Based on observation, interview, and record review, the facility failed to ensure a medication error rate of less than five percent. A total of 5 errors were made in 27 opportunities during a medication administration for 1 of 5 sampled residents (Resident 24) reviewed for medication administration. This placed the residents at risk for receiving medications that were not effective or less effective and a diminished quality of life. Findings included .Observation of medication administration on 07/15/2026 at 11:16 AM showed Staff P, Registered Nurse (RN), prepared and administered the medications vitamin D, senokot (laxative), tamsulosin (for treatment of enlarged prostate) and at 11:40 AM administered vitamin B-12 and pantoprazole (antiacid) to Resident 24. …
F759 citations in Washington
Medication error rate · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F759 less often than its own record predicts
0.45 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F759.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F759 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.
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.97% | 0.80× |
| 2024 | 0.97% | 0.91× |
| 2025 | 0.49% | 0.45× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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