Based on interview, and record review it was determined for one (R10) out of four residents sampled for PASARR review the facility failed to ensure a referral for a new PASARR Level I and II screening occurred by or before the sixth (60) day. R10 remained in the facility beyond the authorization time frame. Findings include:Review of R10's clinical record revealed: 6/5/25 - A review of R10's Notice of PASARR Level I Screen Outcome documented PASARR Level Determination Convalescence Categorical Approval Period 60 days. Suspected or confirmed PASARR Condition(s): (MH) Mental Health Disability. A 60 day or less stay in the NF is authorized rescreening must occur by or before the 60 days if the individual is expected to remain in the NF (Nursing Facility) beyond the authorization timeframe. …
F645 citations in Delaware
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Delaware cites F645 less often than its own record predicts
0.35 times the national share — cited less often here than elsewhere.
Of every deficiency written in Delaware in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Delaware surveyors wrote
F645 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 | 0.79% | 1.36× |
| 2024 | 0.70% | 1.10× |
| 2025 | 0.21% | 0.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware surveyors cite →
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