Deficiency Index

F881 citations in Washington

Antibiotic stewardship · Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F881 in Washington. Pick another state for the same tag.

Against expectation — 2025

Washington cites F881 more often than its own record predicts

Versus expected share1.45×

1.45 times the share F881 takes of citations nationally.

Share of Washington citations0.70%

Of every deficiency written in Washington in 2025, this is the portion that was F881.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Washington surveyors wrote

F881 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.

J · Immediate jeopardy, isolatedAugust 9, 2019

Based on observation, interview, and record review, the facility failed to develop and implement an antibiotic use protocol, which included reporting results of laboratory data to the ordering practitioner for one of three sample residents (#1), reviewed for antibiotic use. The prescribing practitioner ordered an antibiotic for treatment of [REDACTED]. After receiving laboratory test results, which indicated the bacteria was resistant to a specific antibiotic, the facility failed to provide the information to the practitioner, and the resident received the full course of an ineffective antibiotic. …

Lakeland Village Nursing Facility

D · No harm, potential for more than minimal, isolatedJune 3, 2026

Based on interview and record review the facility failed to implement an Antibiotic Stewardship Program to promote appropriate use of antibiotics and reduce the risk of unnecessary antibiotic use for 1 of 5 residents (Resident 91) reviewed for unnecessary medications and 1 of 1 supplemental residents (Resident 53). This failure placed residents at risk for potential adverse outcomes associated with the inappropriate and/or unnecessary use of antibiotics.Findings included. <Policy>According to the facility's 06/02/2025 Infection Prevention and Control Program (IPCP) and Plan policy, the facility would conduct antibiotic surveillance to review the appropriateness of antibiotics in the facility to prevent unnecessary antibiotic use.<Resident 91>Review of Resident 91's health records showed… …

Life Care Center Of Federal Way

B · No harm, potential for minimal, patternJanuary 17, 2018

Based on interview and record review, the facility failed to implement their protocol, to monitor the rate of newly started antibiotics monthly, as required. This failure placed residents at risk to develop antibiotic resistance. Findings included: Review of the facility's monthly surveillance activities for October -December 2017 with Staff B, Director of Nursing, on 01/12/18 at 11:30 a.m., showed Staff B was monitoring the rate of infections, but was not monitoring antibiotic use. There had been no increase in infections resistant to antibiotics during that time. During interview on 1/12/18 at 11:30 a.m., Staff B stated he was currently the lead staff for antibiotic stewardship activities, and planned to hire and train a permanent lead staff. …

Aurora Valley Care

The short window

Recent years

YearShare of Washington citationsvs expected
20230.65%1.40×
20240.58%1.29×
20250.70%1.45×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Washington surveyors cite →

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