Based on observation, interview, and record review, the facility failed to maintain resident's wheelchair in a clean and sanitary condition for 1 of 1 resident (R8) reviewed for environment.Findings include:R8's significant change Minimum Data Set (MDS), dated [DATE], identified R8 had severe cognitive impairment and required assistance with activities of daily living (ADLs). R8's diagnoses included Alzheimer's disease, non-Alzheimer's dementia, arthritis, and seizure disorder.On 9/8/26 at 2:34 p.m., R8's wheelchair seat and frame contained visible brown and white dried, food-like debris. …
F584 citations in Minnesota
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F584 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F584 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 hallways, stairs, and main Livingroom carpet, the upstairs bathroom tiled floors, the dining room vinyl floors, the main bathroom, and furniture were kept in a clean and sanitary manner. Additionally, the facility failed to provide maintenance services to bathroom piping and kitchen windows that had peeling paint, dining room vinyl floors that were peeling up from the floor, and plastic baseboard siding in the bathroom peeling from the wall. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 1.03% | 0.46× |
| 2024 | 1.34% | 0.63× |
| 2025 | 1.13% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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