Based on facility policy review, review of The Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review, and interview, the facility failed to identify a severe weight loss and decline in 1 or more Activities of Daily Living (ADL) as a significant change in a resident's condition and failed to complete a significant change assessment after a severe weight loss for 1 Resident (#30) of 4 residents reviewed for assessments. …
F637 citations in Tennessee
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
Tennessee cites F637 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in Tennessee 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 Tennessee surveyors wrote
F637 findings written in Tennessee, 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 review of the Centers for Medicare and Medicaid Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual, medical record review and interview, the facility failed to complete a significant change assessment for 1 resident (Resident #57) of 21 residents reviewed. The findings include: 1.Review of CMS's RAI Version 3.0 Manual Chapter 2 dated 10/2023 revealed .Guidelines to Assist in Deciding If a Change Is Significant or Not .When a .Resident enrolls in a hospice program .must be within 14 days from the effective date of the hospice election . 2. Review of the medical record revealed Resident #57 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses which included Alzheimer's Disease, Dementia, Hyperlipidemia, and Hypothyroidism. …
The short window
Recent years
| Year | Share of Tennessee citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.54× |
| 2024 | 0.37% | 1.63× |
| 2025 | 0.12% | 0.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Tennessee surveyors cite →
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