Alderwood Post Acute & Rehabilitation
Inspection Findings
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for
a safe transfer/discharge. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure preparations were made for a safe discharge for 1 of 2 residents (Resident 1) reviewed for discharges. 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 REDACTED].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 REDACTED] 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.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
ALDERWOOD POST ACUTE & REHABILITATION in LYNNWOOD, WA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LYNNWOOD, WA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ALDERWOOD POST ACUTE & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.