Based on record review and interview, the facility failed to notify the physician of a significant change in condition for 1 of 3 residents reviewed for a significant change in condition. (Resident #1)Findings:A review of Resident #1's entire clinical record showed he/she was transferred to the emergency room on 3/8/26 and was subsequently admitted to the hospital for difficulty breathing. Further review of the clinical record lacked evidence that the physician was notified of Resident #1's transfer to the hospital.Review of the facilities Change of Condition Policy and Procedure states The facility must inform the resident, consult with the resident's healthcare provider, and if known, notify the resident's legal representative or family member when there is. …
F646 citations in Maine
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 — 2024
Maine cites F646 more often than its own record predicts
2.81 times the share F646 takes of citations nationally.
Of every deficiency written in Maine in 2024, 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 Maine surveyors wrote
F646 findings written in Maine, 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 Maine surveyors cite →
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