Everett Center
Inspection Findings
F-Tag F0558
Federal health inspectors cited EVERETT CENTER in EVERETT, WA for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-08-29.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of EVERETT CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-08.
F-Tag F0628
F 0628 Level of Harm - Minimal harm or potential for actual harm
In an interview on 08/27/2025 at 2:00 PM, Resident 45 denied being offered a bed hold when they were being transferred to the hospital on [DATE REDACTED].
In an interview on 08/28/2025 at 9:19 AM, Staff G, Registered Nurse, stated that they did not know what a bed hold was, and they had not offered that to residents when they transferred them to the hospital.
Residents Affected - Some
In an interview on 08/28/2025 at 9:25 AM, Staff D, Director of Social Services, stated that they did not do bed holds and the business office staff were responsible.
In an interview on 08/28/2025 at 9:30 AM, Staff E, Business Office Manager, stated that they offered the bed hold notice to the resident if they were being transferred to the hospital. Staff E stated the majority of their residents were not alert and oriented. Staff E stated when they called resident representatives, they frequently were unable to be reached so they would just write “refused” on the notice. Staff E stated that they did not document the time and date or the person they tried to reach on the notice or in the clinical record.
In an email interview on 08/29/2025, Collateral Contact 1, Resident 45's family member, documented they had not received a call about a bed hold when the resident was sent to the hospital on [DATE REDACTED]. <RESIDENT 11> Resident 11 readmitted to the facility on [DATE REDACTED]. According to the quarterly MDS, dated [DATE REDACTED], Resident 11 was cognitively impaired.
Review of Resident 11’s progress notes from 05/01/2025 to 08/28/2025, documented Resident 11 was transferred to the hospital on [DATE REDACTED], 06/01/2025, 06/06/2025, 06/08/2025 and 06/17/2025. There was no documentation whether Resident 11’s representative was provided with written information about
a bed hold policy or what their decisions were.
Review of Resident 11’s bed hold notices, dated 05/05/2025, 06/01/2025, 06/06/2025, 06/08/2025 and 06/17/2025, showed a bed hold was offered and the notice was signed by a staff member. On the portion where the resident or the representative should sign, was documented “Refused”.
There was no documentation as to who had Refused or the date and time the contact was made.
In an interview on 08/29/2025 at 9:45 AM, Staff E, stated they called and offered the bed hold notices to residents or representatives after residents were transferred to the hospital. Staff E stated they documented “Refused” because they could not reach Resident 11’s representative. Staff E stated
they did not document when and who they attempted to contact. Staff E stated they should have documented they could not contact the representative instead of documenting “Refused”.
Refer to WAC 388-97-0120 (4)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
F-Tag F0689
Federal health inspectors cited EVERETT CENTER in EVERETT, WA for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-29.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of EVERETT CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-08.
F-Tag F0761
Federal health inspectors cited EVERETT CENTER in EVERETT, WA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-29.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of EVERETT CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-08.
F-Tag F0842
Federal health inspectors cited EVERETT CENTER in EVERETT, WA for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-08-29.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of EVERETT CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-08.
EVERETT CENTER in EVERETT, WA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EVERETT, WA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EVERETT CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.