Deficiency Index

F637 citations in California

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.

F637 in California. Pick another state for the same tag.

Against expectation — 2025

California cites F637 less often than its own record predicts

Versus expected share0.90×

0.90 times the national share — cited less often here than elsewhere.

Share of California citations0.22%

Of every deficiency written in California 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 California surveyors wrote

F637 findings written in California, 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.

J · Immediate jeopardy, isolatedAugust 21, 2019

Based on interview, and record review the facility failed to provide significant change in assessments for 1 of 13 sampled residents (Resident 1) with [MEDICAL CONDITION] disorder (episodes of uncontrolled electrical activity in the brain can cause changes in your behavior, movements or feelings, or level of consciousness) by failing to provide an accurate assessment and documentation after Resident 7 reported having a [MEDICAL CONDITION] on 7/2/19, 7/8/19, 7/10/19, 7/12/19 and 7/13/19. This failure resulted in Resident 7 complaining he had several (5) [MEDICAL CONDITION]. …

Mesa Glen Care Center

D · No harm, potential for more than minimal, isolatedJuly 24, 2026

Based on observation, interview, and record review the facility failed to complete a Minimum Data Set (MDS - a resident assessment tool) for Significant Change in Status Assessment (SCSA) to reflect one of five residents (Resident 11) current condition who experienced a significant change of having a cerebral infarction (happens when a blood clot blocks a vessel in the brain) in accordance with the facility's policy and procedure titled Change in Condition Using Triaged Trace. This failure had the potential to negatively affect the delivery of care and services by delaying the comprehensive reassessment of Resident 11's current condition and the development of appropriate interventions. …

Montrose Springs Skilled Nursing & Wellness Center

B · No harm, potential for minimal, patternSeptember 15, 2025

Based on interview and medical record review, the facility failed to ensure the MDS assessment for significant change was completed timely for one of three residents (Resident 4) reviewed for closed records. * The facility failed to ensure the MDS assessment was completed in a timely manner when Resident 4 was admitted to the hospice services. This failure had the potential for the resident to not receive the necessary care and services based on the resident's assessment and needs.Findings: Review of CMS's Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.19, showed a Significant Change in Status MDS is required to be performed when a resident enrolls in a hospice program. …

La Palma Nursing Center

The short window

Recent years

YearShare of California citationsvs expected
20230.31%1.01×
20240.19%0.84×
20250.22%0.90×

Shares of citations, not counts: earlier years hold fewer inspections.

What else California surveyors cite →

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