Based on observation, interview, and record review, the facility failed to verify and ensure Licensed Nurses (LNs) had the appropriate competencies, skill sets and proficiencies to provide nursing and related services for each resident in the areas of identification and response to significant change in condition, assessment with appropriate interventions, lab review and reporting, reporting of change of condition to responsible parties and the physician and to assure resident safety. The lack of ongoing clinical assessments and timely identification of changes in condition to meet the resident's needs, resulted in a delay in timely intervention, medical care, and hospitalization s. …
F726 citations in Washington
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F726 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F726 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 provide competent nursing staff with skill sets to provide safe medication administration for one of one resident (1) reviewed for significant medication errors. Failure to recognize the severity of complications that could arise by crushing a medication and attempting to push it through an intravenous (IV) line resulted in harm to the resident and may have contributed to the resident's death. Findings included . Nursing Rights of Medication Administration, by [NAME] A [NAME] LM, updated 09/12/2021, showed it was standard during nursing education to receive instruction on a guide to clinical medication administration and upholding patient safety known as the five rights of medication administration. …
Based on interview and record review the facility failed to ensure staff were evaluated by the facility for competency with skills and techniques prior to working with residents with 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) for 5 of 5 Licensed Nurses (K, L, M, E, C, & G) reviewed for competency with BiPAP use. The facility failed to ensure staff were competent with skills and techniques prior to working with residents and completed yearly for 4 of 5 staff (Y, R, S & Z) staff reviewed for competencies with activities of daily living (ADLs). …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.49% | 0.79× |
| 2024 | 0.58% | 0.88× |
| 2025 | 0.38% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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