Based on interview, record review and document review, the facility failed to ensure a significant change in status assessment was completed for a hospice resident for 1 of 3 closed record sampled residents (Resident 200). The deficient practice had the potential for a hospice plan of care to not be generated. Findings include: Resident 200 (R200) was admitted on [DATE], with diagnoses including Alzheimer's dementia and protein-calorie malnutrition. An Alert Note dated 07/24/2025 revealed R200 was admitted to hospice care.The medical record lacked documented evidence that a significant change in status assessment was completed when R200 was admitted to the hospice program on 07/24/2025.On 09/26/2025 at 8:20 AM, the Minimum Data Set (MDS) Coordinator reviewed R200's medical record and… …
F637 citations in Nevada
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
Nevada cites F637 more often than its own record predicts
1.36 times the share F637 takes of citations nationally.
Of every deficiency written in Nevada 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 Nevada surveyors wrote
F637 findings written in Nevada, 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.
What else Nevada surveyors cite →
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