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F0641
D

Failure to Complete and Transmit Discharge MDS Assessment

Sedro Woolley, Washington Survey Completed on 06-18-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure the timely completion and transmission of the required Minimum Data Set (MDS) discharge assessment for one resident. According to the report, a resident was admitted and later discharged, but review of the clinical record revealed that no discharge MDS assessment was completed or transmitted to CMS within the required 14-day period following discharge. The CMS system flagged the resident's file as lacking any type of assessment for over 120 days. During an interview, the MDS Coordinator stated that although daily audit reports and discussions occur during stand up meetings, this particular assessment was missed.

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