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F0628
D

Failure to Provide Written Transfer/Discharge Notice

Lynnwood, Washington Survey Completed on 07-08-2025

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 provide a written notice of transfer or discharge to a resident and their representative prior to the resident's transfer to the hospital. Review of the clinical record showed that the Nursing Home Transfer or Discharge Notice was dated and indicated the reason for transfer was that the resident's needs could not be met at the facility. However, the notice was only provided verbally to the resident's representative, who was out of town at the time, and there was no documentation that a written notice was given to either the resident or their representative. Interviews with facility staff confirmed that their process was to fill out the notice and send it with the resident, but in this case, there was no evidence that the written notice was provided or documented. The staff acknowledged that the notice was included in the discharge packet sent to the hospital, but could not provide documentation that the resident or their representative received the written notice as required.

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