Based on interview and record review, the facility failed to ensure timely submission and accuracy of the resident's Minimum Data Set (MDS- a federally mandated assessment tool required to be completed by facility staff for care planning) assessments which were transmitted from September 21, 2016 through November 2, 2017. The facility's overall transmittal error rate was 9.4%. The facility census was 34 residents. Record review of the Long-Term Care Facility Resident Assessment Instrument (RAI- helps the facility staff to gather definitive information on a resident's strengths and needs, which must be addressed in an individualized care plan) User's Manual dated October 2016, showed that nursing homes are required to submit Omnibus Budget Reconciliation Act of 1987 (OBRA 1987) required MDS… …
F287
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F287 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D— | E2100.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F287 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review and interview, the facility failed to submit a corrected Resident Initial Identification number on 12/15/2016 and therefore had resident information mismatch for Resident #84 for 1 of 1 resident reviewed with missing OBRA Assessments. The findings included: Review on 11/14/2017 at approximately 11:20 AM of a CMS (Centers for Medicare and Medicaid) Submission Report dated 12/15/2016 revealed an assessment for Resident #84 with a Resident Information Mismatch due to the Resident Initial Identification number did not match the values in the QIES ASAP database. The new information was not corrected by the facility. During an interview on 11/14/2017 at approximately 11:25 AM with the MDS (Minimum Data Set) assessment Coordinator, he/she confirmed the findings. …
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