Based on record review, interviews, and facility policy review, the facility failed to complete the discharge Minimum Data Set (MDS) in accordance with the Center for Medicare and Medicaid Services (CMS) guidelines for one (1) of (22) sampled residents. Resident #104.Findings include: Record review of the facility policy, Minimum Data Set (MDS) assessment dated 05/2006, revealed, It is the policy of this facility to follow the Resident Assessment Instrument (RAI) process as set for by Centers for Medicare and Medicaid Services (CMS) protocol . On 7/23/26 at 10:27 AM, during an interview, MDS Nurse #1, explained that the discharge MDS was never initiated or completed, acknowledging that it should have been done. …
F640 citations in Mississippi
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
Mississippi cites F640 more often than its own record predicts
2.31 times the share F640 takes of citations nationally.
Of every deficiency written in Mississippi 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 Mississippi surveyors wrote
F640 findings written in Mississippi, 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 staff interview, record review and facility policy review the facility failed to complete and submit a Discharge Minimum Data Set (MDS) assessment timely in accordance with the current federal and state submission timeframes for one (1) of 18 resident's MDS assessments reviewed. Resident #28 Findings include: Record review of the facility policy Resident Assessments, revised [DATE], revealed, Policy Interpretation and Implementation, 1. The resident assessment coordinator is responsible for ensuring that the interdisciplinary team conducts timely and appropriate resident assessment and reviews according to the following requirements . …
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 1.08% | 2.78× |
| 2024 | 1.11% | 3.40× |
| 2025 | 0.67% | 2.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi 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