Based on interview and record review the facility did not complete a comprehensive assessment every 12 months. Specifically, 1 of 37 sample residents, an annual Minimum Data Set (MDS) was completed over 13 months after the previous annual assessment. Resident identifier: 18. Findings include: Resident 18 was admitted to the facility on [DATE] with diagnoses which included biomechanical lesions of thoracic, heart failure, and chronic kidney disease. Resident 18's annual MDS was reviewed. The MDS had an assessment reference date (ARD) on 2/2/25. The assessment was completed on 3/18/25. On 3/24/25 at 11:02 AM, an interview was conducted with the MDS coordinator. The MDS coordinator stated the MDS's needed to be completed and submitted 14 days after the ARD date. …
F636 citations in Utah
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
Utah cites F636 less often than its own record predicts
0.89 times the national share — cited less often here than elsewhere.
Of every deficiency written in Utah 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 Utah surveyors wrote
F636 findings written in Utah, 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 Utah citations | vs expected |
|---|---|---|
| 2023 | 0.23% | 0.59× |
| 2025 | 0.22% | 0.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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