Based on interview and medical record review, it was determined, for 1 of 27 sampled residents, that the facility did not revise the comprehensive care plan. Specifically, the resident sustained two falls with no new interventions implemented on the care plan. Resident identifier: 17. Findings include: Resident 17 was admitted to the facility on [DATE] with diagnoses which included cerebral infarction, dementia, and depression. Resident 17's medical record was reviewed 5/27/25 through 5/29/25. A Quarterly Minimum Data Set (MDS) Assessment, dated 2/20/25, indicated, [Section] C1000. Cognitive Skills for Daily Decision Making . …
F657 citations in Utah
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
Utah cites F657 less often than its own record predicts
0.12 times the national share — cited less often here than elsewhere.
Of every deficiency written in Utah 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 Utah surveyors wrote
F657 findings written in Utah, 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 Utah citations | vs expected |
|---|---|---|
| 2024 | 0.86% | 0.45× |
| 2025 | 0.22% | 0.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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