Based on record review and staff interview, it was determined the facility failed to ensure Pre-admission Screening and Resident Review (PASRR) evaluations were accurate. This was true for 1 of 2 residents (Resident #8) whose PASRR records were reviewed. This failure placed Resident #8 at risk for their mental health needs to go unmet, creating the potential for harm. Findings include:Resident #8 was admitted to the facility on [DATE] with multiple diagnoses including COPD, dementia, a history of substance and alcohol use disorder, and post-traumatic stress disorder (PTSD). Resident #8's medical record documented they were diagnosed with depression on 4/15/25 and began taking a medication for their depression. …
F644 citations in Idaho
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
Idaho cites F644 more often than its own record predicts
2.08 times the share F644 takes of citations nationally.
Of every deficiency written in Idaho 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 Idaho surveyors wrote
F644 findings written in Idaho, 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 Idaho citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 1.33× |
| 2024 | 1.65% | 2.59× |
| 2025 | 1.33% | 2.08× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho surveyors cite →
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