Based on interview and document review, the facility failed to ensure timely completion of a required annual Minimum Data Set (MDS) assessment for 1 of 1 resident reviewed (R7), which had the potential to result in inaccurate assessment data and/or improper care planning.Findings include:R7's most recent MDS assessment, a quarterly assessment dated [DATE], was reviewed. Based on the assessment schedule, an annual MDS assessment was required to be completed following the 12/2/25 quarterly assessment.R7's electronic medical record (EMR) and MDS assessments lacked evidence the required annual MDS assessment was completed within the federally required timeframe. …
F636 citations in Minnesota
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F636 more often than its own record predicts
1.09 times the share F636 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F636 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 | 0.32% | 0.82× |
| 2024 | 0.47% | 1.62× |
| 2025 | 0.27% | 1.09× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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