Based on clinical record review, interview and document review, the facility failed to 1) develop a care plan addressing constipation and the use of medications for 1 of 24 sampled residents (Resident # 34) , 2) develop a care plan identifying a catheter and outlining catheter care and maintenance for 1 of 24 sampled residents (Resident #147), and 3) ensure a person-centered care plan was developed for 1 of 5 residents reviewed for unnecessary medications (Resident #1) and included the correct indication for use of psychotropic medications. This deficient practice had the potential to result in residents not receiving the care and services necessary to manage their diagnosed conditions. …
F656 citations in Nevada
Comprehensive care plan · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Nevada cites F656 more often than its own record predicts
1.05 times the share F656 takes of citations nationally.
Of every deficiency written in Nevada in 2025, this is the portion that was F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Nevada surveyors wrote
F656 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 |
|---|---|---|
| 2023 | 4.44% | 1.24× |
| 2024 | 3.70% | 1.08× |
| 2025 | 3.60% | 1.05× |
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