Based on observation, interview, and record review the facility failed to timely obtain and implement a physician order for X-ray services for 1 of 3 sampled residents (Resident 3), reviewed for diagnostic testing. This failure resulted in actual harm for Resident 3, who sustained a blood clot secondary to a fracture, which required medical intervention. Findings included . Review of the facility's Mandated Reporting Log from 10/19/2023 to 12/19/2023 showed Resident 3 experienced five falls during the month of November. Review of the November 2023 progress notes showed the following: - On 11/24/2023 Resident 3 had an unwitnessed fall in their room. The resident complained of pain to their right hip following the fall but had no other signs of injury. …
F776 citations in Washington
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Washington cites F776 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2024, this is the portion that was F776.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F776 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 a physician ordered x-ray, in a timely manner, for 1 of 3 residents (Resident 1) reviewed for radiology and other diagnostic services. This failure placed residents at risk for a delay in assessment and treatment of declining respiratory status. Findings included . Resident 1 was admitted to the facility on [DATE] with diagnosis including emphysema (a lung disease that causes breathlessness), chronic obstructive pulmonary disease (COPD) (a chronic inflammatory lung disease that causes obstructed airflow from the lungs) and chronic respiratory failure (a long-term condition in which the respiratory system is unable to adequately exchange oxygen and carbon dioxide in the body). …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 1.12× |
| 2024 | 0.03% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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