Based on record review and staff interviews, the facility failed to ensure the Minimum Data Set Assessment was completed to accurately reflect each resident's status. This was identified for one (Resident #12) of six residents reviewed for accident and for one (Resident #168) of two residents reviewed for respiratory care. Specifically, 1) Resident #12 had a physician's order for Seroquel (an antipsychotic medication) that was initiated on 02/16/2026; however, the quarterly Minimum Data Set assessment dated [DATE] did not accurately reflect use of an antipsychotic medication by Resident #12. 2) Resident #168 had a physician's order for the use of Bilevel Positive Airway Pressure (a non-invasive ventilator that helps breathing) machine. …
F641 citations in New York
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
New York cites F641 less often than its own record predicts
0.58 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York 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 New York surveyors wrote
F641 findings written in New York, 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 record reviews and interviews, the facility failed to ensure that resident assessments accurately reflected the residents' clinical diagnoses and conditions. This was evident in two (Residents #2 and #61) of 29 residents reviewed for accuracy of assessments. Specifically, the Minimum Data Set (a resident assessment tool) assessments failed to capture documented mental health conditions for Residents #2 and #61. The findings include: The facility's policy titled, Minimum Data Set Accuracy, reviewed January 2026, requires that Minimum Data Set coding be supported by documentation in the medical record and that assessments be reviewed for accuracy and consistency prior to submission. 1. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 1.20% | 0.70× |
| 2024 | 1.09% | 0.65× |
| 2025 | 1.06% | 0.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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