Based on interview and document review, the facility failed to consider the views of resident council members and act promptly upon concerns, take action and provide follow-up for 6 of 6 residents (R23, R32, R39, R48 R75, R107) reviewed for resident council. This deficient practice had the potential to affect all 94 residents who resided in the facility. Findings include:R23's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated intact cognition, clear speech, could understand and be understood.R32's quarterly MDS assessment dated [DATE], indicated intact cognition, clear speech, could understand and be understood.R39's quarterly MDS assessment dated [DATE], indicated intact cognition, clear speech, could understand and be understood.R48's annual MDS assessment dated [DATE],… …
F565 citations in Minnesota
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F565 more often than its own record predicts
1.01 times the share F565 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F565 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 assist the resident council in setting up regular meetings. This had the potential to affect 10 of 10 residents (R45, R59, R8, R29, R13, R3, R2, R9, R21, R35) who had attended the last 3 resident council meetings in the facility, an additional 2 residents (R42, R56) who met to discuss resident council, and any other residents who wished to participate. Findings include: Facility provided documentation of the resident council meetings held in the last 6 months. The October 2024 and November 2024 resident council meetings were not scheduled. Meetings were held in September 2024 and December 2024. A meeting was scheduled in January 2025 but was cancelled due to a COVID outbreak. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 1.06× |
| 2024 | 0.12% | 0.38× |
| 2025 | 0.27% | 1.01× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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