Based on observations, interview and record review, the facility failed to provide sufficient qualified staff to provide care and services for 46 of 46 residents (Residents 2, 4, 5, 7, 10, 12, 13, 14, 15, 16, 20, 21, 23, 24, 27, 28, 30, 31, 33, 35, 36, 39, 40,43, 45, 47, 51, 52, 54, 55,56, 57, 58, 64,65, 66, 68, 124, 275, 276, 278, 374, 375, 376 , and 1 anonymous resident and 6 of 6 family members (for Resident 10, 53, 55, 73, and 276, and 1 anonymous) that had concerns related to staffing on 2 of 2 units (Unit 1 and 2) reviewed for sufficient staffing. …
F725 citations in Washington
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F725 more often than its own record predicts
1.26 times the share F725 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F725 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 consistently ensure the facility had enough staff to provide adequate supervision and safe care according to the facility acuity (the level of severity of residents' illnesses, physical, mental, and cognitive limitations, and conditions) and/or care plans for 3 of 7 sampled residents (Resident 19, 50, and 60), reviewed for falls. Resident 19 experienced harm from repeated falls as evidenced by a dislocated hip on 09/12/2024, a right femur (leg bone) fracture on 01/14/2025, and a back fracture on 03/03/2025. Resident 60 experienced harm when they fell three times and sustained a fracture to their eye socket and left lower leg. …
Based on observation, interview and record review, the facility failed to ensure sufficient staffing levels were met to provide care planned care and services for residents. This failure placed residents at risk for unmet physical, mental and psychosocial needs, a decline in health status and a diminished quality of life.Findings included.Resident 1Resident 1 was admitted to the facility on [DATE]. The quarterly Minimum Data Set (MDS), dated [DATE], documented Resident 1 had moderate cognitive impairment and was independent with most activities of daily living (ADLs).On 08/25/2026 at 4:39 pm, Resident 1 said the staff did not do anything for them. Resident 1 said that they make their own bed and lay the linens to be picked up on the floor, and the linens sit there all day. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 1.08% | 1.34× |
| 2024 | 0.70% | 0.87× |
| 2025 | 0.98% | 1.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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