Based on observation, interview, and document review, the facility failed to maintain dignity for 1 of 1 resident (R8) reviewed for shaving.Findings include:R8's significant change Minimum Data Set (MDS), dated [DATE], identified R8 had severe cognitive impairment and required assistance with activities of daily living (ADLs). R8's diagnoses included Alzheimer's disease (a progressive disorder that affects memory, thinking, and behavior) and non-Alzheimer's dementia (a decline in memory, thinking, and the ability to perform daily activities).R8's care plan, printed 9/11/26, identified R8 had an ADL self-care performance deficit related to dementia and was unable to participate in cares or anticipate needs. …
F550 citations in Minnesota
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F550 more often than its own record predicts
1.15 times the share F550 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F550 findings written in Minnesota, 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.
Based on observation, interview, and document review, the facility failed to ensure residents who required assistance during mealtime on a locked dementia unit had a dignified dining experience. Findings include: During observation on 2/24/25 at 5:18 p.m., nursing assistant (NA)-A and NA-N prepared the dining area and residents for a meal. NA-A was passing out desserts and drinks to a table with two residents, and NA-N was approximately ten feet away near the steam table. NA-A stated to NA-N, with two tables of residents in between them, to set-up all the feeders first. During interview on 2/24/25 at 5:38 p.m., NA-N stated they usually served residents who needed assistance last so they could assist them right away, but they had extra help so could assist those who needed help first. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 1.87% | 0.91× |
| 2024 | 2.44% | 1.11× |
| 2025 | 2.45% | 1.15× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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