Based on interview and document review, the facility failed to ensure that a significant change in status Minimum Data Set (MDS) was completed after a change of hospice providers for 1 of 1 resident (R4) reviewed for hospice care. Findings include: The Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, dated 10/2025, included a section labeled Significant Change in Status Assessment (SCSA). The section outlined that a SCSA was required to be performed when a resident changed hospice providers and remained a resident at the nursing home. The manual indicated that the assessment reference date (ARD) must be within 14 days from the effective date of the hospice election. …
F637 citations in Minnesota
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
Minnesota cites F637 less often than its own record predicts
0.65 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota 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 Minnesota surveyors wrote
F637 findings written in Minnesota, 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 Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 1.05× |
| 2024 | 0.12% | 0.53× |
| 2025 | 0.16% | 0.65× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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