LICENSURE REFERENCE NUMBER 175 NAC 12-006.09(D)Based on record review and interview, the facility failed to complete the Quarterly Minimum Data Set (MDS, a federally mandated assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) within the required time frames for 2 (Resident 14 & 119) of 35 sampled residents. The facility staff identified a census of 143.The findings are:Record review of the Resident Assessment Instrument (RAI) Manual Version 1.18.11 effective 10/01/23 revealed a quarterly MDS must be completed and signed no later than 14 days from the assessment reference date.A. …
F638 citations in Nebraska
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
Nebraska cites F638 more often than its own record predicts
1.70 times the share F638 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F638 findings written in Nebraska, 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 Nebraska citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 1.89× |
| 2024 | 0.09% | 0.52× |
| 2025 | 0.19% | 1.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska 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