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F-tags by state · Washington
Most common nursing home citations in Washington
9,603 health citations were recorded at 194 of 192 rated nursing homes in Washington over the last three inspection cycles, about 50.0 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.
Citations9,60350.0 per rated facility
Facilities cited194of 192 rated
Actual harm (G–I)3574% of citations
Immediate jeopardy (J–L)681% of citations
Top 25 F-tags in Washington
"State share" is the percentage of rated Washington nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.
| # | Tag | Requirement | Category | Citations | State share | U.S. share |
|---|---|---|---|---|---|---|
| 1 | F880 | Provide and implement an infection prevention and control program. | Infection control | 437 | 93% | 81% |
| 2 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Quality of life & care | 378 | 81% | 69% |
| 3 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | Quality of life & care | 296 | 76% | 44% |
| 4 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Nutrition & dietary | 296 | 81% | 76% |
| 5 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Pharmacy services | 271 | 81% | 59% |
| 6 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Assessment & care planning | 261 | 79% | 58% |
| 7 | F610 | Respond appropriately to all alleged violations. | Abuse, neglect & exploitation | 255 | 69% | 28% |
| 8 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Assessment & care planning | 237 | 70% | 42% |
| 9 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Abuse, neglect & exploitation | 218 | 63% | 40% |
| 10 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | Assessment & care planning | 217 | 63% | 29% |
| 11 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | Assessment & care planning | 200 | 69% | 15% |
| 12 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | Quality of life & care | 189 | 66% | 46% |
| 13 | F641 | Ensure each resident receives an accurate assessment. | Assessment & care planning | 189 | 59% | 37% |
| 14 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Quality of life & care | 186 | 55% | 39% |
| 15 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Pharmacy services | 181 | 63% | 34% |
| 16 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Resident rights | 172 | 59% | 39% |
| 17 | F692 | Provide enough food/fluids to maintain a resident's health. | Quality of life & care | 157 | 53% | 29% |
| 18 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Resident rights | 150 | 54% | 25% |
| 19 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Resident rights | 145 | 55% | 23% |
| 20 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Quality of life & care | 145 | 55% | 22% |
| 21 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Resident rights | 142 | 54% | 43% |
| 22 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | Resident rights | 130 | 46% | 9% |
| 23 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Resident rights | 115 | 45% | 14% |
| 24 | F760 | Ensure that residents are free from significant medication errors. | Pharmacy services | 113 | 36% | 25% |
| 25 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Quality of life & care | 111 | 43% | 33% |
Citations by category
Citations by survey year
Partial years reflect the rolling three-cycle window.
Check a specific Washington nursing home
The report card lists every citation for one facility with the severity decoded, and ranks it against the other 192 rated facilities in the state.
How this works
Source and method
CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Washington. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.
Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.
Frequently asked questions
What is the most common nursing home citation in Washington?
F880 (Provide and implement an infection prevention and control program.) is the most-cited F-tag in Washington, with 437 citations at 178 facilities, or 93% of the state's rated nursing homes, compared with 81% nationally.
How many nursing home citations are there in Washington?
9,603 health citations across 194 of 192 rated nursing homes in the last three inspection cycles, about 50.0 per facility. 357 involved actual harm and 68 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.
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