Based on interview and record review, the facility did not complete the Minimum Data Set (MDS) assessments in the required time frames for 1 of 1 supplemental resident (R10) reviewed for MDS assessments. The facility did not complete R10's admission Comprehensive MDS assessment and Annual Comprehensive assessment in a timely manner. Findings include: The Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, Version 1.20.1, dated October 2025, indicates: Required MDS records include: Admission, Quarterly, Annual, and Discharge assessments and Entry Tracking records . For the admission assessment, the MDS Completion Date must be no later than 13 days after the Entry Date. …
F636 citations in Wisconsin
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
Wisconsin cites F636 less often than its own record predicts
0.44 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote
F636 findings written in Wisconsin, 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 Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 0.28× |
| 2024 | 0.10% | 0.36× |
| 2025 | 0.11% | 0.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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