Based on record review and interview, it was determined that the facility failed to transmit MDS assessments within 14 days of completing the assessment. This was evident for one (Resident #185) out of three residents reviewed for resident assessments. The findings include:According to the RAI (Resident Assessment Instrument) (2018), the MDS (Minimum Data Set) is a federally mandated assessment tool that helps nursing home staff gather information on each resident's strengths and needs. Information collected drives resident care planning decisions. That information must be encoded in the form of an MDS assessment within 7 days of when an assessment of a resident is completed. …
F640 citations in Maryland
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
Maryland cites F640 less often than its own record predicts
0.68 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F640 findings written in Maryland, 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 surveyor review of the clinical records and staff interview, it was determined that the facility staff failed to complete a discharge assessment within 7 days as required. This finding was evident in 1 of 2 residents selected for the resident assessment review. (#2). The findings include: The Minimum Data Set (MDS) is a mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive and accurate assessment of each resident's functional capacity and health status to assist nursing home staff in identifying health problems. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2024 | 0.37% | 1.14× |
| 2025 | 0.20% | 0.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction