Based on interview and record review, the facility failed to ensure the Registered Nurse (RN) responsible for attesting to the accuracy and completeness of resident assessments was knowledgeable of the Minimum Data Set (MDS - an assessment tool) process for 3 of 3 residents (Residents 67, 20, & 45) whose Quarterly MDS assessments were reviewed for accuracy and timeliness. The facility's failure to report accurate MDS data placed residents at risk for violations of the Social Security Act. Findings included . <Resident Assessment Instrument (RAI - instructional guidelines for MDS completion) Manual> The October 2023 RAI Manual showed signatures of persons completing the assessment would certify that the accompanying information accurately reflected resident assessment information. …
F642 citations in Washington
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Washington cites F642 more often than its own record predicts
1.68 times the share F642 takes of citations nationally.
Of every deficiency written in Washington in 2024, this is the portion that was F642.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F642 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 | 0.11% | 3.25× |
| 2024 | 0.03% | 1.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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