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. …
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.
Against expectation — 2025
Utah cites F638 more often than its own record predicts
1.95 times the share F638 takes of citations nationally.
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.
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2023 | 0.46% | 2.07× |
| 2025 | 0.22% | 1.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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