Based on interview and document review, the facility failed to ensure a level I Pre-admission Screening (PAS) and, if needed, a Level II Pre-admission Screening and Resident Review (PASSAR) was completed to screen for mental health needs for 1 of 1 resident (R3) reviewed for PASSAR. Findings include: R3's quarterly Minimum Data Set (MDS) dates 8/23/26, indicated R3 was admitted to the facility on [DATE] and had moderated cognitive impairment. R3's Clinical Medical Diagnosis report dated 9/2/26 indicated diagnoses of cerebral infarction (stroke), hemiplegia affecting left non-dominant side, major depressive disorder, adjustment disorder with mixed anxiety and depressed mood, alcohol dependence, cocaine abuse, suicidal ideations, anxiety disorder, border personality disorder, schizoaffective… …
F645 citations in Minnesota
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F645 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 F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F645 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 required Level I and/or Level II pre-admission screening(s) (PAS) were completed and/or clarified for 1 of 1 residents (R16) reviewed for pre-admission screening and resident review (PASARR). Findings include: R16's admission Minimum Data Set (MDS) dated [DATE], identified R16 had no hallucinations or delusions and required assistance with her activities of daily living (ADLs). R16 diagnoses included bipolar disease (a mental health condition that causes extreme mood swings that include emotional highs), psychotic disorder with delusions, depression, anxiety disorder, chronic obstructive pulmonary disease (a chronic inflammatory lung disease that causes obstructed airflow from the lungs), diabetes, renal insufficiency… …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.64% | 1.11× |
| 2024 | 0.32% | 0.49× |
| 2025 | 0.43% | 0.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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