Based on observations, interviews and record review, the facility failed to ensure a registered nurse signed and certified that the MDS assessment was completed for 3 (Resident #1, #6, and #7) of 8 residents reviewed for completion, in that: 1. The facility failed to ensure Resident #1 admission MDS was completed, reviewed, and signed by the designated RN/DON, and discharge MDS was completed prior to discharge on [DATE]. 2. The facility failed to ensure Resident #6's admission MDS was completed after admission on [DATE]. 3. The facility failed to ensure Resident #7's quarterly section GG was completed, reviewed, and signed by all disciplines. …
F642
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F642 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F642 finding.
The harm level
How severely F642 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D4961.3% | E2126.3% | F45.0% |
| No harm, potential for minimal | A— | B56.3% | C11.3% |
In the surveyor’s words
What an F642 citation says
One finding from each severity level, 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 failed to ensure a Minimum Data Set (MDS) assessment was signed off by the Registered Nurse (RN) MDS Coordinator as completed for two Residents (#16 and #43) per the Resident Assessment Instrument (RAI) guidelines. Findings include: Review of the facility's policy titled MDS Policy and Procedure, dated as last revised ,d+[DATE], indicated but was not limited to the following: -It is the responsibility of the MDS Coordinator to ensure required assessments are completed and electronically submitted in accordance with submission requirements in the RAI Manual. …
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