Based on interview, and record review, the facility Administration failed to ensure the facility's finances were maintained effectively for continuity of resident care and services. The Administration was aware the facility was behind on vendor payments and receiving notices for discontinuation of services. The Administration's failure to ensure the facility met their financial obligations to vendors resulted in the facility laboratory services provider discontinuing services to the facility resulted in four residents (Residents 10, 34, 95, and 7) not receiving timely laboratory services, and placed all 41 residents at risk of not receiving necessary care and services and constituted an Immediate Jeopardy (IJ). On 04/25/2025 at 5:19 PM, the facility was notified of an IJ in F835. …
F835 citations in Washington
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F835 less often than its own record predicts
0.59 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F835 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's Administration failed to effectively utilize its multidisciplinary resources to maintain the facility's compliance with federal regulatory requirements related to not implementing key interventions to safeguard, protect and prevent one of three residents (1), reviewed for accidents/hazards who was cognitively impaired and lacked safety awareness. The facility's Administration failed to ensure a functioning wanderguard (WG, a system that safeguards high risk residents by alarming staff of possible resident elopement) system or other effective preventative interventions were in place to prevent residents at risk for elopement (an instance where a resident leaves the facility without authorization and/or any necessary… …
Based on interview and record review, the facility administration failed to efficiently and effectively ensure compliance with state and federal regulatory requirements to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. The failure to ensure oversight had the potential to cause physical, mental and psychological harm, serious injuries, unmet needs, and dissatisfaction with their quality of life.Findings included.A review of citations from 08/31/2025 to 08/31/2026 showed a pattern of repeat citations as follows:F578 cited 05/31/2026 and 08/31/2026F585 cited 05/31/2026 and 08/31/2026F610 cited 09/02/2025, 05/31/2026 (cited at an immediate jeopardy) and 08/31/2026F641 cited 05/29/2026 and 08/31/2026F645 cited 05/29/2026 and… …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 1.12× |
| 2024 | 0.21% | 0.65× |
| 2025 | 0.17% | 0.59× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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