Based on observation, interview and record review, the facility failed to ensure medical records were complete and accurate for 2 of 7 residents (1 & 2) reviewed for suicidal ideation, elopement and respiratory care. This failure placed residents at risk for incomplete and inaccurate medical records and unmet care needs.Findings included.Resident 1Resident 1 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus and a fracture to the lumbar vertebra. The quarterly Minimum Data Set (MDS), dated [DATE], documented Resident 1 had moderate cognitive impairment and was independent with most activities of daily living (ADLs).Review of a care plan, dated 07/27/2026, documented Resident 1 was at risk for psychosocial well-being due to suicidal ideation. …
F842 citations in Washington
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F842 less often than its own record predicts
0.70 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F842 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 that facility failed to capture leaves of absence from the facility for two of three residents (Residents 3 and 4) reviewed for admission, transfer and discharge. This failure placed residents at risk for potential billing errors and an incorrect medical record.Findings included. Resident 3Review of electronic health record (EHR) on 08/26/2026 showed that Resident 3 was admitted to the facility on [DATE]. The EHR showed that Resident 3 was alert and oriented, with no documented cognitive impairment, and was their own responsible party. Review of progress notes, dated 07/25/2026 through 07/28/2026, showed that Resident 3 had left the faciity on [DATE], and notified the facility on 07/28/2026 that they would not be returning. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.76% | 0.47× |
| 2024 | 1.06% | 0.57× |
| 2025 | 1.57% | 0.70× |
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