Based on review of facility reported incident 3094393, medical record review, and interview, it was determined the facility staff failed to conduct a complete and accurate assessment by failing to assess a resident's cognition, mood, and behavior on an annual assessment. This was evident for 1 (Resident #7) of 7 residents reviewed for facility reported incidents during a complaint survey.The findings include: The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. …
F636 citations in Maryland
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
Maryland cites F636 more often than its own record predicts
1.32 times the share F636 takes of citations nationally.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F636 findings written in Maryland, 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 surveyor review of the clinical records and interview with facility staff, it was determined that the facility failed to ensure that annual MDS's (Minimum Data Set) were completed in a timely manner. This finding was evident for 3 of 32 residents selected for review during the survey. (#4, #1, #10) The findings include: The Minimum Data Set (MDS) is a mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive and accurate assessment of each resident's functional capacity and health status to assist nursing home staff in identifying health problems. MDS assessments are required for residents on admission to the nursing facility and then periodically, within specific guidelines and time frames. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 1.07× |
| 2024 | 0.21% | 0.73× |
| 2025 | 0.33% | 1.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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