Based on interview and document review, the facility failed to ensure 1 of 1 resident (R59) had the right to choose his bathing schedule according to his preference. Findings include: Interview on 8/17/26 at 4:42 p.m., with R59 identified he had not received a bath since he arrived to the facility. He was informed by the nursing staff that he was to wait until the following Saturday (8/22/26), as scheduled. He had informed the nursing staff that he preferred to have a bath every 3 days and felt ignored when nursing staff did not provide him a bath when requested. R59's undated, current admission list identified R59 was admitted [DATE]. R59's 8/15/26 at 4:35 a.m., admission progress note identified he was admitted from an out of state hospital with a left ankle fracture from a fall at home. …
F561 citations in Minnesota
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F561 more often than its own record predicts
1.82 times the share F561 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F561 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 | 0.84% | 1.60× |
| 2024 | 0.51% | 1.24× |
| 2025 | 0.70% | 1.82× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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