Based on clinical record review, interviews, and review of the facility's policy and procedures, the facility failed to ensure a significant change in condition assessment was completed for Resident #120. The universe was 19. The deficient practice could result in residents not receiving the necessary care and services to maintain the highest and practicable wellbeing.Findings include:Resident #120 was admitted to the facility on [DATE] with diagnoses that included major depressive disorder, dementia, and adjustment disorder.An admission Minimum Data Set (MDS), dated [DATE] revealed Resident #120 had a Brief Interview for Mental Status (BIMS) score of 10 which indicated she had moderate cognitive impairment. …
F637 citations in Arizona
Assessment after a significant change · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F637 less often than its own record predicts
0.53 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2025, this is the portion that was F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F637 findings written in Arizona, 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 Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 1.13× |
| 2025 | 0.13% | 0.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona 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