Based on record review and staff interview, for one (1) of 41 sampled residents, facility staff failed to complete a quarterly (every 3 months) assessment for Resident #72. The findings included: Review of the facility's contracts showed that [Company name], effective on 02/12/24, was responsible for completing the facility's Minimum Data Set (MDS) assessments. The contract documented: - [Company Name] shall provide the facility with ongoing MDS department support, specifically, to organize, review, encode and confirm timely completion of all admission, quarterly, annual and significant change in status MDS assessments. …
F638 citations in District of Columbia
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
District of Columbia cites F638 more often than its own record predicts
2.94 times the share F638 takes of citations nationally.
Of every deficiency written in District of Columbia 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 District of Columbia surveyors wrote
F638 findings written in District of Columbia, 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.
What else District of Columbia 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