Based on record review, interview, and facility document review, the facility failed to ensure that quarterly Minimum Data Set (MDS) assessments were completed within the 90-day regulatory timeframe for 11 (Residents #25, #36, #38, #50, #60, #62, #67, #69, #73, #76, and #83) of 15 residents reviewed for quarterly assessments. The findings include: During a review of the resident's quarterly MDS assessments on 02/24/2026 at 11:01 AM, the following past due quarterly assessments were identified: - Resident #25's last quarterly MDS was completed on 10/16/2025, their next assessment was due on 01/16/2026.- Resident #36's last quarterly MDS was completed on 10/21/2025, their next assessment was due on 01/21/2026.- Resident #38's last quarterly MDS was completed on 10/10/2025, their next… …
F638 citations in Arkansas
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Arkansas cites F638 less often than its own record predicts
0.34 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arkansas in 2024, this is the portion that was F638.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F638 findings written in Arkansas, 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 interview, the facility failed to ensure a Quarterly Minimum Data Set (MDS) assessment was completed within 3 months after the prior assessment as required for 1 (Resident #75) of 20 (Residents #39, #24, #2, #56, #60, #65, #79, #75, #18, #88, #71, #42, #74, #45, #80, #246, #69, #3, #16, and #1) sampled residents whose MDS assessments were reviewed. The findings are: Resident #75 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . a. As of 10/11/21 at 10:51 a.m., the MDS history in the electronic health record documented an Annual MDS with an assessment reference date (ARD) of 1/3/21 and Quarterly MDS assessments with ARDs of 4/1/21 and 6/29/21. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 1.38× |
| 2024 | 0.06% | 0.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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