Based on clinical record review, facility documentation review, facility policy review, and interviews for six (6) of fifteen (15) residents (Resident #3, Resident #4, Resident #27, Resident #32, Resident #68, and Resident #75) reviewed for resident assessment, the facility failed to complete quarterly Minimum Data Set (MDS) assessments timely. The findings include: 1.Resident #3 had diagnoses that included stroke and chronic obstructive pulmonary disease (COPD).The Minimum Data Set (MDS) status report identified the quarterly MDS assessment with an Assessment Reference date (ARD) of 12/23/2025 for Resident #3 was still in process and had not yet been completed on 2/26/2026. The last submitted quarterly MDS assessment had an ARD of 9/24/2025. 2. …
F638 citations in Connecticut
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
Connecticut cites F638 more often than its own record predicts
1.09 times the share F638 takes of citations nationally.
Of every deficiency written in Connecticut 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 Connecticut surveyors wrote
F638 findings written in Connecticut, 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 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. …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2024 | 0.17% | 0.95× |
| 2025 | 0.12% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction