Based on observation, interview, and document review the facility failed to provide a dignified experience for 1 of 2 residents (R20) who was receiving medications. Findings include: R20's annual Minimum Data Set (MDS) dated [DATE], indicated severely impaired cognition, inattention, disorganized thinking, verbal behaviors toward others and other behavioral symptoms. It further included diagnoses of dementia (severe with psychotic disturbance), visual hallucinations, general anxiety disorder, post-traumatic stress disorder (PTSD), and delusional disorder. …
F557 citations in Minnesota
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F557 less often than its own record predicts
0.82 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F557.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F557 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.
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.25× |
| 2024 | 0.08% | 0.30× |
| 2025 | 0.19% | 0.82× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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