Based on observation, interview and record review, the facility failed to provide sufficient and competent staffing for dementia care for one of one residents (1) reviewed for resident abuse. This failure denied appropriate intervention when the resident was distressed and resulted in mental and physical harm to the resident and placed all residents at risk of abuse. Findings included: Resident 1 admitted [DATE] with [MEDICAL CONDITION] and major [MEDICAL CONDITION]. Review of Staff M, agency Registered Nurse, time sheets revealed she worked at the facility on 12/20/17 from 1:30 PM to 10:00 PM with another nurse in orientation. On 12/22/17, she worked 1:57 PM to 11:09 PM independently. On 12/23/17, she worked 2:00 PM and left at 5:30 PM pending investigation. …
F741 citations in Washington
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Washington cites F741 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2024, this is the portion that was F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F741 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 interviews and record review, the facility failed to ensure 5 of 8 sampled staff received mandated training on dementia and behavioral health. This failure placed the residents at risk for having unmet care needs and a diminished quality of life. Findings included . Review of competency training records for Staff W, Nursing Assistant, Staff BB, Cook, Staff JJ, Licensed Practical Nurse, Staff KK, Registered Nurse and Staff LL, Registered Nurse revealed they had not received any training on dementia and behaviors. …
What else Washington surveyors cite →
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