Based on medical record review and interview, the facility failed to timely complete a significant change assessment for a resident who exhibited a severe weight loss and developed pressure ulcers since their prior assessment. This affected one (Resident #50) of 17 residents whose minimum data set (MDS) assessments and clinical records were reviewed for significant changes in condition.Findings include: Review of Resident #50's medical record revealed diagnoses including Alzheimer's disease, stroke, type two diabetes, difficulty swallowing, depression, heart disease, and dementia with agitation. An admission/Medicare five day MDS assessment dated [DATE] indicated Resident #50 was severely cognitively impaired. …
F637 citations in Ohio
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
Ohio cites F637 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F637 findings written in Ohio, 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 Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.15% | 0.48× |
| 2024 | 0.11% | 0.50× |
| 2025 | 0.23% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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