Deficiency Index

F637 citations in Michigan

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 Michigan. Pick another state for the same tag.

Against expectation — 2025

Michigan cites F637 less often than its own record predicts

Versus expected share0.66×

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

Share of Michigan citations0.16%

Of every deficiency written in Michigan 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 Michigan surveyors wrote

F637 findings written in Michigan, 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.

G · Actual harm, isolatedSeptember 1, 2023

This citation pertains to intake #MI00138565. Based on interview and record review, the facility failed to, 1) ensure a complete and accurate nursing assessment was done after a significant change involving 1 resident (Resident #701), and 2) ensure the facility had a policy to follow for assessment regarding signs/symptoms of infection (not feeling well, increased temp, tiredness, nausea), resulting in hospitalization with a diagnosis of urinary tract infection (UTI) and sepsis (extensive infection), antibiotic given, and the likelihood for serious injury. …

Chesaning Nursing and Rehabilitation Center

D · No harm, potential for more than minimal, isolatedMarch 27, 2026

Based on observation, interview, and record review the facility failed to ensure that a significant change Minimum Data Set was completed timely in one (Resident 3) out of 19 reviewed for Significant Change Minimum Date Sets. Findings include. Review of the medical record reflected R3 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses that included unsteadiness on feet, lack of coordination, vascular dementia, and displaced subtrochanteric fracture of right femur. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 2/23/26, reflected R3 scored 3 out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). On 3/26/25 at 9:12 AM, R3 was observed in a common area seated in a wheelchair. …

Springcreek Rehabilitation and Nursing Center

B · No harm, potential for minimal, patternJune 6, 2018

Based on interview and record review, the facility failed to complete a significant change Minimum Data Set (MDS) assessment in a timely manner for 2 (Resident #10, 42) of 6 Residents reviewed for MDS assessments, resulting in the potential for inaccurate care plans and unmet care needs. Findings include: According to the Centers for Medicare and Medicaid Service's Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, published in (MONTH) (YEAR), a significant change comprehensive assessment must be completed within 14 days when a terminally ill resident enrolls in hospice services. CMS stated that the assessment assists staff to gather definitive information about a resident's strengths and needs that are then used to develop care plans. …

Adira Nursing and Rehabilitation

The short window

Recent years

YearShare of Michigan citationsvs expected
20230.15%0.49×
20240.09%0.38×
20250.16%0.66×

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

What else Michigan surveyors cite →

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