Based on interview, and record review, the facility failed to ensure written notification of facility-initiated transfer and/or discharge was completed for 3 of 4 residents (Residents 31, 37, and 144) reviewed for hospitalizations. The facility failed to ensure the transfer/discharge notice with all the required information was provided in a timely, practical manner upon an emergency transfer to the hospital. This failure placed residents and their representatives at risk of not receiving accurate information related to resident's discharge. Findings included . …
F623 citations in Washington
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F623 more often than its own record predicts
1.89 times the share F623 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F623 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.
Based on interview and record review, the facility failed to provide written notification of the reason for transfer to the hospital to the resident and/or resident representative for 3 of 4 sampled residents (Residents 21, 54, and 72) reviewed for hospitalization . This failure placed the residents at risk for not knowing rights regarding transfer and discharge from the facility and diminished protection from being inappropriately discharged . Findings included . Resident 21 Review of the electronic health record (EHR) showed Resident 21 initially admitted to the facility on [DATE] with diagnoses that included heart failure, kidney failure, and diabetes (high blood sugar levels). Resident 21 was able to make needs known. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 1.83% | 2.02× |
| 2024 | 2.13% | 2.08× |
| 2025 | 0.77% | 1.89× |
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