Based on interview, and record review, the facility failed to schedule a dental appointment for 1 of 1 sampled resident (Resident 59), reviewed for dental services. Resident experienced on-going mouth pain when there was a delay in coordination of a dental extractions appointment. This failed practice placed residents at risk of diminished quality of life. Findings included . Review of 03/20/2024 quarterly assessment, Resident 59 was cognitively intact, able to make decisions regarding their care, and had diagnoses which included cavities. …
F791 citations in Washington
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F791 more often than its own record predicts
2.52 times the share F791 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F791 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 observation, interview, and record review, the facility failed to ensure residents with identified dental needs received dental services for 1 of 2 sampled residents (Resident 4) reviewed for dental services. This failure placed residents at risk of difficulty chewing, reduced nutritional intake, unplanned weight loss, and a diminished quality of life. Findings included.Review of the electronic health record showed Resident 4 readmitted to the facility on [DATE] with diagnoses to include fracture of the left leg, anxiety disorder, and depressive disorder. Resident 4 was able to make needs known. Observation and interview on 07/13/2026 at 9:59 AM showed Resident 4 had missing and damaged teeth. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 1.29× |
| 2024 | 1.00% | 3.59× |
| 2025 | 0.70% | 2.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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