Based on interview and record review, the facility failed to ensure resident quarterly, admission, and discharge Minimum Data Sets assessments (MDS) were completed within 14 days of the assessment reference date (ARD) as required for 11 of 11sampled Residents (Residents 46, 55, 70, 73, 99, 5, 118, 121, 128, 142 and 153) reviewed for resident assessments. Failure to timely complete MDS assessments placed residents at risk for a delay in identification of care needs and diminished quality of life. Findings included .Review of the Resident Assessment Instrument (RAI, a manual that directs staff on requirements for completion of MDS) showed quarterly assessments and discharge assessments must be completed no later than the ARD plus 14 calendar days. …
F638 citations in Washington
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Washington cites F638 less often than its own record predicts
0.88 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2024, this is the portion that was F638.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F638 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 | 0.22% | 0.96× |
| 2024 | 0.15% | 0.88× |
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