Based on staff interviews and clinical record review, the facility staff failed to complete a quarterly Minimum Data Set (MDS) assessment within the required time limits for one (1) of eight (8) sampled residents (Resident #1). The findings include: Review of Resident #1's clinical record, on the afternoon of 11/6/24, revealed an incomplete quarterly MDS assessment with assessment reference date (ARD) of 10/18/24. Resident #1's previous MDS assessment had an ARD of 7/18/24. Resident #1's MDS assessment, with an ARD of 10/18/24, was signed as completed on 11/6/24. Resident #1 was assessed as able to make self understood and as able to understand others. …
F638 citations in Virginia
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 — 2024
Virginia cites F638 less often than its own record predicts
0.92 times the national share — cited less often here than elsewhere.
Of every deficiency written in Virginia in 2024, 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 Virginia surveyors wrote
F638 findings written in Virginia, 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 Virginia citations | vs expected |
|---|---|---|
| 2023 | 0.07% | 0.29× |
| 2024 | 0.16% | 0.92× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Virginia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction