Based on record review, interview, and Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual review, the provider failed to ensure 19 of 19 sampled residents (5, 6, 7, 23, 24, 28, 29, 34, 35, 36, 37, 38, 39, 43, 44, 53, 54, 55, and 57) Minimum Data Set (MDS) assessments (a tool used to evaluate a resident's health status and to develop an individualized care plan to manage the resident's care needs) were signed by a registered nurse (RN), to verify their MDS assessments were completed, within 14 days after the assessment reference date (ARD) (the specific end date of the observation period used to complete the MDS) and a discharge assessment was completed for one of one sampled discharged resident (31) who was… …
F638 citations in South Dakota
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
South Dakota cites F638 more often than its own record predicts
1.62 times the share F638 takes of citations nationally.
Of every deficiency written in South Dakota 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 South Dakota surveyors wrote
F638 findings written in South Dakota, 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 South Dakota surveyors cite →
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