Based on interview and document review, the facility failed to ensure a discharge return anticipated (DRA) Minimum Data Set (MDS) was transmitted for 1 of 3 residents (R42) and a discharge return not anticipated (DRNA) MDS was transmitted for 1 of 1 residents (R8), to the Centers for Medicare and Medicaid (CMS) reviewed for no MDS record in 120 days.Findings include: R42's admission MDS dated [DATE], indicated R42 had a discharge- return anticipated and it was unplanned. The MDS indicated the assessment was completed but did not indicate the assessment was submitted to CMS. The MDS included under the submit section, do not submit to CMS. R42's Census listing dated 12/11/25, indicated R42 admitted to the nursing home on [DATE], and their status changed to STOP BILLING on 12/11/25. …
F640 citations in Minnesota
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F640 less often than its own record predicts
0.40 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F640 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 a subset (i.e., discharge) Minimum Data Set (MDS) was completed and transmitted to the Centers for Medicare and Medicaid (CMS) database in a timely manner for 3 of 5 residents (R58, R62, R30) reviewed for MDS accuracy. Findings include: The CMS Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated 10/2023, identified all applicable MDS along with their completion and transmission dates required. This included, Discharge Assessment - return not anticipated, listed with a transmission date of, MDS Completion Date + 14 calendar days. R58 R58's Census List, printed 4/15/25, identified R58's status and location (i.e., room) within the care center for the entire duration of his stay. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 0.33× |
| 2024 | 0.08% | 0.24× |
| 2025 | 0.12% | 0.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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