Based on interview and record review, the facility failed to timely complete a Significant Change of Status Minimum Data Set (MDS) assessment for a resident who discontinued dialysis services for 1 of 2 residents reviewed for dialysis (Resident 2). Findings include: The clinical record for Resident 2 was reviewed on 9/18/25 at 10:15 a.m. The resident's diagnosis included, but were not limited to, diabetes, anxiety disorder, chronic kidney disease, and acute and chronic respiratory failure. A Quarterly MDS assessment, completed 7/26/25, indicated Resident C was cognitively intact and had received dialysis. A physician's order, dated 7/28/25, indicated she was to receive hemodialysis on Monday, Wednesday, and Friday weekly. …
F637 citations in Indiana
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
Indiana cites F637 less often than its own record predicts
0.12 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F637 findings written in Indiana, 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 record review and interview, the facility failed to complete a significant change MDS (Minimum Data Set) assessment within 14 days of hospice admission for 1 of 18 residents reviewed for MDS assessments (Resident 70). Finding Includes: A clinical record review was conducted on 12/15/17, at 11:30 AM, for Resident 70 and indicated an admission date of [DATE]. His [DIAGNOSES REDACTED]. The most recent quarterly MDS assessment, dated 11/28/17, indicated a BIMS (Bried Interview for Mental Status) score that was not assessed. A significant change MDS was not indicated. Care plans indicated a current hospice care plan in place for Resident 70. Hospice care was not indicated on the facility matrix. A physician order, dated 11/29/17, indicated Resident 70 may admit to hospice services. …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.15% | 0.49× |
| 2024 | 0.10% | 0.46× |
| 2025 | 0.03% | 0.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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