Based on interview and record review the facility failed to follow transfer and discharge requirements for 2 of 2 residents (Residents 4 & 3) reviewed for transfer and discharge requirements. The failure to identify a resident's inability to make complex decisions, coordinate care with the Resident Representative (RR), the physician, and the receiving hospital and provide adequate documents for a safe care transition, placed cognitively impaired residents at risk for harm, unmet care needs, delay in care, lack of advocacy from their RR, and diminished quality of life. …
F622 citations in Washington
Transfer and discharge · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F622 more often than its own record predicts
1.50 times the share F622 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F622 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.
<Resident 90> According to the 01/05/2025 admission assessment, Resident 90 had diagnoses which included septicemia (a serious infection caused when bacteria entered the bloodstream and spread throughout the body) and respiratory failure (a condition where the lungs cannot exchange oxygen and carbon dioxide correctly.) The resident had severe cognitive impairment. A 03/09/2025 progress note at 12:21 PM documented the resident developed difficulty breathing and a fever. The resident's family member requested they be sent to the emergency room for evaluation and treatment. A progress note on 03/09/2025 at 12:37 PM documented that the resident was transported by ambulance and admitted to the hospital. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.16% | 0.64× |
| 2024 | 0.27% | 0.85× |
| 2025 | 0.17% | 1.50× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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