F600 in Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F600 less often than its own record predicts
Versus expected share0.40×
0.40 times the national share — cited less often here than elsewhere.
Share of Minnesota citations1.05%
Of every deficiency written in Minnesota in 2025, this is the portion that was F600.
Minnesota1.05%
National2.61%
Share of all citations that were F600.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F600 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, isolatedJuly 20, 2026
Based on observation, interview, and document review, the facility failed to develop and implement effective interventions to prevent resident-to-resident physical abuse for 3 of 3 residents (R1, R2, and R3) reviewed for abuse. This resulted in the likelihood of serious harm, injury, or death when on 7/9/26 R1 wandered into R2's room and began choking R2, requiring staff intervention to separate the residents. After, R1 continued to exhibit wandering behaviors and on 7/15/26 R1 wandered into R3's room and the two exchanged punches before staff could intervene. These findings constituted an Immediate Jeopardy (IJ) situation. …
Based on observation, interview, and document review, the facility failed to monitor and develop additional person-centered care plan interventions to protect a resident's right to be free from physical abuse for 1 of 4 residents (R1) resulted in actual harm when R1 who had dementia, hallucinations, agitation, and a habit of wandering into other residents' rooms on eight different occasions leading to resident-to-resident altercations. During the eighth incident, R1 suffered a Subdural Hematoma (a serious condition where blood collects between the layers of the brain after a head injury.) The severity of the injury resulted in the inability to walk, feed himself, and needed total care from staff. His prognosis was poor and required end of life hospice care. …
D · No harm, potential for more than minimal, isolatedJuly 22, 2026
Based on observation, interview and document review the facility failed to protect residents' rights to be from verbal abuse, mental abuse and neglect when cook-A verbally threatened R2 and R3, and when the facility lacked administrative supervision of staff performance. Findings include:R2R2's quarterly Minimum Data Set (MDS) dated [DATE], indicated she had diagnoses of post-traumatic stress disorder (PTSD), anxiety and her cognition was intact.R2's care plan dated 2/16/26, indicated she had diagnoses of borderline personality disorder, depression and diabetes. It directed to encourage resident to express feelings, allow her time to talk and discuss concerns, fears, or issues regarding health or other subjects. …
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