Based on interview and record review, for 9 of 25 sampled residents, the facility did not transmit completed Minimum Data Set (MDS) to the CMS (Center for Medicare/Medicaid Services) for discharge assessment within 14 days. Specifically, residents discharged MDS's were not signed by a Registered Nurse and transmitted within the required timeframe. In addition, one resident was discharged and did not have a discharge assessment. Resident identifier: 1, 2, 3, 4, 5, 13, 44, 58 and 66. Findings included:1. Resident 1 was admitted to the facility on [DATE] and discharged on 4/10/26 with diagnoses which included sepsis, heart failure and altered mental status. Resident 1 had a Minimum Data Set (MDS) with an assessment reference date of 4/10/26 for discharge with return not anticipated. …
F640 citations in Utah
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
Utah cites F640 more often than its own record predicts
1.53 times the share F640 takes of citations nationally.
Of every deficiency written in Utah 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 Utah surveyors wrote
F640 findings written in Utah, 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 it was determined for 4 of 22 sampled residents, that the facility did not ensure timely transmission of encoded, accurate and complete MDS (Minimum Data Set) data. Specifically, resident's who had been discharged did not have discharge MDS data completed and transmitted. Resident identifiers: 2, 3, 4, and 5. Findings include: 1. Resident 2 was admitted to the facility on [DATE]. On 8/14/19, resident 2's MDS records were reviewed. Resident 2 was discharged on [DATE]. Resident 2's discharge MDS was in progress. Resident 2's discharge MDS had not been transmitted electronically. 2. Resident 3 was admitted to the facility on [DATE]. On 8/14/19, resident 3's MDS records were reviewed. Resident 3 was discharged on [DATE]. …
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2023 | 0.23% | 0.60× |
| 2024 | 0.52% | 1.59× |
| 2025 | 0.45% | 1.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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