Based on interview and record review it was determined the facility failed to complete Quarterly MDS assessments in the required timeframe for 7 of 8 sampled residents (#s 12, 15, 26, 45, 51, 67 and 80) reviewed for resident assessment. This placed residents at risk for unassessed needs. Findings include:1. Resident 12 was admitted to the facility in 7/2022 with a diagnosis of pneumonia. Resident 12's 1/6/26 Quarterly MDS was listed as in her/his health record as in progress and was not completed or signed by the recertification survey exit date of 2/13/26. On 2/13/26 at 12:21 PM Staff 36 (RN, MDS Coordinator) acknowledged Resident 12's 1/6/26 Quarterly MDS Assessment was not completed within 14 days of the Assessment Review Date (ARD). …
F638 citations in Oregon
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
Oregon cites F638 less often than its own record predicts
0.69 times the national share — cited less often here than elsewhere.
Of every deficiency written in Oregon 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 Oregon surveyors wrote
F638 findings written in Oregon, 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 Oregon surveyors cite →
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