Based on interview and record review the facility failed to ensure required Quarterly Minimum Data Set (MDS) assessments were completed every 3 months for Resident (R) 10. Findings included:- Review of the Minimum Data Set (MDS) assessment information in the Electronic Health Record revealed concerns regarding the lack of completed comprehensive MDS assessments for R10 as follows: R10's 04/15/2026 Admission MDS was marked as In Progress and noted an ARD [Assessment Reference Date]: 4/22/2026 140 days overdue. The MDS section lacked evidence of any Quarterly MDS assessment completed for R10 (who was a current resident of the facility) in the past 5 months (quarterly MDS assessments are required at least every 3 months). …
F638 citations in Kansas
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
Kansas cites F638 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas 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 Kansas surveyors wrote
F638 findings written in Kansas, 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.
The short window
Recent years
| Year | Share of Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.11% | 0.51× |
| 2024 | 0.10% | 0.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas surveyors cite →
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