Based on observation, interview and document review, the facility failed to ensure residents had accessible access to previous State survey results for 8 of 8 residents (R4, R14, R22, R26, R45, R46, R52, R54) reviewed for resident council.Findings include:On 8/18/26 at 10:00 a.m., during resident council meeting, the following residents were in attendance:R4's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated moderately impaired cognition, clear speech, could usually understand and be understood. R4 was dependent upon staff for mobility in a wheelchair.R14's quarterly MDS assessment dated [DATE], indicated severe cognitive impairment, clear speech, could understand and be understood. …
F577 citations in Minnesota
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F577 more often than its own record predicts
4.97 times the share F577 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F577.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F577 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 the plan of correction (POC) for the most recent survey of the facility was readily accessible and that the POC for the two preceding years was available upon request. This had the potential to affect all 36 residents residing in the facility as well as family, visitors, and staff.Findings include:During observation and record review on 9/9/26 at 7:18 a.m., a review of the survey results folder located on a bulletin board near the first-floor entrance to the facility was completed. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 1.75× |
| 2024 | 0.35% | 1.88× |
| 2025 | 1.01% | 4.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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