Based on record review and interview the facility failed to complete a significant change MDS (Minimum Data Set) assessment no later than 14 days after determining there was a significant change in 1 (#107) resident's status out of 36 sampled residents reviewed.Findings:Review of Resident #107's EMR (Electronic Medical Record) revealed an admission date 01/05/2026 and was admitted with diagnoses that included dementia, anxiety, diabetes mellitus II and peripheral vascular disease.Further review of Resident #107's EMR revealed a physician's order dated 05/22/2026 that read admit to hospice, call hospice for any med changes, before transfer to another facility at time of death.A review of Resident #107's Significant Change MDS Assessment with an ARD (Assessment Reference Date) of 06/04/2026… …
F637 citations in Louisiana
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
Louisiana cites F637 more often than its own record predicts
1.38 times the share F637 takes of citations nationally.
Of every deficiency written in Louisiana 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 Louisiana surveyors wrote
F637 findings written in Louisiana, 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 interviews, the facility failed to ensure a Change in Status Minimum Data Set (MDS) Assessment was completed within 14 days of a resident admitted to hospice for 1 (#56) of 3 (#52, #56, and #72) sampled residents who received hospice services. Findings: Review of Resident #56's Clinical Record revealed he was admitted to the facility on [DATE]. Review of Resident #56's Hospice Face Sheet revealed Resident #56 was admitted to hospice on 07/17/2023. Review of Resident #56's MDS revealed a Significant Change MDS was submitted on 08/22/2023. On 12/12/2023 at 10:00 a.m., an interview was conducted with Resident #56's hospice nurse. She said Resident #56 was admitted to hospice on 07/17/2023. On 12/12/2023 at 9:20 a.m., an interview was conducted with S2DON. …
The short window
Recent years
| Year | Share of Louisiana citations | vs expected |
|---|---|---|
| 2023 | 0.47% | 1.52× |
| 2024 | 0.04% | 0.19× |
| 2025 | 0.33% | 1.38× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Louisiana surveyors cite →
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