Based on observation, interview and document review, the facility failed to completely inform 1 of 1 residents (R18) of their medical condition. This resulted in actual psychosocial harm for R18, when R18 had been erroneously informed he had a terminal diagnosis, and 2-3 weeks to live, without a medical diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] Findings include: R18's admission Minimum Data Set (MDS) dated [DATE], identified R18 was cognitively intact, did not exhibit behavioral symptoms or depression, was considered medically complex with problems including [CONDITION(S)], concerns related clotting disorder, end-stage-kidney disease requiring hemodialysis, and diabetes mellitus among other diagnosis. …
F552 citations in Minnesota
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F552 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F552.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F552 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 interview and document review, the facility failed to obtain and document informed consent, including an explanation of risks and benefits, for 2 of 5 residents (R15, R135 ) reviewed for unnecessary medications. Findings Include: R15's quarterly Minimum Data set (MDS) dated [DATE], identified R15 was cognitively intact, with diagnoses which included anxiety, depression and bi-polar (manic and depressive episodes) disease. R15's MDS also identified R15 received antipsychotic, antianxiety, antidepressant and opioid medications. R15's care plan revised 7/29/26, identified R15 had alterations in behavior, mood concerns, and history of psychiatric hospitalizations. R15 had aftercare following joint replacement surgery. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.52% | 1.72× |
| 2024 | 0.16% | 0.41× |
| 2025 | 0.43% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota 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