Alderwood Post Acute & Rehabilitation
Alderwood Post Acute & Rehabilitation in LYNNWOOD, WA — inspection on November 13, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
The facility failed to provide instructions upon discharge, evaluate the need for home health support or equipment needs and ensure resident had medications upon discharge.
This failure placed residents at risk of an unsafe discharge and risk for medical complications.
Findings included.
Review of a facility policy, titled, Transfer or Discharge, preparing a Resident For, dated 10/01/2021, documented Nursing services and/or Social Services is responsible for: Obtaining orders for discharge or transfer, as well as the recommended discharge services and equipment, Preparing the medications to be discharged with the resident, Providing the resident or representative with required documents (i.e., Discharge Summary and Plan), The facility will complete a post-discharge plan of care that will assist the resident in adjusting to his or her new living environment. Resident 1 admitted to the facility on [DATE].Review of a progress note, dated 10/29/2025, documented Resident 1 packed up their belongings and discharged AMA (against medical advice).Review of Resident 1's electronic health record (EHR), showed no discharge instructions or discharge summary was completed.
During an interview and record review on 11/07/2025 at 10:45 AM, Staff B, Resident Care Manager/Licensed Practical Nurse, stated discharge summaries and discharge instructions are completed in an assessment under the assessment tab in the EHR.
Staff B reviewed Resident 1's EHR with surveyor and reported there were no discharge instructions or discharge summary in the EHR record.
During an interview on 11/07/2025 at 2:28 P, Staff A, Administrator, stated Resident 1 had left the faciity on [DATE] and no discharge instructions or home health services were set up for resident until today when surveyor had brought it to their attention.
Refer to WAC 388-97-0120 (3)(a)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.