Based on record review and interview, it was determined that for one (R6) out of four residents reviewed for Preadmission Screening and Resident Review (PASRR), the facility failed to coordinate with the PASRR program under Medicaid and refer the resident for an assessment. Findings include:Review of R6's clinical records revealed:12/9/24 - A PASRR Level 1 Screen was completed prior to R6's admission to the facility. The PASSR Level 1 documented that No mental health diagnosis is known or suspected.2/4/25 - R6 was admitted to the facility with diagnoses including but not limited to unspecified dementia, unspecified severity, without behavioral disturbance and major depressive disorder.2/17/25 - R6's admission Minimum Data Set (MDS) assessment documented that R 6 had no serious mental… …
F644 citations in Delaware
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F644 more often than its own record predicts
2.67 times the share F644 takes of citations nationally.
Of every deficiency written in Delaware in 2025, this is the portion that was F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F644 findings written in Delaware, 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.
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 1.85% | 2.59× |
| 2024 | 1.93% | 3.02× |
| 2025 | 1.70% | 2.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction