Based on clinical record review and interview with staff, it was determined that the facility failed to encode a subset of items upon a resident's reentry to the facility for one of 12 residents reviewed (Resident 34). Findings include:Review of Resident 34's discharge MDS (Minimum Data Set - periodic assessment of resident needs) of May 27, 2024, indicated that the resident was discharged with return anticipated. Review of Resident 34's late entry progress note of June 7, 2026, revealed that resident returned to the facility on June 6, 2026. Further review of the clinical record revealed no evidence that a reentry assessment was completed. Interview with Employee E3 on July 30, 2026, at 11:52 a.m. confirmed that a reentry assessment had not been completed.
F640 citations in Pennsylvania
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
Pennsylvania cites F640 less often than its own record predicts
0.57 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote
F640 findings written in Pennsylvania, 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 clinical record review and staff interview, it was determined that the facility failed to electronically transmit encoded Minimum Data Set (MDS) data to the Centers for Medicare & Medicaid Services (CMS) within 14 days after the facility completed the resident assessment for two of two residents who had been discharged from the facility. (Residents 1, 3) Findings include: Clinical record review revealed that a discharge MDS assessment was completed on December 4, 2024, for Resident 1, however the record reflected that the MDS had not been exported as of January 15, 2025. Clinical record review revealed that a discharge MDS assessment was completed on December 11, 2024, for Resident 3, however, the record reflected that the MDS had not been exported as of January 15, 2025. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 0.57× |
| 2024 | 0.16% | 0.48× |
| 2025 | 0.17% | 0.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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