Based on interview and record review, the facility failed to ensure Minimum Data Set 3.0 (MDS) assessments were completed accurately for residents receiving antipsychotic medications for 1 of 12 sampled residents (Resident #22). This deficient practice had the potential to result in inaccurate federal reporting, missed required monitoring, and incorrect classification of psychotropic medication use.Findings include:Resident #22Resident #22 was admitted to the facility on [DATE], with diagnoses including Parkinson's, unspecified, dementia unspecified, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety, and insomnia unspecified.The physician's order dated 12/19/2025, documented Aricept oral tablet 10 milligrams (mg) (Donepezil Hydrochloride… …
F641 citations in Nevada
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
Nevada cites F641 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nevada 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 Nevada surveyors wrote
F641 findings written in Nevada, 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 document review, the facility failed to ensure the Minimum Data Set was coded accurately for Preadmission Screening and Resident Review (PASARR) for 8 of 20 sampled residents. (Resident 547, Resident 12, Resident 596, Resident 605, Resident 33, Resident 24, Resident 9, and Resident 11). Findings include: On 01/29/2020 in the afternoon, the Administrator explained Level I and Level II PASARR assessments were not utilized because the facility was not a Medicaid certified facility. The Minimum Data Set (MDS) Section A question 1500. Is the resident currently considered by the state level two PASARR process to have a serious mental illness and/or intellectual disability or a related condition The MDS's documented a zero which indicated no. …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 1.48% | 0.87× |
| 2024 | 1.15% | 0.68× |
| 2025 | 1.80% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
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