Based on interview and record review the facility failed to notify the local state mental health authority of Preadmission Screening and Resident Review (PASARR) changes for one (R60) of two residents reviewed for PASARR. Findings include: Review of the clinical record revealed R60 was admitted into the facility on [DATE] with diagnoses that included schizophrenia, unspecified. According to the survey software, R60 was identified as having no PASARR II with a mental illness diagnosis. …
F646 citations in Michigan
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
Michigan cites F646 less often than its own record predicts
0.81 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan 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 Michigan surveyors wrote
F646 findings written in Michigan, 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 Michigan citations | vs expected |
|---|---|---|
| 2024 | 0.02% | 0.46× |
| 2025 | 0.05% | 0.81× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan 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