Licensure Reference Number 175 NAC 12-006.09(D) Based on record review and interview, the facility failed to accurately code the MDS Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and help nursing home staff identify health problems) for 2 (Residents 4 and 41) of 5 sampled residents. The facility census was 54. Findings are:Record review of a facility policy titled MDS 3.0 Completion and dated 09/29/2026 revealed according to federal regulations, the facility conducts initially and periodically a comprehensive, accurate and standardized assessment of each resident's function capacity, using the Resident Assessment Instrument specified by the State. …
F641 citations in Nebraska
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
Nebraska cites F641 more often than its own record predicts
1.53 times the share F641 takes of citations nationally.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F641 findings written in Nebraska, 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.
Licensure Reference Number: 175 NAC 12-006. 09B Based on observations, record reviews and interviews, the facility failed to: 1) accurately code Restorative Nursing programs on MDS (Minimum Data Set, a federally mandated comprehensive assessment tool utilized to develop resident care plans) assessments for 3 sampled residents (Residents 20, 17, and 19); and 2) correct the mis-coding of a ventilator device for one sampled resident (Resident 9). Sample size included 15 current residents. Facility census was 36. Findings are: A. Record review of Resident 20's Admission Record revealed the resident was admitted to the facility on [DATE]. …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 2.54% | 1.49× |
| 2024 | 2.89% | 1.71× |
| 2025 | 2.82% | 1.53× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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