Based on policy review, record review, and staff interviews, it was determined the facility failed to ensure that the PASRR Level I/Level II information was updated when there was a change in diagnosis and/or treatment. This was true for 2 of 5 residents (#21 and #37) reviewed for PASRR. This deficient practice created the potential for adverse outcomes when the facility did not notify the state PASRR authority or obtain updated PASRR determinations after new mental health related diagnoses and treatment were identified, resulting in inaccurate and incomplete PASRR information used to guide resident assessment and care planning. …
F646 citations in Idaho
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Idaho cites F646 more often than its own record predicts
5.07 times the share F646 takes of citations nationally.
Of every deficiency written in Idaho in 2025, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Idaho surveyors wrote
F646 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.
What else Idaho surveyors cite →
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