Based on interview and record review, the facility failed to provide dietary services that met individualized dietary needs for 1 of 1 resident (Resident 64), reviewed for specialized diets. Resident 64 was on a physician ordered, gluten-free diet (no wheat, barley, or rye) related to a diagnosis of celiac disease (a disease that causes inflammation of the intestines if gluten is ingested). Resident 64 was served gluten in the form of a Salisbury steak on 12/24/2023. This failure caused harm to Resident 64 who experienced dizziness, nausea, and shortness of breath after consuming the gluten. …
F800 citations in Washington
Nutritious diet · Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Washington cites F800 less often than its own record predicts
0.94 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2024, this is the portion that was F800.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F800 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 food preferences related to portion sizes were honored for 8 of 18 sampled residents (Residents 85, 67, 11, 115, 84, 24, 144 and 1) reviewed for resident rights. This failure placed the residents at risk for dissatisfaction, unintended weight loss, and diminished quality of life. Findings included .During an interview on 06/29/2026 at 12:23 PM, Resident 1 stated the facility rarely accommodated their preference for small meal portion sizes. Resident 1 stated they did not eat very much and the food mostly went to waste. Observation of the lunch tray line showed the following: Observation on 07/06/2026 at 11:10 AM showed Resident 85 preferred small meal portions. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 0.88× |
| 2024 | 0.12% | 0.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction