Deficiency Index

F638 citations in Utah

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.

F638 in Utah. Pick another state for the same tag.

Against expectation — 2025

Utah cites F638 more often than its own record predicts

Versus expected share1.95×

1.95 times the share F638 takes of citations nationally.

Share of Utah citations0.22%

Of every deficiency written in Utah 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 Utah surveyors wrote

F638 findings written in Utah, 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.

E · No harm, potential for more than minimal, patternMarch 24, 2025

Based on interview and record review, the facility did not assess a resident using the quarterly review instrument no less frequently than once every 3 months. Specifically, 4 of 37 sampled residents, quarterly Minimum Data Set (MDS) assessments were completed greater than 3 months apart. Resident identifiers: 9, 10, 39 and 63. Findings include: 1. Resident 10 was admitted to the facility on [DATE] with diagnoses which included multiple sclerosis, major depressive disorder, and hypertension. Resident 10's quarterly MDS had an assessment reference date (ARD) of 1/11/25 and was completed on 3/17/25. The previous quarterly MDS was completed on 10/24/25. 2. …

Holladay Healthcare Center

The short window

Recent years

YearShare of Utah citationsvs expected
20230.46%2.07×
20250.22%1.95×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Utah surveyors cite →

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