F638 in Delaware. Pick another state for the same tag.
Against expectation — 2025
Delaware cites F638 more often than its own record predicts
Versus expected share1.86×
1.86 times the share F638 takes of citations nationally.
Share of Delaware citations0.21%
Of every deficiency written in Delaware in 2025, this is the portion that was F638.
Delaware0.21%
National0.11%
Share of all citations that were F638.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F638 findings written in Delaware, 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.
D · No harm, potential for more than minimal, isolatedMay 6, 2025
Based on record review and interview, it was determined that for one (R8) out of six reviewed for Resident Assessments, the facility failed to assess R8 no less than once every three months. Findings include:
Review of R8's clinical record revealed:
10/1/24 - R8 was admitted to the facility.
10/7/24 - An admission MDS was completed for R8.
12/27/24 - A significant change MDS was completed for R8.
3/26/25 - A quarterly MDS was noted to be in progress for R8. As of 5/5/25, it was not completed.
5/5/25 10:10 AM - An interview with E2 (DON) confirmed that the quarterly MDS was still in progress and was overdue by 38 days. E2 stated that during the dates 3/26/25 to 4/21/25 no qualified staff was working that was able to complete the MDS. …
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