Based on record review and interview conducted during the survey, the facility failed to ensure Minimum Data Set assessments were completed and/or submitted timely for eight (8) of 8 residents reviewed for Minimum Data Set Resident assessments (Residents # 38, #53, #69, #77, #85, #112, #126, and #13). The findings included:The 4/24/2026 Minimum Data Set Completion facility policy documented that all residents will be assessed initially on admission utilizing the resident assessment instrument which incorporates the minimum data set and care area assessment. …
F640 citations in New York
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
New York cites F640 more often than its own record predicts
2.26 times the share F640 takes of citations nationally.
Of every deficiency written in New York 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 New York surveyors wrote
F640 findings written in New York, 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 observation, record review, and interview, the facility failed to ensure Minimum Data Set assessments were electronically transmitted to the Centers of Medicare/Medicaid Services Data System within 14 days after assessments were completed. This was evident in two (Residents #98 and #149) of 13 residents reviewed for timely Minimum Data Set transmission. Specifically, quarterly [NAME] Data Set assessments for Residents #98 and #149 were submitted after the required timeframe.The findings include:The facility's policy and procedure dated 05/2026 titled Resident Assessment Instrument, Minimum Data Set, Care Area Assessment, Care Planning, Transmission, and Quality Assurance Policy required all Minimum Data Set assessments to be completed, electronically transmitted, and accepted by… …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.88% | 2.28× |
| 2024 | 0.53% | 1.61× |
| 2025 | 0.66% | 2.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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