Licensure Reference Number 175 NAC 12-006.09(C)(i) Based on record review and interview the facility failed to complete a Comprehensive Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) within the required time frames for 3 (Residents 16, 64, and 18) of 5 sampled residents. The facility census was 54. Findings are: Record review of a facility policy titled MDS 3.0 Completion and dated 09/29/2026 revealed an admission (Comprehensive) Assessment must be completed within 14 days of admission counting the day of admission as day 1. A.Record review of an admission Record dated 08/25/2026 revealed that the facility admitted Resident 16 on 06/23/2026. …
F636 citations in Nebraska
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
Nebraska cites F636 more often than its own record predicts
1.17 times the share F636 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F636 findings written in Nebraska, 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.
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 0.28% | 0.71× |
| 2024 | 0.63% | 2.16× |
| 2025 | 0.29% | 1.17× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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