Based on observation, interview, and record review, the facility failed to ensure the Minimum Data Set (MDS) assessments completed within the previous 15 months were in the resident's active record to allow access to licensed staff. The findings are: a. On 01/29/24 at 9:21 AM, Licensed Practical Nurse (LPN) #1 was asked where the Minimum Data Sets (MDS) were since they were not in the resident's chart. LPN #1 asked the Medial Records Nurse about the MDS and was told they were in a binder in the Director of Nursing (DON) office. b. On 01/29/24 at 1:46 PM, the DON was asked for the residents MDSs. The DON got a key from her office and walked this surveyor down the west hall to a door and unlocked it. The DON motioned to a pair of metal file cabinets in the room. …
F639 citations in Arkansas
Resident Assessment and Care Planning Deficiencies
Maintain 15 months of resident assessments in the resident's active clinical record.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Arkansas cites F639 more often than its own record predicts
14.38 times the share F639 takes of citations nationally.
Of every deficiency written in Arkansas in 2024, this is the portion that was F639.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F639 findings written in Arkansas, 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.
Based on record review and interview, the facility failed to ensure all Minimum Data Set assessments for the past 15 months were maintained in the residents' active clinical record to ensure the records were easily accessible for all staff members who may have needed to review the information for the purposes of planning or providing care for 7 (Residents #18, #5, #36, #8, #41, #343, and #38) of 28 (Residents #1-6, #8 20, #93, #343, #18, #19, #15, #43, #41, #26, #34, #95, #10, #23, #194, #38, #24, #193, #36, #12, #31, #33) sampled residents whose MDS information was reviewed. This failed practice had the potential to affect all 48 residents who resided in the facility, according to the Resident Census and Condition of Resident form dated 4/30/18. The findings are: 1. …
What else Arkansas surveyors cite →
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