.Based on record review and interview, the facility failed to ensure the comprehensive person-centered care plan was reviewed and revised by the interdisciplinary team (IDT) after quarterly assessments for 1 resident (#40), out of 1 resident reviewed for care plan revision. Specifically, the facility's IDT failed to review Resident #40's quarterly care plan reviews and revisions, following the resident's quarterly assessments. This failed practice placed Resident #40 at risk for changes in his/her comprehensive care plan without the involvement of individuals who have knowledge of the resident's needs, placing the resident at risk for inappropriate or subtherapeutic care interventions that could adversely affect his/her health and well-being. …
F657 citations in Alaska
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F657 more often than its own record predicts
2.56 times the share F657 takes of citations nationally.
Of every deficiency written in Alaska in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F657 findings written in Alaska, 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 Alaska citations | vs expected |
|---|---|---|
| 2023 | 2.92% | 1.36× |
| 2024 | 2.33% | 1.22× |
| 2025 | 4.79% | 2.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska 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