Based on record review, and staff interview, the facility failed to notify the state mental health authority with a significant change pre-admission screening and resident review (PASARR) for residents with a change in their mental health or physical conditions. This affected two (#2 and #37) of four residents reviewed for significant change PASARR. The facility census was 45. Findings include: 1. Review of Resident #2's medical record revealed Resident #2 was admitted to the facility on [DATE] with diagnoses including schizoaffective disorder bipolar type. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 was moderately cognitively impaired. Review of the PASARR dated 01/23/26 revealed Resident #2 had indications of serious mental illness. …
F646 citations in Ohio
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
Ohio cites F646 more often than its own record predicts
4.27 times the share F646 takes of citations nationally.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F646 findings written in Ohio, 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 Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.27% | 5.49× |
| 2024 | 0.16% | 3.44× |
| 2025 | 0.28% | 4.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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