Based on interview and record review, the facility failed to ensure the facility assessment (document describing resident population and needs to determine staff and other resources necessary to competently care for residents) was updated to accurately determine and identify the resources needed to care for residents with amyotrophic lateral sclerosis (ALS - a neurological disease which kills the cells of the brain and spinal cord that control voluntary muscle movement). This failure placed the residents at risk for unmet care needs and a diminished quality of life.Findings included.Resident 4 was admitted to the facility on [DATE] with diagnoses of amyotrophic lateral sclerosis (ALS - a neurological disease which kills the cells of the brain and spinal cord that control voluntary muscle… …
F838 citations in Washington
Facility assessment · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F838 more often than its own record predicts
1.24 times the share F838 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F838 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 ensure the facility assessment (document describing resident population and needs to determine staff and other resources necessary to competently care for residents) was updated to accurately determine and identify the resources needed for the facility's resident care needs. This failure placed the residents at risk for unmet care needs.Findings included .Review of the facility's policy titled, Facility Assessment, dated 04/30/2026, showed, This facility conducts and documents a facility-wide assessment to determine what resources are necessary to care for our residents competently during both day-to-day operations (including nights and weekends) and emergencies. b. The facility's resources, including but not limited to. v. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 2.24× |
| 2024 | 0.12% | 0.63× |
| 2025 | 0.31% | 1.24× |
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