Based on interview and record review the facility failed to ensure hospital physician's discharge orders for a follow-up appointment with urology was scheduled upon admission from hospital and completed for all necessary care for Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE], identified he re-entered facility on 12/15/24, from a critical access hospital. He had severely impaired cognition, no behaviors, impaired mobility, and required substantial/maximum assistance with bathe/shower, all transfers, upper body dressing, roll left and right, sit to lying, lying to sit, and sit to stand. R1 was dependent for toileting and personal hygiene, and unable to ambulate. He had an indwelling urinary catheter and frequently incontinent of bowel. …
F635 citations in Minnesota
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F635 less often than its own record predicts
0.70 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F635 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.
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 1.01× |
| 2025 | 0.04% | 0.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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