Based on interview, observation and record review, the facility failed to ensure residents had safe functioning equipment for 1 of 3 sampled residents (#52) reviewed for safe patient care equipment. This failure placed residents at risk for injury and a diminished quality of life. This caused harm to Resident #52. Findings include . Resident #52 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The resident's Minimum Data Set (MDS), dated [DATE], showed the resident required extensive 2-person physical assistance with bed mobility, transfers, dressing, toileting, personal hygiene and bathing. …
F908 citations in Washington
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F908 more often than its own record predicts
1.00 times the share F908 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F908 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 observation, interview and record review, the facility failed to obtain approval from the Department of Health Construction Review Services program, prior to removing carpets and installing laminate flooring in the facility. The failure to obtain the required approval prior to starting remodeling project, put residents at risk for illness, injury, and unsafe living conditions. Findings included . <Facility Policy>According to the facility's revised 01/2026 Safe and Homelike Environment policy, the facility would provide a safe, clean and comfortable and homelike environment. The facility would ensure residents would receive care and services safely and the physical layout of the facility would maximize resident's independence and would not pose as a safety risk. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 0.81× |
| 2024 | 0.33% | 0.76× |
| 2025 | 0.45% | 1.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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