Based on interview and document review, the facility failed to notify the designated State Mental Health Authority (SMHA) for 1 of 1 sampled resident (R8) who had a mental illness diagnosis not identified on the Pre admission Screen (PAS). Findings include: R8's 5/23/26, accepted quarterly Minimum Data Set (MDS) assessment identified her cognition was intact and she did not display any behaviors during the assessment period. R8 had a diagnosis of bipolar disorder (a mental health condition characterized by significant mood swings). R8's Pre admission Screen (PAS) level I completed on 10/09/2020, indicated R8 did not have a diagnosis of bipolar disorder or other mental illness, and a level II assessment was not required. …
F644 citations in Minnesota
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F644 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F644 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 | 0.52% | 0.72× |
| 2024 | 0.24% | 0.37× |
| 2025 | 0.31% | 0.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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