Based on record review, staff interview, and facility policy review, the facility failed to complete a Significant Change in Status Minimum Data Set (MDS) assessment for one (1) of seven (7) residents reviewed for hospice services. Resident #36Findings include: Review of the facility policy titled MDS Assessment, with a revision date of 5/2006, revealed Policy It is the policy of this facility to follow the RAI (Resident Assessment Instrument) process as set forth by CMS (Centers for Medicare and Medicaid) protocol. Record review revealed Resident #36 was admitted to hospice services on 3/11/25. Review of the resident's MDS assessment record revealed no Significant Change in Status Assessment was completed following hospice admission. …
F637 citations in Mississippi
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
Mississippi cites F637 more often than its own record predicts
1.60 times the share F637 takes of citations nationally.
Of every deficiency written in Mississippi 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 Mississippi surveyors wrote
F637 findings written in Mississippi, 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 Mississippi citations | vs expected |
|---|---|---|
| 2023 | 0.27% | 0.88× |
| 2025 | 0.38% | 1.60× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction