F638

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

Data as of September 30, 2026, released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

0.0%

of F638 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.

Citations in 2025124

Every F638 citation surveyors wrote nationally that year.

Facilities cited124

Distinct nursing homes with at least one F638 finding.

The harm level

How severely F638 is cited

0.0% of citations found actual harm or worse (level G and above).

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J—	K—	L—
Actual harm	G—	H—	I—
No harm, potential for more than minimal	D43854.5%	E27634.4%	F182.2%
No harm, potential for minimal	A—	B648.0%	C70.9%

Every recorded F638 citation, by the harm level and scope the surveyor assigned.

In the surveyor’s words

What an F638 citation says

One finding from each severity level, most serious first.

Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.

D · No harm, potential for more than minimal, isolatedSeptember 9, 2026

Based on interview and record review the facility failed to ensure required Quarterly Minimum Data Set (MDS) assessments were completed every 3 months for Resident (R) 10. Findings included:- Review of the Minimum Data Set (MDS) assessment information in the Electronic Health Record revealed concerns regarding the lack of completed comprehensive MDS assessments for R10 as follows: R10's 04/15/2026 Admission MDS was marked as In Progress and noted an ARD [Assessment Reference Date]: 4/22/2026 140 days overdue. The MDS section lacked evidence of any Quarterly MDS assessment completed for R10 (who was a current resident of the facility) in the past 5 months (quarterly MDS assessments are required at least every 3 months). …

Villa Maria · Kansas

B · No harm, potential for minimal, patternJuly 29, 2026

Based on review of the clinical record, facility documentation, facility policy, and interviews for 5 of 5 residents (Resident #24, 33, 36, 58, and 78) reviewed for resident assessment, the facility failed to ensure the quarterly MDS assessments were completed within the federally required timeframes. The findings include: 1. Resident #24 was admitted to the facility in December 2025 with diagnoses that included hemiplegia affecting the left nondominant side and diabetes.The quarterly MDS assessment identified an Assessment Reference Date (ARD) of 3/24/26. …

Civita Care Center at Cheshire · Connecticut

Co-occurrence

Cited alongside F638

Of the 2025 surveys that cited F638, these tags appeared in the same inspection more often than chance would predict.

F63643.5% of F638 surveys · 42.0× chance
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F64027.4% of F638 surveys · 22.7× chance
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F64131.5% of F638 surveys · 4.1× chance
Ensure each resident receives an accurate assessment.
F65725.0% of F638 surveys · 3.2× chance
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F65636.3% of F638 surveys · 2.5× chance
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Cited in the same inspection, not caused by one another.

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