F580 in Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F580 more often than its own record predicts
Versus expected share1.26×
1.26 times the share F580 takes of citations nationally.
Share of Minnesota citations1.86%
Of every deficiency written in Minnesota in 2025, this is the portion that was F580.
Minnesota1.86%
National1.48%
Share of all citations that were F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F580 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.
J · Immediate jeopardy, isolatedOctober 29, 2021
Based on interview and document review, the facility failed to identify, intervene and notify the physician for 1 of 1 resident (R22) with a significant medical decline requiring immediate medical assessment. The facility's failure resulted in R22 being sent from the facility via ambulance (EMS) to a local hospital and immediately transfered to a regional hospital for a higher level of care (ICU). R22 succumbed to his illness and later died .
The IJ began on [DATE], when R22's decline began to occur and staff failed to identify abnormally low oxygen saturations (SpO2), causing R22 to become hypoxic (lack of oxygen in blood). …
Based on observation, interview and document review the facility failed to notify the medical provider for guidance for 1 of 3 residents (R1) who sustained a head injury following a fall, who was on [MEDICATION(S)] (a blood thinner) and was complaining of a headache reviewed for falls. The facility's failure to contact the physician timely resulted in actual harm for R1 who required hospitalization and was diagnosed with C1-C2 fractures.
The findings include:
R1's quarterly Minimum Data Set (MDS) dated [DATE], indicated R1 was severely cognitively impaired and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . …
D · No harm, potential for more than minimal, isolatedSeptember 23, 2026
Based on interview and document review, the facility failed to notify the physician for elevated blood sugar for 1 of 5 residents (R2) who was reviewed for unnecessary medications. Findings Include:R2's admission Minimum Data Set (MDS) dated [DATE], identified R2 had severe cognitive impairment with diagnoses which included: Alzheimer's disease, diabetes mellitus and arthritis. R2's MDS identified R2 required substantial maximal assistance with transfers, walking and dressing. R2 received insulin. R2's Care Plan dated 9/22/26, identified R2 had self-care deficit related to compression fracture, diabetes, Alzheimer's, dementia and chronic pain. Assist of one with grooming, dressing and bathing. Nails would be cut by nursing department. …
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