Based on observation, interview, record review, review of the facility's Accident/Incident report, and review of the Resident Assessment Instrument User Manual, it was determined the facility failed to ensure that the Minimum Data Set (MDS) assessment for one (1) of seventeen (17) sampled residents (Resident #37) accurately reflected the resident's wandering status. Record review and interviews with staff revealed Resident #37 wandered daily and attempted to leave the facility through exit doors. In addition, on 01/25/18, Resident #37 left the facility without staff knowledge and a passing motorist had to alert the facility that the resident was outside. …
F641 citations in Kentucky
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
Kentucky cites F641 less often than its own record predicts
0.68 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky 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 Kentucky surveyors wrote
F641 findings written in Kentucky, 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, record review, and review of the facility's job description, the facility failed to ensure Minimum Data Set [MDS] assessments accurately reflected the residents' status for 3 of 17 sampled residents, Resident (R) 10, R38, and R41 for physical restraints. Refer to F604The findings include: Review of the facility's job description MDS Coordinator revealed the duties and responsibilities included scheduling, completing, and submitting MDS assessments in accordance with the Resident Assessment Instrument (RAI) Manual, and state and federal regulations. Review of the facility provided MDS, dated [DATE] at 10:57 AM revealed it did not have R10, R38, and R41 coded for physical restraints. …
Based on interview, record review, and review of the Resident Assessment Instrument (RAI) Version 3.0 User Manual, it was determined the facility failed to ensure one (1) of seventeen (17) sampled residents received an accurate assessment, reflective of the resident's status at the time of the assessment (Resident #30). Resident #30 was admitted from the community on 12/08/17, however, review of the Minimum Data Set (MDS) assessment. revealed staff inaccurately coded Section E of the Admission MDS Assessment as a 0, indicating Resident #30's behavior was the same as compared to the previous assessment when there was no previous assessment. …
The short window
Recent years
| Year | Share of Kentucky citations | vs expected |
|---|---|---|
| 2023 | 1.23% | 0.72× |
| 2024 | 1.20% | 0.71× |
| 2025 | 1.26% | 0.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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