Based on observation, interview, and record review, the facility failed to evaluate resident equipment for safety hazards and risks, failed to implement written policies and procedures for bed safety and use of side rails, and failed to comprehensively assess the risk for entrapment prior to the use of side rails for 5 of 6 residents (Residents 1, 2, 3, 4 and 5) reviewed for side rails. The facility's failure to assess the residents' risk of bed and side rails entrapment, lack of an effective system to monitor and evaluate the safety risk of side rails prior to use and the facility's failure to recognize the risk of entrapment, injury or death related to an incompatible side rails and wrong size bed/mattress constituted an Immediate Jeopardy (IJ) situation on 04/06/2022. …
F700 citations in Washington
Bed rails · Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F700 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F700.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F700 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 comprehensively assess and evaluate the need for bed rails for 3 of 6 residents (Residents 9, 74 & 103), reviewed for bed rail use. This failure placed the residents at risk for entrapment, injury, and a diminished quality of life.Findings included .Review of the facility's policy titled, Bed Rails, dated 02/21/2025, showed, It is the policy of this facility to utilize a person-centered approach when determining the use of bed rails. Appropriate alternative approaches are attempted prior to installing or using bed rails. If bed rails are used, the facility ensures correct installation, use, and maintenance of the rails. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.27% | 0.72× |
| 2024 | 0.30% | 0.71× |
| 2025 | 0.35% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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