Based on interview and document review, the facility failed to sufficiently prepare for discharge 1 of 2 residents (R57) reviewed for discharge. R57 was sent home without sufficient home care services, which led to emergency services assisting her twice and resulting in transfer to the emergency department and hospital readmission.Findings include:R57's face sheet printed 3/3/26, indicated admission date of 12/24/25, diagnoses of malignant neoplasm of parts of nervous system (cancer), repeated falls, muscle weakness, and schizoaffective disorder, and a previous stay in the facility from 11/13/25 through 12/12/25.R57's care plan revised 1/13/26, indicated risk for falls, limited to extensive assistance for dressing, independent for eating, extensive assistance for personal hygiene and… …
F627 citations in Minnesota
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F627 less often than its own record predicts
0.75 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F627 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 interview and document review, the facility failed to ensure 2 of 3 sampled residents (R39 and R40) had a recapitulation of stay describing the resident's course of treatment while residing in the facility and included, but not limited to, their diagnoses, course of illness, treatment, and/or therapy, and pertinent lab, radiology, and consultation results, including any pending lab results. Findings include: R39's face sheet identified she was admitted to the facility in December 2023 and discharged [DATE]. …
What else Minnesota surveyors cite →
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