not treat their pain timely, after the residents rated their pain as a 10 (0 is no pain and 10 is the most intense pain) on admission to the facility. This failure placed residents at risk of uncontrolled pain and diminished quality of life. Findings included . <Resident 1> Review of a facility assessment, dated 04/16/2025, showed Resident 1 was admitted on [DATE] and had diagnoses which included a below the knee amputation (BKA). The resident was able to make their needs known. …
Based on interview and record review, the facility failed to initiate non-pharmacological interventions for pain management prior to administering as needed (PRN) pain medication for 3 of 6 residents (Residents 3, 14 & 39), reviewed for pain management. This failure placed the residents at risk for unnecessary medications and incomplete pain control. Findings included. Review of the facility's undated policy titled, Pain Management, showed that the facility would ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 0.81× |
| 2024 | 0.70% | 0.95× |
| 2025 | 0.84% | 1.08× |
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