Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F585 in Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F585 more often than its own record predicts
Versus expected share1.45×
1.45 times the share F585 takes of citations nationally.
Share of Minnesota citations0.93%
Of every deficiency written in Minnesota in 2025, this is the portion that was F585.
Minnesota0.93%
National0.64%
Share of all citations that were F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F585 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.
D · No harm, potential for more than minimal, isolatedSeptember 16, 2026
Based on interview and document review, the facility failed to investigate, document, and track resolution of a resident grievance regarding resident (R13) entering their room and going through their belongings for 6 of 6 resident (R4, R10, R11, R15, R24, R25) reviewed for grievances.Findings include:R13R13's quarterly Minimum Data Set (MDS) dated [DATE], identified R13 had severe cognitive impairment and diagnoses that included Alzheimer's disease and dementia. R13 exhibited wandering daily. R13 used a bed alarm and a wander/elopement alarm.R13's Cognitive Loss/Dementia Care Area Assessment (CAA) dated 11/21/25, identified R13 had dual dx of Alzheimer's disease and dementia. …
C · No harm, potential for minimal, widespreadJuly 15, 2026
Based on observation, interview and document review, the facility failed to ensure grievance forms and procedures were posted in prominent locations throughout the facility for residents and resident representatives to file grievances, and anonymously if desired for 3 of 3 (R10, R28, R42) resident council members interviewed. This had the potential to affect all 52 residents who resided in the facility. Findings include:On 7/14/26 at 11:00 a.m., a resident council meeting was held with three residents which included R10, R28 and R42. During the resident council meeting, all three residents indicated they were not aware how to file a grievance. …
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