Based on interview and document review the facility failed to readmit a resident (R1) to return to the facility after a transfer to the attached hospital emergency department (ED) for an increase in R1's behaviors for the third time in less than 24 hours. The facility would not allow R1 to return to the facility even though R1 was deemed medically stable, and the facility was able to meet the needs of the resident as identified by their facility assessment. Findings include: R1's after visit summary (AVS), dated 10/10/23, indicated on 9/26/23 R1 was admitted for a stroke and presented with altered mental status. During the hospital course on 9/27/23, R1 pulled out her nasogastric (NG) tube, restraints were placed and R1 improved but struggled with following and understanding commands. …
F626 citations in Minnesota
Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Minnesota cites F626 more often than its own record predicts
1.09 times the share F626 takes of citations nationally.
Of every deficiency written in Minnesota in 2023, this is the portion that was F626.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F626 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.
What else Minnesota surveyors cite →
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