Based on interview and record review the facility failed to ensure direct care staff received training on effective communication, as required. This failure placed residents at risk of unmet care needs and diminished quality of life. Findings included.Review of the staff list provided to the survey team on 09/03/2025 showed the facility employed 89 direct care staff. Effective communication training for all direct care staff was requested from Staff A, Administrator, on 09/15/2025 at 9:08 AM. Review of documentation provided showed only eight out of 89 direct care staff completed training on effective communication. …
F941 citations in Washington
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F941 more often than its own record predicts
1.08 times the share F941 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F941.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F941 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 |
|---|---|---|
| 2024 | 0.03% | 0.49× |
| 2025 | 0.07% | 1.08× |
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