Licensure Reference Number 175 NAC 12-006.09(C)(ii) Based on record review and interview the facility failed to complete a Significant Change in Status Assessment (SCSA) Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) within 14 days of the change in status identification for 1 (Resident 64) of 5 sampled residents. The facility census was 54. Findings are:Record review of a facility policy titled MDS 3.0 Completion and dated 09/29/2025 revealed a Significant Change in Status Assessment (SCSA) is required when a resident enrolls in a hospice program or changes hospice provider and remains in the facility. …
F637 citations in Nebraska
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
Nebraska cites F637 more often than its own record predicts
1.22 times the share F637 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F637 findings written in Nebraska, 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 Nebraska citations | vs expected |
|---|---|---|
| 2023 | 0.85% | 2.76× |
| 2024 | 0.36% | 1.61× |
| 2025 | 0.29% | 1.22× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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