Life Care Center Of Mount Vernon
Inspection Findings
F-Tag F0725
F 0725 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Nurse (LN) were observed in the hallway entering other residents' rooms who did not have their call light on.- At 3:22 PM, Staff E, Licensed Practical Nurse (LPN), an unidentified LN were standing at the 200-hall medication cart. Resident 13 was observed sitting in their w/c and calling out (Resident 13 had difficult expressing themselves verbally) and their call light was on. An unidentified NAC joined the LNs at the medication cart. The unidentified LN and NAC then entered Resident 13's room at 3:23 PM, 26 minutes later.- At 3:24 PM, Resident 4 was observed in their room sitting in a w/c. When asked how the resident was doing today, Resident 4 stated they wanted to lie down and take a nap. The resident stated the staff had started to make their bed around lunch time and was waiting for the staff to return to finish making the bed and help them lie down for a nap. At 3:26 PM, Staff E entered the room to administer the resident's medications. As this surveyor left the room, it was conveyed to Staff E that Resident 4 wished to have their bed made and to take a nap. At 3:28 PM, Staff E came out of the room and stated this surveyor could continue talking to Resident 4. The resident's call light remained on. At 3:34 PM, Staff E was observed at
the medication cart in the hallway. Staff E was informed the resident wished to have his bed made and to take a nap. Staff E stated they would take care of it. Resident 4's call light had been on for over 30 minutes.In an interview, date and time withheld to maintain staff member's anonymity, Anonymous Staff 1 (AS-1) was asked if there was enough staff here to meet the needs of the residents. AS-1 stated on some halls there were not enough staff to meet the residents' acuity needs. AS-1 identified quite a few of the residents residing on the 400 and part of the 300 halls require two people to assist with their needs. AS-1 stated, It is very hard to do a good job when you are caring for residents who require so much care and there are not enough people.In an interview on 09/11/2025 at 8:41 AM, Staff P, Staffing Coordinator, was asked about staffing. Staff P stated staffing was based on the facility census and using the Per Patient Day (PPD - in May 2024 Centers for Medicare and Medicaid Services established a new federal rule setting the minimum nursing home staffing standards that will be implemented of the next three to five years) staffing formula. Staff P stated with the current census (upon entrance on 09/08/2025 the census was 62) they were staffing six NAC's on the AM shift, five on the PM shift, and three on the NOC shift. When the census increased to 65, they would add one NAC on each shift. In a joint interview on 09/11/2025 at 9:53 AM, with Staff A, Administrator, and Staff B, Director of Nursing Services, Staff A stated the facility used the PPD staffing formula and the resident census to determine daily staffing needs. This is a repeat citation from survey dated 04/09/2025.Reference WAC 388-97-1080(1)
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Life Care Center of Mount Vernon
2120 East Division Street Mount Vernon, WA 98273
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
Federal health inspectors cited LIFE CARE CENTER OF MOUNT VERNON in MOUNT VERNON, WA for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-09-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of LIFE CARE CENTER OF MOUNT VERNON.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-22.
LIFE CARE CENTER OF MOUNT VERNON in MOUNT VERNON, 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 MOUNT VERNON, 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 LIFE CARE CENTER OF MOUNT VERNON or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.