Based on record review and interview, the facility failed to conduct a comprehensive assessment of a resident within 14 days after admission for 1 (#58) of 9 residents reviewed for falls. Findings:Review of Resident #58's medical record revealed a facility admission date of 08/04/2026 and diagnoses including but not limited to Alzheimer's disease, anxiety disorder, restlessness and agitation, and encounter for palliative care. Review of Resident #58's MDS assessments revealed an admission MDS assessment dated [DATE] with a status of in progress. Further review revealed all applicable sections had a status of in progress. During an interview on 08/26/2026 at 10:20 a.m., S3 MDS Nurse confirmed Resident #58's admission MDS assessment was not completed and should be.
F636 citations in Louisiana
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
Louisiana cites F636 more often than its own record predicts
2.26 times the share F636 takes of citations nationally.
Of every deficiency written in Louisiana 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 Louisiana surveyors wrote
F636 findings written in Louisiana, 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 record reviews and interview, the facility failed to complete and electronically submit resident assessments to CMS (Center for Medicare Service) in a timely manner for 8 (Resident #12, Resident #21, Resident #41, Resident #42, Resident #44, Resident #54, Resident #66, and Resident #70) of 8 (Resident #12, Resident #21, Resident #41, Resident #42, Resident #54, Resident #66, and Resident #70) residents reviewed for resident assessments. Findings: Review of the facility's IQIES (Internet Quality Improvement and Evaluation System) MDS (Minimum Data Set) 3.0 Final Validation Report dated 04/08/2024 revealed, in part, the facility completed and/or submitted the following resident assessments late: Resident #12 Resident #12's Death in Facility Assessment with an ARD (Assessment… …
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 1.01× |
| 2024 | 0.38% | 1.30× |
| 2025 | 0.57% | 2.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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