Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interview, the facility failed to complete a Significant Change in Status Assessment (SCSA) for 1 of 15 sampled residents (Resident #22) who experienced a significant change in status. Failure to determine the need for and complete a SCSA in response to a resident's decline limited the facilities ability to identify and implement appropriate care approaches. Findings include: The Long-Term Care Facility RAI 3.0 User's Manual (Version 1.20.1), dated October 2025, page 2-24 stated, . A significant change is a major decline or improvement in a resident's status that: 1. Will not normally resolve itself without intervention . 2. …
F637 citations in North Dakota
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
North Dakota cites F637 more often than its own record predicts
2.30 times the share F637 takes of citations nationally.
Of every deficiency written in North Dakota 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 North Dakota surveyors wrote
F637 findings written in North Dakota, 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 North Dakota citations | vs expected |
|---|---|---|
| 2023 | 0.35% | 1.14× |
| 2024 | 0.49% | 2.20× |
| 2025 | 0.55% | 2.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Dakota surveyors cite →
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