Based on medical record review, staff interview, and review of the facility policy, the facility failed to timely complete quarterly Minimum Data Set (MDS) assessments. This affected four (Residents #2, #11, #26, #39) of 18 residents sampled. The facility census was 75 residents.Findings include: 1.Review of the medical record for Resident #26 revealed an admission date of 09/04/24 with diagnoses including mood disorder and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #15 dated 03/12/26 revealed the MDS was not completed until 04/15/26. Interview on 04/16/26 at 1:45 P.M. …
F638 citations in Ohio
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
Ohio cites F638 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F638 findings written in Ohio, 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 Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.20% | 0.88× |
| 2024 | 0.10% | 0.56× |
| 2025 | 0.06% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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