Yakima Valley School
Inspection Findings
F-Tag F0644
F 0644 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure Pre-admission Screening and Resident Review (PASRR, a screening required to be completed prior to admission to a nursing home that looked for indicators that one may have a mental disorder or intellectual disability) were completed for 1 of 3 sampled residents (Resident 4), reviewed for PASRR's. This failure placed residents at risk for receiving inadequate mental health interventions, an increase in avoidable behaviors, and a diminished quality of life. Findings included .Record review of facility's policy titled, Admissions 1.08, dated 08/2025, showed that a PASRR Level 1 form would be completed prior to a resident's admission to the facility. Record review of facility's policy titled, Residential Habilitation Center Admissions, 17.01.02, dated 08/2024, showed that before a resident's admission for nursing facility services, the facility must ensure the Level 1 PASRR was complete and accurate. Resident 4 Record review of Resident 4's medical record showed they were admitted to the facility on [DATE REDACTED]. Review of Resident 4's 09/19/2025 comprehensive assessment showed the resident had diagnoses to include moderate intellectual disability (a condition that involves limitations on intelligence, learning and everyday abilities necessary to live independently), autistic disorder (a condition related to brain development that impacts how a person perceives and socializes with others) and epilepsy (a brain condition that causes repeated episodes of sudden, brief changes in the brain's electrical activity). The assessment showed that Resident 4 had moderate cognitive impairment and would reject care from staff.
Review of Resident 4's medical record showed no PASARR documents were received by the facility prior to Resident 4's 09/19/2025 admission. During an interview on 10/31/2025 at 10:40 AM, Staff C, Admissions Coordinator, stated they had a process to ensure each resident's documents included PASRR prior to admission; however, they could not find any PASRR documents for Resident 4's 09/19/2025 admission and I thought we had one, but did not and I missed it. On 10/31/2025 at 2:45 PM, Staff A, Administrator, was informed and acknowledged their failure to ensure the PASRR process for Resident 4. Reference: WAC 388-97-1915 (1) (4)
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:
50A261
YAKIMA VALLEY SCHOOL in SELAH, 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 SELAH, 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 YAKIMA VALLEY SCHOOL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.