Based on interview and record review, the facility failed to ensure admission Minimum Data Set (MDS - an assessment tool) was completed within 14 days of admission for 1 of 5 residents (Resident 41), reviewed for comprehensive assessments. This failure placed residents at risk for delayed and/or unmet care needs, and a diminished quality of life.Findings included.Review of the Resident Assessment Instrument (RAI) 3.0 User's Manual (a guide directing staff on how to accurately assess the status of residents), Version 1.20.1, dated October 2025, showed that the admission assessment must be completed by the end of day 14, counting the date of admission to the nursing home as day one.Review of the facility's policy titled, Minimum Data Set (MDS), dated 06/30/2026, showed, According to federal… …
F636 citations in Washington
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F636 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F636 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.
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.43% | 1.09× |
| 2024 | 0.52% | 1.77× |
| 2025 | 0.24% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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