Based on interview, record review, review of the facility's policy, and review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual it was determined the facility failed to ensure completion of the Quarterly Minimum Data Set (MDS) Assessments according to the RAI manual for one (1) of thirty- three (33) sampled residents (Resident #1). The facility failed to complete a cognitive assessment for Resident #1's Quarterly MDS Assessment on 07/05/2023. …
F638 citations in Kentucky
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 — 2023
Kentucky cites F638 more often than its own record predicts
1.38 times the share F638 takes of citations nationally.
Of every deficiency written in Kentucky in 2023, 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 Kentucky surveyors wrote
F638 findings written in Kentucky, 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 Kentucky surveyors cite →
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