The Electronic Plan of Correction (ePOC) was implemented by Residential Care Services (RCS) on April 1, 2017, which did not include the DSHS 10-207 form, “Nursing Home State Survey Report.” The form identified state rules (Washington Administrative Code) that correspond to the federal regulations (F-tags) that were cited. The DSHS 10-207 form was reinstated to fulfill state requirements so that facilities were given fair notice and due process for rules that were cited with the associated F-tags. RCS staff will attach the completed form in ePOC with the completed CMS 2567 Statement of Deficiencies (SOD) after each survey.

Providers will need to:

• Retrieve the attached document in ePOC;
• Complete column 11 by entering the “X5” dates (alleged correction dates) for each F-tag and rule cited;
• Attach the completed document; and
• Submit the form via ePOC with your plan of correction.

Please refer to the Provider ePOC guide for instruction on how to include attachments in the ePOC system.

Read full letter here.

Questions?

Contact:

Laura Hofmann, MSN, RN – Director of Clinical and Nursing Facility Regulatory Services
c: 425-231-4804