Based on review of complaints, interviews, and medical record review, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 2 (Residents #5, #6) of 8 residents reviewed for complaints during a complaint survey.The findings include: The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. The MDS is a set of assessment screening items employed as part of a standardized, reproducible, and comprehensive assessment process that ensures each resident's individual needs are identified, that care is planned based on those individualized needs, and that the care is provided as planned to meet the needs of each resident.1) On 8/26/26 at 8:25 AM a review of complaint… …
F641 citations in Maryland
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
Maryland cites F641 more often than its own record predicts
1.32 times the share F641 takes of citations nationally.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F641 findings written in Maryland, 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 surveyor review of clinical records and interviews of facility staff and residents, it was determined that the facility failed to complete assessments that accurately reflect the residents' status. This finding was evident in 3 of 28 residents (#28, #51 & #74) selected for this survey. The findings include: The Minimum Data Set (MDS) is a mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive and accurate assessment of each resident's functional capacity and health status to assist nursing home staff in identifying health problems. MDS assessments are required for residents on admission to the nursing facility and then periodically, within specific guidelines and time frames. 1. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 2.54% | 1.49× |
| 2024 | 2.13% | 1.26× |
| 2025 | 2.44% | 1.32× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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