Based on record review and staff interviews, the facility failed to complete and submit the quarterly comprehensive Minimum Data Set (MDS-a resident assessment tool) assessment within the regulatory timeframe for one of two sampled residents (Residents 50). This deficient practice had the potential to negatively affect the provision of necessary care and services for the affected residents.Findings: A review of Resident 50's admission record indicated the facility originally admitted the resident on 6/19/2023 and re-admitted the resident on 7/16/2026 with diagnoses that included cerebral infarction (also known as a stroke in which blood flow stops to part of the brain), muscle weakness and high blood pressure.During a concurrent interview and record review on 7/15/2026 at 10:50 AM,… …
F638 citations in California
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 — 2025
California cites F638 more often than its own record predicts
1.05 times the share F638 takes of citations nationally.
Of every deficiency written in California in 2025, 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 California surveyors wrote
F638 findings written in California, 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 interview, and record review, the facility failed to complete the Quarterly Minimum Data Set (MDS-a resident assessment tool) Assessment timely for one of two sampled residents (Resident 76) reviewed under the Resident Assessment task. This deficient practice had the potential to negatively affect the provision of necessary care and services needed Resident 76. Findings:During a review of Resident 76's admission Record, the admission Record indicated the facility originally admitted the resident on 1/15/2025 and readmitted on [DATE] with diagnoses including urinary tract infection (UTI- an infection in the bladder/urinary tract), generalized muscle weakness, and dysphagia (difficulty swallowing). During a concurrent interview and record review on 7/31/2025 at 3:40 p.m. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 1.38× |
| 2024 | 0.21% | 1.19× |
| 2025 | 0.12% | 1.05× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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