Based on interview and record review, the facility failed to ensure resident MDS (Minimum Data Set, a required assessment tool) assessments were transmitted as required and within the required timeframes for 3 of 5 residents (Residents 4, 14 and 50) reviewed. This failure had the potential to affect facility CMI (Case Mix Index) and facility payments. Findings included . According to the Resident Assessment Instrument (RAI) Manual, Chapter 2, MDS Discharge Assessments must be electronically transmitted within 14 days of the event that triggered the form. Quarterly MDS Assessments must be electronically transmitted within 14 calendar days of the completion date. …
F640 citations in Washington
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F640 less often than its own record predicts
0.60 times the national share — cited less often here than elsewhere.
Of every deficiency written in Washington in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F640 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 routinely encode and transmit resident assessment data to the Centers for Medicare & Medicaid Services (CMS) within the required timeframe for 2 of 25 sampled residents (Residents 132 and 41), reviewed for timeliness in encoding and transmission of Minimum Data Set (MDS, a required assessment tool). This failure affected federal health information data gathering and placed residents at risk for inaccurate monitoring of the residents' progress over time, untimely comprehensive review of residents' health data/information, and a diminished quality of life.Findings included .Review of the Centers for Medicare and Medicaid Services Long Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.20.1 revised… …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 0.83× |
| 2024 | 0.30% | 0.93× |
| 2025 | 0.17% | 0.60× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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