Based on record review and interview, the facility failed to submit a new level one Pre-admission Screening and Resident Review (PASRR) (a federally mandated process to prevent inappropriate placements of individuals with Serious Mental Illness [SMI] or Intellectual/Developmental Disabilities [I/DD] into Medicaid-certified nursing facilities) when new SMI were added for a resident for 1 of 7 residents reviewed for PASRR compliance (Resident 12). Findings include:On 5/19/26 at 10:22 a.m. Resident 12's medical record was reviewed. On 3/16/26 new diagnoses of dementia and major depressive disorder were added to Resident 12's diagnoses list.The record lacked evidence of a new level one PASRR assessment being done when these new SMI diagnoses were added.On 5/21/26 at 2:03 p.m. …
F644 citations in Indiana
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
Indiana cites F644 more often than its own record predicts
1.01 times the share F644 takes of citations nationally.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F644 findings written in Indiana, 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 Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 0.52× |
| 2024 | 0.47% | 0.73× |
| 2025 | 0.65% | 1.01× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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