Based on record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to complete quarterly Minimum Data Set (MDS) Assessments not less than once every 3 months, for one resident (Resident (R) 56) out of seven residents reviewed for accuracy of assessments in the sample of 63 residents. This failure prevented the transmission of resident-specific information used for payment, quality measures, and ongoing clinical data analysisFindings include:Review of the RAI Manual indicated, Policy interpretation and implementation: Omnibus Budget Reconciliation Act (OBRA) required MDS assessments are federally mandated and therefore must be performed for all residents of Medicare and/or Medicaid certified nursing homes. …
F638 citations in Georgia
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
Georgia cites F638 less often than its own record predicts
1.00 times the national share — cited less often here than elsewhere.
Of every deficiency written in Georgia 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 Georgia surveyors wrote
F638 findings written in Georgia, 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, staff interviews, and a review of facility policy titled MDS Assessment Accuracy, the facility failed to complete a Quarterly Minimum Data Set (MDS) Assessment not less than every three months for three of 36 residents (R) (2, 21, and 43) of 36 sampled residents. Findings include: A review of facility policy titled 'MDS Assessment Accuracy' last revised 12/6/22 revealed: 'Procedure 2. ARDs (assessment reference dates) will be set as follows: .Quarterly Assessment (Non-Comprehensive) ARD must be no later than 92 calendar days from the previous OBRA Assessment of any type. Record review of MDS Assessments for R2 revealed that a Quarterly MDS Assessment was completed on 10/1/2023. No other assessments were completed after that date. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.09% | 0.38× |
| 2024 | 0.13% | 0.78× |
| 2025 | 0.11% | 1.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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