Based on clinical record review and staff interview, the facility failed to complete a Significant Change in Status Assessment (SCSA) within 14 days after there had been a significant change in the resident's physical or mental condition, for 2 of 3 residents reviewed for hospice services, Resident ID #s 2 and 30.Findings are as follows:According to the Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, Version 1.20.1, last revised October 2025, page 46, states in part, .An SCSA is required to be performed when a terminally ill resident enrolls in a hospice program (Medicare-certified or State-licensed hospice provider) or changes hospice providers and remains a resident at the nursing home. …
F637 citations in Rhode Island
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 — 2024
Rhode Island cites F637 less often than its own record predicts
0.66 times the national share — cited less often here than elsewhere.
Of every deficiency written in Rhode Island in 2024, 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 Rhode Island surveyors wrote
F637 findings written in Rhode Island, 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.
Based on record review and staff interview, it has been determined that the facility failed to complete a significant change in status assessment within 14 days after there has been a significant change in the resident's physical or mental condition for 4 of 5 sample residents reviewed, Resident ID #s 7, 9, 17, and 30. Findings are as follows: According to the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual version 3.0, last updated 10/2023 Section A states in part, .If a nursing home resident elects the hospice benefit, the nursing home is required to complete an MDS Significant Change in Status Assessment (SCSA). The nursing home is required to complete an SCSA when the resident comes off the hospice benefit (revoke). See Chapter 2 for details on this requirement. …
What else Rhode Island surveyors cite →
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