Based on record review and interview, the facility failed to ensure a significant change Minimum Data Set (MDS) was completed within 14 days from the effective date of hospice service election for one (Resident #84) of four residents reviewed.The findings include:Review of the Centers for Medicare and Medicaid Services' (CMS's) Resident Assessment Instrument (RAI) Version 3.0 Manual version 1.20.1 dated October 2025, revealed a Significant Change in Status Assessment (SCSA) is required when a terminally ill resident enrolls in a hospice program, or changes hospice providers and remains a resident at the nursing home. …
F637 citations in Arkansas
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
Arkansas cites F637 less often than its own record predicts
0.76 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas 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 Arkansas surveyors wrote
F637 findings written in Arkansas, 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 interview and record review, the facility failed to ensure a resident's Significant Change Minimum Data Set (MDS) Assessment was completed in a timely manner after a resident was admitted to Hospice Services for 1 (Resident #44) of 4 (Residents #8, #40, #44 and #261) sampled residents who received Hospice Services. The findings are: Resident #44 had a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The Significant Change MDS Assessment for the admission to Hospice Services had an Assessment Reference Date of 6/11/21 with a status of In Progress as of 10:00 AM on 7/01/21. a. The Care Plan documented, .Resident is receiving hospice care related to terminal diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . b. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 0.69% | 2.26× |
| 2024 | 0.24% | 1.05× |
| 2025 | 0.18% | 0.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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