Based on record review and interview it was determined that for three (R158, R180 and R182) out of fifty-seven (57) residents reviewed the facility failed to ensure accuracy of the MDS assessment. Findings include: 1. Review of R158's clinical record revealed: 6/8/26 - A quarterly MDS assessment documented that R158's cognitive status was not assessed and contained no BIM's score. 6/17/26 - A social services assessment was completed for R158, and the resident was documented with a BIM's score of 15 indicating cognitively intact. 7/23/26 12:02 PM - During an interview, E19 (RNAC) confirmed that R158's quarterly MDS assessment was inaccurate as evidenced by an omitted BIMS score. E19 stated The social worker did not complete it on time. 2. …
F641 citations in Delaware
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
Delaware cites F641 less often than its own record predicts
0.81 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware 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 Delaware surveyors wrote
F641 findings written in Delaware, 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 record review and interview, it was determined that for four (R3, R21, R28, R33) out of eight residents reviewed for resident assessments, the facility failed to accurately report the resident's status. Findings include: According to the CMS (Centers for Medicare and Medicaid Services) RAI (Resident Assessment Instrument) Version 3.0 Manual, October 2023, page A-20, under A1005 Ethnicity and A1010 Race, the Steps for Assessment: Interview Instructions . 2. If the resident is unable to respond, the assessor may ask a family member, significant other, and/or guardian/legally authorized representative . 4. Respondents should be offered the option of selecting one or more ethnic [and racial] designations . 5. …
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 2.12% | 1.24× |
| 2024 | 3.33% | 1.98× |
| 2025 | 1.49% | 0.81× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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