Based on record review, staff interview and facility policy review, the facility failed to accurately complete the Level I Preadmission Screening and Resident Review (PASARR) screening, resulting in the failure to refer a resident with documented mental illness for a PASARR Level II evaluation, for one (1) of two (2) residents reviewed for PASRR. Resident #7Findings Include:Review of the facility policy titled admission to Facility, revised 5/20/20, revealed under PASARR: This facility coordinates assessments with the preadmission screening and resident review (PASARR) program under Medicaid to ensure that individuals with a mental disorder, intellectual disability, or a related condition receive care and services in the most integrated setting appropriate to their needs. …
F645 citations in Mississippi
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
Mississippi cites F645 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Mississippi 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 Mississippi surveyors wrote
F645 findings written in Mississippi, 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.
Based on facility policy review, record review, and staff interview, the facility failed to complete an accurate Preadmission Screening (PAS) upon admission for three (3) of three (3) resident PASs reviewed, Resident #78, Resident #15, and Resident #23. Findings include; A review of the facility policy titled Pre-Admission Screening PAS/PASRR (Pre-Admission Screening Resident Review), with an original date of 11/06, and revised date of 10/18, revealed the PAS with Level I must be submitted to Division of Medicaid (DOM) and approved prior to admission to a nursing facility, regardless of payment source. The policy also revealed the Level II evaluation must occur prior to admission and whenever the resident has a significant change in status. …
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 1.35% | 2.32× |
| 2024 | 0.40% | 0.63× |
| 2025 | 0.48% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
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