Based on interview and record review, the facility failed to develop a timely and/or comprehensive collaborative care plan involving Hospice care (end of life care and services) for 3 of 3 sampled residents (Residents 6, 21, and 41) reviewed for Hospice. This failure placed residents at potential risk for unmet needs and a diminished quality of life. Findings included .Review of the facility's policy titled, Administration Hospice, dated 07/2018, showed, The facility and the hospice will establish a coordinated plan of care which identifies the specific services/functions each provider is responsible for performing. …
F849 citations in Washington
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Washington cites F849 more often than its own record predicts
1.29 times the share F849 takes of citations nationally.
Of every deficiency written in Washington in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Washington surveyors wrote
F849 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 identify, in writing, an employee of the nursing facility to collaborate and coordinate activities between the nursing facility and the hospice, as required. This failure placed any resident receiving hospice services at risk for unmet care needs. Findings included . In a review of the care agreement, dated May 2018, between the hospice and the nursing facility, no documentation was found of a named facility staff member assigned to coordinate care with the hospice provider, as required. In an interview on 09/08/2021 at 11:07 AM, Staff Q, Registered Nurse, stated that Staff B, Director of Nursing, was the contact person, because they used to work for hospice. …
The short window
Recent years
| Year | Share of Washington citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 0.68× |
| 2024 | 0.33% | 1.09× |
| 2025 | 0.35% | 1.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Washington surveyors cite →
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