Based on record review and interview, the facility did not accurately code the Minimum Data Set (MDS) assessments for 1 of 6 residents (R) reviewed. (R2)R2 had a Preadmission Screening and Resident Review (PASARR) 1 and 2 completed, which the MDS assessment did not reflect. This is evidenced by: R2 was admitted to the facility on [DATE]. R2's current diagnoses include dementia, post-traumatic stress disorder, anxiety disorder, and major depressive disorder. Review of R2's medical record found a PASARR level 2 screen was completed, dated 10/22/25.R2's annual MDS (Minimum Data Set) assessment, dated 11/10/25, documented Section A1500: Preadmission screening and resident review (PASRR) question Is the resident currently considered by the state level II PASRR process to have serious mental… …
F641 citations in Wisconsin
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
Wisconsin cites F641 less often than its own record predicts
0.34 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote
F641 findings written in Wisconsin, 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.
4.) R14 was admitted to the facility on [DATE] with diagnoses of CHF(congestive heart failure), Parkinson's disease, dementia, schizophrenia, bipolar and anxiety. R14's significant change MDS (minimum data set) dated 9/16/24 documents under Section A1500 that R14 does not have a serious mental illness. The PASRR (preadmission screeen and resident review) level 1 screen dated 9/28/18 indicates R14 has a serious mental illness. The PASRR level 2 screen was completed 10/22/18 and indicates R14 is not in need of specialized services or specialized psychiatric rehabilitation services at this time. On 6/10/25 at 10:55 a.m. Surveyor interviewed DON-B and NHA-A. Surveyor explained the concern with the incorrect assessment on the significant change MDS dated [DATE]. …
The short window
Recent years
| Year | Share of Wisconsin citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 0.33× |
| 2024 | 0.59% | 0.35× |
| 2025 | 0.62% | 0.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
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