Based on record review and interview, it was determined that the facility failed to ensure that a resident had an accurate Preadmission Screening and Resident Review (PASARR) screening for an individual with a mental health disorder for 2 of 3 residents reviewed for PASARR in a final sample of 18 residents (Resident Identifiers are #6 and #100). Findings include:Resident #6 Review on 5/13/26 of Resident #6's medical record revealed that he/she had been admitted to the facility in 11/2025 with a known diagnosis of Bipolar disorder. Review of PASARR, dated 11/11/25, section 2. Screening for mental illness (MI) 2A. …
F645 citations in New Hampshire
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
New Hampshire cites F645 more often than its own record predicts
1.78 times the share F645 takes of citations nationally.
Of every deficiency written in New Hampshire 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 New Hampshire surveyors wrote
F645 findings written in New Hampshire, 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 interview and record review, it was determined that the facility failed to ensure that residents with a mental disorder received a Level I Pre-Admission Screening and Resident Review (PASRR) for 2 of 3 residents reviewed for PASRR in a final survey sample of 23 residents (Resident identifiers are #45 and #74). Findings include: Resident #45 Review on 4/14/23 of Resident #45's diagnosis list in the electronic medical record revealed that Resident #45 had a diagnosis of Bipolar Disorder and Epilepsy on admission. Interview on 4/14/23 at 11:20 a.m. with Staff N (Director of Social Services) revealed he/she stated they completed a Level I PASRR for Resident #45 on 3/29/23 that included the diagnosis of Bipolar and Epilepsy. …
The short window
Recent years
| Year | Share of New Hampshire citations | vs expected |
|---|---|---|
| 2023 | 0.82% | 1.41× |
| 2024 | 1.20% | 1.88× |
| 2025 | 1.08% | 1.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Hampshire surveyors cite →
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