Based on record review, policy review, and staff interview, it was determined the facility failed to submit a required PASRR Level II evaluation to the State designated PASRR authority. This was true for 1 of 5 residents (Resident #34) reviewed for PASRR documentation. This deficient practice created the potential for harm if Resident #34 did not receive mental health services appropriate to their diagnosed condition. Findings include:The facility's Resident Assessment - Coordination with PASRR Program policy (undated) documented that all applicants must be screened for serious mental illness, intellectual disability, or related conditions in accordance with Idaho Medicaid PASRR rules. …
F645 citations in Idaho
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
Idaho cites F645 more often than its own record predicts
2.19 times the share F645 takes of citations nationally.
Of every deficiency written in Idaho 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 Idaho surveyors wrote
F645 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 | 0.48% | 0.82× |
| 2024 | 0.83% | 1.29× |
| 2025 | 1.33% | 2.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho 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