F641 in Georgia. Pick another state for the same tag.
Against expectation — 2025
Georgia cites F641 more often than its own record predicts
Versus expected share1.02×
1.02 times the share F641 takes of citations nationally.
Share of Georgia citations1.89%
Of every deficiency written in Georgia in 2025, this is the portion that was F641.
Georgia1.89%
National1.84%
Share of all citations that were F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Georgia surveyors wrote
F641 findings written in Georgia, 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.
J · Immediate jeopardy, isolatedMarch 21, 2025
Based on record review, staff interview and review of the facility policy titled Conducting and Accurate Resident Assessment, the facility failed to accurately assess and code behavior symptoms on the Minimum Data Set (MDS) for three residents (R) (R1, R4 and R10) from a sample of 14 residents.
On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment or death to residents.
The facility's Administrator and Assistant Director of Nursing were informed of the Immediate Jeopardy on [DATE], at 11:47 am. …
Based on record review, and staff interviews the facility failed to accurately assess one resident (R) #33 for contractures of three sample residents, who was transferred improperly resulting in actual harm due to bilateral femur fractures.
Findings include:
Record review revealed that R#33 was originally admitted to the facility on [DATE] and the resident was discharge home, against medical advise on 9/7/18.
Review of the hospital history and physical dated 1/27/16 revealed that R#33 had the following Diagnosis: [REDACTED]. The physician noted the resident had lived at home and was bed-bound for the past five years. …
D · No harm, potential for more than minimal, isolatedJuly 29, 2026
Based on staff interviews, record review, and a review of the facility policy titled MDS Completion and Submission Timeframes, the facility failed to transmit an assessment within the required timeframe for one of 25 sampled residents (R) (R83). The discharge MDS record for R83 was more than 120 days old, which triggered the Resident Assessment Facility Task.Findings include:Review of the policy titled MDS Completion and Submission Timeframes, revised October 2023, documented Policy Statement: Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes. Policy Interpretation and Implementation:1. …
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