Based on interview and record review the facility failed to have a written transfer agreement with one or more local hospitals as required. This failure placed all residents at risk of delay in emergency medical treatment, medical complications, and diminished quality of life. Findings included.Hospital transfer agreements were requested from Staff A, Administrator, on 09/15/2025 at 8:53 AM and 12:11 PM. No documentation was provided. In an interview on 09/15/2025 at 1:51 PM, Staff A, stated they expected the facility to have a transfer agreement with the local hospitals as required. Reference WAC 388-97-1620 (6)(a)
F843 citations in Washington
Administration Deficiencies
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F843 more often than its own record predicts
4.46 times the share F843 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F843.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F843 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 have a written transfer agreement with at least one area hospital approved for participation in Medicare/Medicaid programs. This failure placed residents at risk for delayed transfer and timely admission to the hospital when medically appropriate. Findings included Review of facility documentation on 03/08/2023 failed to produce a transfer agreement with a local hospital. On 03/08/2023 at 14:30 PM, Staff A, Administrator, said currently she does not have evidence of a hospital transfer agreement with local hospitals. Reference WAC 388-97-1620 (6) (a)
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 7.30× |
| 2024 | 0.03% | 1.76× |
| 2025 | 0.07% | 4.46× |
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