Based on review of facility policy, record review, and interview, the facility failed to complete a significant change Minimum Data Set (MDS) within 14 calendar days of the facility determining that there had been a significant change in condition for Residents (R)16 and (R)148, for 2 of 3 residents reviewed for comprehensive assessment after significant change. Findings include: Review of the facility policy titled CMS's RAI Version 3.0 Manual CH2: Assessments for the RAI dated October 2025, Pages 2-10 documented, Significant Change in Status Assessment-SCSA (Comprehensive) 14th calendar day after determination that significant change in resident's status occurred (determination date + 14 days). Review of R16's Face Sheet revealed, he was admitted to the facility on [DATE]. …
F637 citations in South Carolina
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
South Carolina cites F637 more often than its own record predicts
2.66 times the share F637 takes of citations nationally.
Of every deficiency written in South Carolina 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 South Carolina surveyors wrote
F637 findings written in South Carolina, 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 South Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.24% | 0.77× |
| 2025 | 0.64% | 2.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else South Carolina surveyors cite →
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