Based on observation, interview and record review, the facility failed to ensure accuracy of Minimum Data Set (MDS) assessments for two (R25, R92) of 20 reviewed.Findings include:Resident #25 (R25) Review of the medical record reflected R25 admitted to the facility on [DATE], with diagnoses that included Alzheimer's with late onset and dementia with psychotic disturbance. The admission MDS, with an Assessment Reference Date (ARD) of 2/2/26, reflected R25 scored zero out of 15 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool) and received antipsychotic medication on a routine basis only. On 08/12/2026 at 1:49 PM, R25 was observed lying in bed, awake. The admission MDS, with an ARD of 2/2/26, reflected question, N0450. …
F641 citations in Michigan
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
Michigan cites F641 less often than its own record predicts
0.43 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan 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 Michigan surveyors wrote
F641 findings written in Michigan, 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 and record review, the facility failed to complete accurate assessments for 1 of 16 residents (R#75) reviewed for assessments, resulting in an inaccurate reflection of the resident's status and the potential for impaired medical, functional, and psychosocial problems due to unidentified needs. Findings include: Resident #75: Review of a Face Sheet revealed Resident #75 was a male with pertinent diagnoses which included diabetes, gout (a painful inflammatory arthritis from uric acid crystals in joints), kidney disease stage 4 (severe loss of kidney function, the kidneys only filter 15-29% if waste), chronic lymphedema (swelling from lymph fluid buildup, caused by damaged lymph nodes, leading to heaviness, tightness, and limited movement) RLE (Right Lower Extremity), high… …
The short window
Recent years
| Year | Share of Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.75% | 0.44× |
| 2024 | 0.64% | 0.38× |
| 2025 | 0.80% | 0.43× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan surveyors cite →
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