Based on interview and record review, it was determined that the facility failed to use assessments as part of an ongoing process through which the facility identifies each resident's preferences and goals of care, functional and health status, strengths and needs, as well as offering guidance for further assessment once problems have been identified for 1 resident in a final survey sample of 45 residents. (Resident identifier is #5.) Findings include: Interview with Resident #5 on 2/6/19 at approximately 9:30 a.m. on the SCU (specialty Care Unit-a locked unit) revealed that Resident #5 was alert and oriented and able to answer all questions asked during the interview. When questioned about choices, Resident #5 verbalized an ongoing wish to leave the facility. …
F636 citations in New Hampshire
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 — 2023
New Hampshire cites F636 more often than its own record predicts
1.04 times the share F636 takes of citations nationally.
Of every deficiency written in New Hampshire in 2023, 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 New Hampshire surveyors wrote
F636 findings written in New Hampshire, 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 review and interview, it was determined that the facility failed to accurately complete an Minimum Data Set (MDS) for 2 out of 3 residents in a final sample of 26 residents (Resident Identifiers are #56 and #215). Findings include: Resident #56 Review on 5/2/23 of Resident #56's medical record revealed a Skin and Wound Evaluation dated 4/26/23 that identified Resident #56 as having pressure injuries to their sacrum and right ankle. Review on 5/2/23 of Resident #56's MDS with an Assessment Reference Date (ARD) of 4/11/23 Section M Skin Condition revealed that M0100A, Resident has a pressure ulcer/injury, a scar over bony prominence, or a non-removable dressing/device, was not checked. …
What else New Hampshire 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