Based on interviews and record review, the facility failed to ensure timely laboratory services were provided for 5 of 5 residents (Residents 7, 10, 15, 34 and 95) reviewed for laboratory services. Resident 15 did not have a urinalysis sample collected for laboratory study per physician order, Resident 7 did not have a Hemoglobin A1C (lab measures blood sugars in the body over a period) test completed as ordered and Resident 95 did not have a metabolic panel and blood count completed timely. Resident 10 and 34's Depakote levels (critical lab test to determine therapeutic drug level in the body and prevent toxicity for seizure medications, reference range 50-100) were not completed timely as ordered and constituted an Immediate Jeopardy (IJ). …
F770 citations in Washington
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F770 more often than its own record predicts
2.02 times the share F770 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F770 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 obtain ordered laboratory services for 1 of 4 sampled residents (Resident 1) reviewed for laboratory services. Resident 1 experienced harm when physician ordered CBC (complete blood count, a lab used in part to determine levels of red blood cells in blood) and BMP labs (basic metabolic panel, a blood test that checks the levels of different substances in your blood including sodium) were not obtained timely for physician evaluation and the resident required transport to the hospital and admission to the intensive care unit where they were diagnosed with profound anemia (low red blood cells) and hyponatremia (low levels of sodium in the blood). …
Based on interview and record review the facility failed to maintain a current Clinical Laboratory Improvement Amendment (CLIA) certificate required to perform laboratory tests within the facility. This failure placed residents at risk for substandard care, delayed diagnosis and incorrect medical treatment. Findings included. During an observation and concurrent interview on [DATE] at 1:55 PM, Staff A, Administrator, stated they had noticed the facility's CLIA certification had expired on [DATE] (an elapsed period of 9 months and 10 days). Staff A stated that they recalled paying the renewal fee for the previous year. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.73× |
| 2024 | 0.18% | 0.86× |
| 2025 | 0.42% | 2.02× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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