Based on observations, interviews, and facility document review, it was determined that the facility failed to accurately identify resident verbal, physical, or other self-directed behavior symptoms as potential indicators of mental instability for 1 (Resident #1) of 1 resident reviewed for significant change assessment. The findings include: A review of Resident #1 ' s Admission Record, indicated the facility admitted Resident #1 on 05/20/2024 with diagnoses that included unspecified mood disorder, chronic pain, morbid obesity, malaise, and treatment refusal. …
F641 citations in Arkansas
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Arkansas cites F641 more often than its own record predicts
1.67 times the share F641 takes of citations nationally.
Of every deficiency written in Arkansas in 2025, this is the portion that was F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arkansas surveyors wrote
F641 findings written in Arkansas, 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 interviews and record review, it was determined that the facility failed to accurately code a resident as receiving hemodialysis on the Minimum Data Set (MDS) for one (Resident #42) of one resident reviewed. The findings include:A review of Section O of the Center for Medicaid and Medicare Services (CMS) Resident Assessment Instrument (RAI) Manual dated 10/01/2025 revealed, Code Peritoneal or renal dialysis which occurs at the nursing home or at another facility. O0110J2, Hemodialysis- check when the dialysis was hemodialysis. In hemodialysis the patient's blood is circulated directly through a dialysis machine that uses special filters to remove waste products and excess fluid from the blood. …
Based on observations, interview, record review, and facility policy review, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately completed for two (Resident #11, Resident #66) of three residents reviewed for MDS accuracy. Specifically, the facility failed to ensure information regarding Resident #66's use of tobacco was accurately completed on the MDS and Residents #11's Special Treatments, Procedures, and Programs were accurately completed in the MDS. …
The short window
Recent years
| Year | Share of Arkansas citations | vs expected |
|---|---|---|
| 2023 | 2.93% | 1.72× |
| 2024 | 2.60% | 1.54× |
| 2025 | 3.08% | 1.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arkansas surveyors cite →
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