Based on interview and record review it was determined, for 1 of 32 sampled residents, the facility did not ensure an assessment accurately reflected the resident's status. Specifically, a resident was not assessed for activities on the Minimum Data Set (MDS) assessment. Resident identifiers: 41.Findings included:Resident 41 was admitted to the facility on [DATE] with diagnoses which included Parkinson's disease with dyskinesia, repeated falls, dementia, depressive episodes and Dorsalgia. On 8/4/15 at 10:48 AM, an interview was conducted with resident 41. Resident 41 stated he would like more activities and would like to get out more. …
F641 citations in Utah
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
Utah cites F641 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Utah 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 Utah surveyors wrote
F641 findings written in Utah, 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 review and interview, the facility did not ensure that the resident assessment accurately reflected the resident's status. Specifically, for 3 out of 20 sampled residents, the facility coded a resident as having received insulin during the seven day Minimum Data Set (MDS) observation period when the resident had not received any insulin. Resident Identifiers: 2, 7, and 28.1. Resident 2 was admitted to the facility on [DATE] with diagnoses which included secondary parkinsonism, disorder of brain, schizoaffective disorder, depressive type, personality disorder, and type 2 diabetes mellitus. Review of resident 2's medical record was completed on 10/6/25 through 10/8/25. Resident 2's Quarterly Minimum Data Set (MDS) assessment dated [DATE], was reviewed. …
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2023 | 1.16% | 0.68× |
| 2024 | 0.86% | 0.51× |
| 2025 | 1.78% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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