Based on record review, interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure the Minimum Data Set (MDS) assessments were transmitted within the timeframes specified in the RAI manual for nine of 19 residents (Resident (R)1, R4, R7, R9, R22, R27, R2, R3 and R12) MDSs reviewed during the survey. This failure had the potential for inaccurate or incomplete care planning and/or provision to the resident, the resident being discharged may not be able to receive services elsewhere because Medicare was not aware of the discharge status, and/or a lack of appropriate payment for services to the facility. Findings include: 1.Review of R1's facility provided undated Patient Data revealed an admission date of 01/20/26. …
F640 citations in Guam
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.
No F640 citations were recorded in Guam for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Guam surveyors wrote
F640 findings written in Guam, 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 Guam surveyors cite →
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