Based on interview and record review the facility failed to ensure the Minimum Data Set (MDS, a resident assessment tool) was transmitted to the Centers for Medicare and Medicaid Services (CMS, a federal health insurance program) for one of three sampled residents (Resident 109) when Resident 109 was discharged from the facility on 2/9/2026.This failure had the potential to result in delayed discharge care for Resident 109.Findings:During a review of Resident 109's admission Record, the admission Record indicated the facility admitted the resident on 9/12/2025 with diagnoses that included metabolic encephalopathy (a brain malfunction caused by a systemic medical problem, chemical imbalance, or organ failure in the body), type 2 diabetes (a disorder characterized by difficulty in blood… …
F640 citations in California
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
California cites F640 more often than its own record predicts
1.02 times the share F640 takes of citations nationally.
Of every deficiency written in California 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 California surveyors wrote
F640 findings written in California, 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 interview, medical record review, and facility document review, the facility failed to complete and transmit the MDS assessment timely for three of three nonsampled residents (Residents 19, 24, and 101) reviewed for resident assessments. * The facility failed to transmit Resident 19, 24, and 101's Discharge MDS assessment within the required time. This failure caused a delay in providing resident specific information for the payment and quality measure purposes to CMS.Findings: 1. Closed medical record review for Resident 24 was initiated on 5/4/26. Resident 24 was admitted to the facility on [DATE], and discharged on 12/4/25. Review of Resident 24's MDS assessments showed a Discharge MDS assessment was in-progress and was not submitted. 2. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 0.83× |
| 2024 | 0.33% | 1.00× |
| 2025 | 0.30% | 1.02× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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