Based on interview and documentation review the facility failed to notify the medical provider of a change of condition for 1 of 3 residents (R1) reviewed when R1 reported to the nurse she was not eating or drinking because it hurts my intestine and rectum, and she had loose stools, staff notified the provider three days later. Findings include: R1's annual Minimum Data Sheet (MDS) dated [DATE], indicated she had no cognitive impairment, behaviors, or rejection of care. She used a walker independently and continent of bowel and urine. She did not have a risk for skin impairment or wounds. Her care areas triggered activities of daily living (ADLSs), and nutrition. …
F646 citations in Minnesota
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Minnesota cites F646 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2024, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F646 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.
What else Minnesota surveyors cite →
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