Based on record reviews and interviews, it was determined that the facility failed to complete a Significant Change in Status Minimum Data Set (MDS) assessment within 14 days for a resident who experienced a major decline in health status that impacted more than one area of the Resident's health. This was evident for 1 (Resident #3) of 5 residents reviewed for unnecessary medications. The findings include: The Minimum Data Set (MDS) is a federally mandated assessment tool used by nursing home staff to gather information about each Resident's strengths and needs. The information collected on the MDS informs Resident care planning decisions. MDS assessments must be accurate to ensure that each Resident receives the care they need. …
F637 citations in Maryland
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
Maryland cites F637 more often than its own record predicts
1.10 times the share F637 takes of citations nationally.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F637 findings written in Maryland, 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.
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.55× |
| 2024 | 0.48% | 2.13× |
| 2025 | 0.26% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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