Based on observation, interview and record review, the facility failed to coordinate with the State designated authority to ensure a resident with a developmental disability received integrated care based on their needs for 1 of 3 residents (Resident 1) reviewed for Pre-admission Screening and Resident Review (PASARR, a two part screening; Level I determined presence of a Developmental Disability and if present required a Level II evaluation by a specialized evaluator to determine if nursing home placement was the appropriate level of care, and what behavioral health or other community services were recommended. …
F644 citations in Washington
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F644 more often than its own record predicts
1.43 times the share F644 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F644 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 | 0.54% | 0.76× |
| 2024 | 0.91% | 1.43× |
| 2025 | 0.91% | 1.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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