Based on interview and record review, the facility failed to provide notice of the option to hold a specific bed, when going on a therapeutic leave of absence, for three of three residents (Residents 2, 3 and 4) reviewed for admission, transfer and discharge. In addition, the facility failed to create a clear policy and procedure, for residents who wished to take a therapeutic leave of absence, to promote clear communication among the interdisciplinary team and safety and supervision during leave of absence.Findings included. …
F628 citations in Washington
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F628 more often than its own record predicts
1.69 times the share F628 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F628 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 record review and interview, the facility failed to provide a written bed hold notice at the time of transfer to the hospital for 2 of 3 sampled residents (Residents 109 and 56) reviewed for hospitalization. This failure placed the residents at risk for lacking knowledge regarding their right to hold their bed while in the hospital and diminished quality of life.Findings included . Resident 109Review of the electronic health record (EHR) showed Resident 109's current admission to the facility was on 10/03/2024 with diagnoses that included kidney failure, diabetes (too much sugar in the blood) and chronic pain. Resident 109 was hospitalized on [DATE] with readmission to the facility on [DATE]. Resident 109 was hospitalized on [DATE] with readmission to the facility on [DATE]. …
What else Washington surveyors cite →
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