Based on clinical record review, facility documentation, and interviews for 1 of 3 residents (Resident #109) reviewed for change in condition, the facility failed to complete a Significant Change Status Assessment (SCSA) MDS assessment when the resident was admitted to hospice. The findings include: Resident #109 's diagnoses included adult hypertrophic pyloric stenosis, atrial fibrillation, type 2 diabetes mellitus, and hypertension. Review of Consent and Election of Medicare Hospice Benefit dated 6/1/24 identified Resident #109 elected for Medicare Hospice benefit. The nurse's notes dated 6/2/24 at 2:46 PM identified the hospice nurse assessed Resident #109 for hospice care and s/he was admitted to hospice care. …
F637 citations in Connecticut
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
Connecticut cites F637 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut 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 Connecticut surveyors wrote
F637 findings written in Connecticut, 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 clinical record reviews, review of policy and staff interviews for 2 residents ( Residents #8 and #17) reviewed for Hospice, and 1 resident ( Resident # 113 ) reviewed for accidents, the facility failed to document the date of determination for each Significant Change in Status Assessment (SCSA) in the clinical record, thereby ensuring the Significant Change Minimum Data Set (MDS) assessments were completed within fourteen (14 ) day required time frame. The findings included: 2.A clinical record review identified Resident #17 elected the Medicare hospice benefit on 4/21/26. A social worker progress note dated 4/21/26 at 2:38 PM documented that a referral was made to the facility hospice vendor and the resident was enrolled in routine hospice level of care on 4/21/26. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.55× |
| 2024 | 0.33% | 1.47× |
| 2025 | 0.19% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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