F921 in Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F921 more often than its own record predicts
Versus expected share1.07×
1.07 times the share F921 takes of citations nationally.
Share of Washington citations0.91%
Of every deficiency written in Washington in 2025, this is the portion that was F921.
Washington0.91%
National0.85%
Share of all citations that were F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F921 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, isolatedJanuary 21, 2020
Based on observation, interview and record review, the facility failed to provide a safe, sanitary and well maintained environment for residents, staff and visitors when they failed to act on reports of a black substance on the wallpaper and dry wall in the main dining area. This failure placed residents, staff and visitors at risk of exposure to an unknown black substance that could result in respiratory problems. This failure had the potential for serious harm to residents, staff and visitors when the facility did not determine if the black substance was a serious problem when it was first observed.
On 01/09/20 at 4:15 PM, an Immediate Jeopardy (IJ) was called for F921 environment. …
D · No harm, potential for more than minimal, isolatedAugust 6, 2026
Based on observation and interview, the facility failed to ensure a safe, sanitary, and comfortable environment was maintained for 1 of 2 sampled shower rooms (Horseshoe shower room) when a sharps container (a puncture-resistant, leak-proof container intended to safely collect and dispose of used medical instruments that can puncture or cut skin, like needles, syringes, and other sharp tools) was observed above the full line. This failure placed residents and staff at risk for injury, potential exposure to diseases, and a diminished quality of life.Findings Included . In an observation on 08/06/2026 at 10:42 AM, the Horseshoe shower room door was open in the Horseshoe hallway. …
B · No harm, potential for minimal, patternJanuary 17, 2018
Based on observation, interview and record review, the facility failed to provide a safe and functional environment for residents, staff, and visitors in the Transitional Care Unit, related to the facility roof. This failure placed residents, staff, and visitors at risk for a disrupted environment, from frequent water leaks. Findings included:
During an environmental tour on 01/09/18 at 10:00 a.m. with Staff V, Maintenance Director, the ceiling in the Transitional Care Unit (TCU) dining room was leaking onto the floor. Staff stated the water leak was related to the construction of the roof, with water leaking under the moisture barrier, and through the ceiling. …
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