Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pruitthealth - Washington during CMS and state inspections, most recent first.
Unlabeled Food and Dirty Kitchen Vents Opened food items were found unlabeled and undated in dry storage, the walk-in cooler, and the freezer, including multiple mixes, gravy products, milk cartons, sausages, garlic sticks, and a bag marked as chicken. Kitchen sanitation was also deficient, with vents near the dish-drying and food prep areas, as well as above the steamtable, showing black-like buildup, rust, and dust; the Maintenance Director stated the vents had not been cleaned in over a year and there was no fixed cleaning schedule.
The facility failed to maintain the ice machine in a clean and sanitary manner, potentially affecting 43 residents. A black substance was observed on the machine, and the Dietary Manager was unsure of the cleaning schedule. The Maintenance Director confirmed the issue, admitting the need for more frequent inspections. Records showed discrepancies in cleaning dates.
The facility failed to maintain clean PTAC units in 11 resident rooms, compromising a safe and comfortable environment. Observations revealed a fuzzy, grayish-brown substance on filters and debris inside the units. The Maintenance Manager indicated that cleaning should be more frequent due to ongoing construction, but the schedule was not adjusted.
A facility failed to adhere to a care plan for a resident with COPD, resulting in improper oxygen administration and lack of documentation. The care plan required oxygen at 2 LPM and regular monitoring, but observations showed the resident receiving 5 LPM. Staff interviews confirmed the absence of necessary documentation and checks, highlighting a lapse in following prescribed care protocols.
A facility failed to provide appropriate respiratory care for a resident with COPD, as observations showed the oxygen flow rate was set higher than ordered, and there was no documentation of respiratory status or treatment response. Staff interviews confirmed the lack of monitoring and documentation, which could impact the resident's quality of life.
Unlabeled Food and Unsanitary Kitchen Conditions
Penalty
Summary
Food items in the dry storage area, walk-in refrigerator, and stand-alone freezer were found to be improperly labeled, dated, and stored in accordance with the facility’s policy titled, Labeling, Dating, and Storage. During the initial tour, multiple opened and unlabeled dry goods were observed in the dry storage area, including enriched macaroni, breadcrumbs, cake mix, brownie mix, turkey gravy mix, chicken gravy mix, brown gravy, and baking soda. The walk-in cooler contained 17 cartons of chocolate milk with an expiration date of 02/25/2026, and the stand-alone freezer contained two packs of sausages with an expiration date of 12/05/2025, along with a clear trash-like bag containing 50 garlic sticks and a one-gallon bag marked as chicken that lacked the necessary labeling or dating. The kitchen was also observed to be in an unsanitary condition. Four air vents near the drying area for clean dishes and the food preparation station had a black-like substance, rust accumulation, and dust, and black-like debris was found beneath the dishwasher. During serving, one vent and the ceiling beside the steamtable also had black-like dust. The Maintenance Director stated the kitchen had not been cleaned that month, that there was no log or fixed schedule for cleaning the vents, and that it had been over a year since they were last cleaned. The Dietary Manager confirmed the unlabeled and undated items and acknowledged the condition of the vents.
Ice Machine Sanitation Deficiency
Penalty
Summary
The facility failed to maintain the ice machine in a clean and sanitary manner, which had the potential to cause illness to 43 out of 45 residents consuming an oral diet. The facility's policy, titled Cleaning Schedule Policy, required the Dietary Manager to prepare and enforce cleaning schedules to ensure a sanitary environment. However, during an observation, a black substance was found on the interior side of the ice machine, indicating a lapse in cleanliness. The Dietary Manager was unsure of the cleaning frequency or the last cleaning date, suggesting a lack of oversight and adherence to the cleaning schedule. The Maintenance Director, responsible for cleaning the ice machine, confirmed the presence of the black film and stated that the unit was cleaned monthly and as needed. However, he admitted that he should inspect the unit more frequently to ensure it remained free of the filmy substance. The facility's records indicated that the ice machine was last cleaned on a future date, 10/4/2024, which suggests discrepancies in record-keeping and actual cleaning practices. This deficiency highlights a failure in maintaining the ice machine according to professional standards, as outlined in the facility's policy.
Failure to Maintain Clean PTAC Units in Resident Rooms
Penalty
Summary
The facility failed to maintain the Packaged Terminal Air Conditioners (PTAC) in 11 out of 31 resident rooms, compromising the residents' right to a safe, clean, and comfortable environment. Observations conducted on November 17, 2024, revealed a fuzzy, grayish-brown substance on the filter surfaces of the PTAC units in multiple rooms. Additionally, debris was noted inside the PTAC units where the filters were housed, indicating a lack of regular maintenance and cleaning. An interview with the Maintenance Manager on November 20, 2024, revealed that the facility uses the TELS Building Management System to schedule quarterly maintenance of the PTAC units. However, the Maintenance Manager expressed concerns that the cleaning should occur more frequently, especially given the ongoing construction and painting within the facility. Despite these concerns, it appears that the maintenance schedule was not adjusted accordingly, leading to the observed deficiencies.
Failure to Follow Care Plan for Oxygen Administration
Penalty
Summary
The facility failed to follow the care plan for a resident with chronic obstructive pulmonary disease (COPD), acute respiratory failure, and chronic pulmonary embolism. The care plan included specific instructions for oxygen administration and monitoring, such as administering oxygen at 2 liters per minute (LPM) via nasal cannula, monitoring respiratory status every shift, and documenting the response and duration of treatments. However, the Medication Administration Record (MAR) lacked documentation for monitoring respiratory status every shift, monitoring oxygen saturation, or documenting the response and length of time for treatments. Observations revealed that the resident was receiving oxygen at 5 LPM, contrary to the care plan's instructions. Interviews with staff, including a Registered Nurse (RN) and the Director of Health Services (DHS), confirmed that the oxygen flow rate was not being checked regularly, and vital signs were not documented as required before and after breathing treatments. The RN acknowledged the lack of documentation and the need to verify the oxygen flow rate every shift, while the DHS emphasized the importance of frequent checks due to the resident's need for oxygen.
Deficiency in Respiratory Care Documentation and Monitoring
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for a resident, identified as R42, who required oxygen administration. The facility's policy on Oxygen Administration mandates regulating the oxygen flow to the ordered rate and monitoring the resident's vital signs as per the physician's orders. However, observations revealed that R42's oxygen flow rate was set at 5 liters per minute (LPM) via nasal cannula, contrary to the ordered 2 LPM. Additionally, there was no documentation of monitoring R42's respiratory status, oxygen saturation, or the response and duration of nebulization treatments as required. Interviews with facility staff, including a Registered Nurse (RN) and the Director of Health Services (DHS), confirmed the lack of documentation and monitoring. The RN acknowledged the need to check the oxygen flow rate every shift and document vital signs before and after breathing treatments. The DHS emphasized the importance of documenting vital signs 15 minutes before and after treatments and regularly checking the oxygen flow rate. The failure to adhere to these procedures and document the necessary information had the potential to affect R42's quality of life.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 39 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Washington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nancy Hart Operation Llc | 19.9 mi | ★★★★★ | 0 | 0 |
| Greene Point Health And Rehabilitation | 20.5 mi | ★★★★★ | 5 | 0 |
| Warrenton Woods Of Journey Llc | 22.2 mi | ★★★★★ | 2 | 0 |
| Thomson Health And Rehabilitation | 22.9 mi | ★★★★★ | 8 | 0 |
| Heardmont Health And Rehabilitation | 23 mi | ★★★★★ | 10 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Pruitthealth - Washington.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.