Based on interviews and record review, the facility failed to electronically transmit and complete the Minimum Data Set (MDS) data to the Centers for Medicare & Medicaid Services (CMS) system within 14 days for one Resident [(R)87] sampled. Findings include: On 08/07/24 at 02:49 PM, conducted an interview and concurrent record review of R87's Electronic Health Record with the Minimum Data Set Coordinator (MDSC)1. Reviewing R87's Minimum Data Set (MDS) documented there was a late warning for the submission of the admissions MDS, R87 returned from the hospital on 07/17/24. The MDS had not yet been submitted. MDSC1 confirmed R87's MDS was late and should have been submitted to the CMS system but was not. …
F640 citations in Hawaii
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 — 2024
Hawaii cites F640 more often than its own record predicts
1.36 times the share F640 takes of citations nationally.
Of every deficiency written in Hawaii in 2024, 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 Hawaii surveyors wrote
F640 findings written in Hawaii, 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.
The short window
Recent years
| Year | Share of Hawaii citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 1.09× |
| 2024 | 0.44% | 1.36× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii surveyors cite →
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