Based on interview and record review, the facility failed to ensure comprehensive Minimum Data Set (MDS) Assessments were completed timely for 1 of 3 closed records reviewed and 1 of 3 residents reviewed for wounds. (Resident C and Resident 49) Findings include:1. On 4/14/26 at 1:20 P.M., Resident C's clinical record was reviewed. Diagnoses included, but were not limited to, cerebrovascular disease. Resident C was discharged from the facility to the hospital on 3/27/26 and did not return to the facility. The most current Quarterly Minimum Data Set (MDS) Assessment, dated 3/4/26, indicated Resident C was not assessed for cognitive impairment and required substantial to maximal assistance (staff does more than half the work) for toileting. A Discharge MDS Assessment was not completed. …
F636 citations in Indiana
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Indiana cites F636 less often than its own record predicts
0.34 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F636 findings written in Indiana, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to complete an admission MDS (Minimum Data Set) assessment within 14 calendar days after admission for 4 of 23 residents reviewed (Resident C, Resident D, Resident 78, and Resident 59). Findings include: 1. Resident C's record was reviewed on 1/22/20 at 2:10 p.m. The record indicated the resident was admitted to the facility on [DATE]. The admission MDS assessment was not completed at this time. During an interview, on [DATE] at 10:38 a.m., the MDS Coordinator indicated the admission MDS assessment had not been completed in a timely manner and should have been completed within 14 calendar days of the resident's admission to the facility. 2. Resident D's record was reviewed, on [DATE] at 2:30 p.m. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 0.57× |
| 2024 | 0.23% | 0.80× |
| 2025 | 0.08% | 0.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction