Based on interview and record review, the Governing Body failed to ensure financial systems were in place to pay facility vendors who supplied essential care, services and/or necessary supplies for the residents. The facility staff had to resort to utilizing their own funds for the vendor payments which placed the residents at risk of not having necessary supplies,care and services, and potential psychological harm and distress due to the fear of becoming displaced in the event the facility was unable to meet their basic and immediate care needs.The lack of a reliable financial system was determined to be an immediate jeopardy. …
F837 citations in Washington
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F837 more often than its own record predicts
3.21 times the share F837 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F837 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 governing body failed to provide adequate oversight and monitoring of the facility's administration and operation. The governing body failed to ensure the facility implemented abuse and neglect policies and procedures related to resident protection, reporting and investigation of allegations of abuse, neglect, and accidents/incidents for 16 of 16 residents (Resident 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 and 16) reviewed for abuse and neglect. Additionally, the facility failed to effectively implement corrective actions for the deficiencies cited on previous abbreviated surveys' Statement of Deficiencies, dated 07/12/2021, 08/17/2021, and 09/15/2021. …
Based on observations, interviews and record reviews, the governing body failed to ensure the facility had resources to supply residents with an adequate supply of clean linens. Additionally, the governing body failed to respond to repeated staff concerns about insufficient quantity of linens, poor quality of current laundry service, requests for resources and/or a change in laundry vendors in a timely manner. This failure impacted all residents and placed them at risk for diminished quality of life. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.73× |
| 2024 | 0.06% | 0.67× |
| 2025 | 0.17% | 3.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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