Based on interview and record review, the facility failed to implement, maintain, and enforce an effective compliance/ethics program that utilized monitoring/auditing systems designed to be effective in preventing/detecting criminal, civil, and administrative violations of the Social Security Act S 1819 (Title 42 United States Code 1395i-3, a set of laws that identifies the requirements for and assuring the quality of care in skilled nursing facilities) to promote residents quality of care for 2 of 2 staff (Staff A and Staff W) reviewed for compliance and ethics. …
F895 citations in Washington
Administration Deficiencies
Have a Compliance and Ethics Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Washington cites F895 more often than its own record predicts
4.93 times the share F895 takes of citations nationally.
Of every deficiency written in Washington in 2024, this is the portion that was F895.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F895 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.
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 3.13× |
| 2024 | 0.06% | 4.93× |
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