Based interview and record review, the facility failed to complete Minimum Data Set (MDS) assessments timely for two residents (R18 and R215) of 12 residents reviewed. Findings include:A review of the survey MDS task revealed 12 residents with assessments overdue by 120 days. On [DATE] at 12:18 PM, the surveyor asked the nurses in the MDS office about 12 overdue MDS assessments and requested follow-up on why they are triggering as incomplete. On [DATE] at 3:15 PM, MDS Nurse H explained that resident R18 and R215's MDS assessments had been overlooked and not completed. The other 10 were clerical errors which had previously been remedied. …
F640 citations in Michigan
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
Michigan cites F640 less often than its own record predicts
0.64 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan 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 Michigan surveyors wrote
F640 findings written in Michigan, 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 and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were signed and submitted to CMS (Centers for Medicare and Medicaid Services) in a timely manner for five residents (R36, R42, R51, R52, and R56) of five residents reviwed for MDS transmission. Findings include: 1. Resident #36 that was admitted on [DATE] had an MDS assessment that was incomplete and over 120 days old that had not been submitted. 2. Resident #42 that was admitted on [DATE] had an MDS assessment that was incomplete and over 120 days old that had not been submitted. 3. Resident #51 that was admitted on [DATE] had an MDS assessment that was incomplete and over 120 days old that had not been submitted. 4. …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.31× |
| 2024 | 0.17% | 0.53× |
| 2025 | 0.19% | 0.64× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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