Based on interview and document review the facility failed to develop and implement a baseline care plan to properly communicate with 1 of 3 residents (R4) reviewed for baseline care plan. Findings include: R4's admission Minimum Data Set (MDS) dated [DATE], indicated intact cognition, Vietnamese race, and English as the primary language. R4's diagnoses included heart failure, kidney disease, diabetes, depression, and bilateral below the knee amputations. R4's care plan dated 4/29/26, indicated no cultural preferences with an intervention to review cultural preferences quarterly and as needed. The care plan did not identify how to communicate with R4, that Vietnamese was R4's preferred language, or to provide information in a language R4 understood. …
F655 citations in Minnesota
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F655 more often than its own record predicts
1.07 times the share F655 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F655 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 | 0.19% | 0.24× |
| 2024 | 0.63% | 0.91× |
| 2025 | 0.70% | 1.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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