Based on record review, review of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual and staff interview, it was determined that the facility failed to ensure that Resident 10's Quarterly MDS was submitted during the prescribed timeframe. This was a random opportunity for discovery. Resident identifier: #10. Facility census: 32. Finding Included: a) MDS 3.0 Resident Assessment Instrument (RAI) User's Manual Review of the MDS 3.0 RAI Manual (October 2019) Chapter 5 Submission and Correction of the MDS Assessments, subsection 5.2 revealed in part the following: Assessment Schedule: An OBRA (Omnibus Budget Reconciliation Act) assessment (comprehensive or Quarterly) is due every quarter unless the resident is no longer in the facility. …
F638 citations in West 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 — 2023
West Virginia cites F638 less often than its own record predicts
0.38 times the national share — cited less often here than elsewhere.
Of every deficiency written in West Virginia 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 West Virginia surveyors wrote
F638 findings written in West 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.
What else West Virginia surveyors cite →
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