Based on observation, interview and record review, the facility failed to ensure that resident's who were trauma survivors received culturally competent, trauma-informed care in accordance with professional standards of practice by not identifying, monitoring, or treating past experiences of Post-Traumatic Stress Disorder (PTSD - a disorder that develop when a person had experienced or witnessed a scary, shocking, terrifying, or dangerous event) for 3 of 3 residents (Residents 13, 12, & 14) reviewed for mood and behavior. …
F699 citations in Washington
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F699 more often than its own record predicts
1.38 times the share F699 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F699.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F699 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 develop a trauma trigger (a psychological stimulus that prompts recall of a previous traumatic event) assessment for 1 of 2 sampled residents (Resident 2) reviewed for trauma informed care. This failure placed residents at risk for unidentified trauma triggers, behaviors, re-traumatization and a diminished quality of life. Findings included . Review of the facility policy titled, Trauma-Informed Care, revised 01/06/2026 documented on the comprehensive assessment for residents, the facility ensured residents who are diagnosed with mental disorder and psychosocial adjustment difficulty, or who have a history of trauma and/or post-traumatic stress disorder (PTSD), receive treatment and services in accordance with professional… …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 1.43× |
| 2024 | 0.64% | 1.99× |
| 2025 | 0.45% | 1.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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