Based on clinical record review, interviews, and review of the facility's policies and procedures, the facility failed to ensure that Minimum Data Set (MDS) assessments were completed within the required time frames for 30 residents. The universe was 139. The deficient practice could result in the care and treatment of residents being delayed.Findings include: - Regarding Resident #19Resident #19 was admitted on [DATE], with diagnoses including aphasia following cerebral infarction, parkinsonism, and epilepsy.A review of the MDS assessments revealed the most recent MDS was a quarterly assessment dated [DATE]. …
F640 citations in Arizona
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arizona cites F640 more often than its own record predicts
1.31 times the share F640 takes of citations nationally.
Of every deficiency written in Arizona in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F640 findings written in Arizona, 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 clinical record review, review of MDS (Minimum Data Set) assessment transmission documentation, and staff interview, the facility failed to ensure that the discharge MDS assessments were transmitted within 14 days of completion for four residents (#2, #3 and #4). Findings include: Resident # 2 was admitted admitted on (MONTH) 1, (YEAR) and discharged on (MONTH) 11, (YEAR). A review of the MDS transmittal information revealed that the MDS discharge assessment was completed on (MONTH) 11, (YEAR), however, there was no documentation that it had been successfully submitted/transmitted. Resident #3 was admitted on (MONTH) 21, (YEAR). A review of the resident's clinical record revealed documentation that the resident expired in the facility on (MONTH) 21, (YEAR). …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.45× |
| 2024 | 0.15% | 0.47× |
| 2025 | 0.38% | 1.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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