Based on interview, record review, and document review, the facility failed to ensure the state mental health authority was notified after a significant change in the mental health condition of a resident with a history of mental health disorder for 1 of 35 sampled residents (Resident 12). The deficient practice had the potential to deprive residents of necessary behavioral health services.Findings include:Resident 12 (R12) was admitted to the facility 05/21/2025, with diagnoses including other schizoaffective disorders, bipolar disorder, major depressive disorder, obsessive-compulsive disorder, and anxiety disorder. R12's admission paperwork noted the resident was admitted to a local hospital on [DATE]. …
F646 citations in Nevada
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
Nevada cites F646 more often than its own record predicts
2.50 times the share F646 takes of citations nationally.
Of every deficiency written in Nevada 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 Nevada surveyors wrote
F646 findings written in Nevada, 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 Nevada citations | vs expected |
|---|---|---|
| 2024 | 0.13% | 2.73× |
| 2025 | 0.16% | 2.50× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada 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