F658 in Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F658 less often than its own record predicts
Versus expected share0.37×
0.37 times the national share — cited less often here than elsewhere.
Share of Minnesota citations0.66%
Of every deficiency written in Minnesota in 2025, this is the portion that was F658.
Minnesota0.66%
National1.78%
Share of all citations that were F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F658 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.
G · Actual harm, isolatedNovember 18, 2024
Based on observation, interview and document review the facility failed to identify a significant change in condition and provide timely medical intervention for 1 of 1 resident (R33) who had increasing, significant weight gain and other symptoms consistent with congestive heart failure (CHF) exacerbation. This resulted in actual harm for R33 when physician orders were not followed and appropriate, timely interventions for significant weight gain were not implemented. R33 was eventually admitted to the local hospital for IV diuretics (medication to remove fluid from the body) caused by CHF exacerbation. …
D · No harm, potential for more than minimal, isolatedSeptember 10, 2026
Based on observation, interview and document review, the facility failed to follow standards of practice related to indwelling urinary catheter orders for 1 of 1 resident (R7) observed to use an indwelling urinary catheter.Findings include: R7's significant change Minimum Data Set (MDS) dated [DATE], identified R7 had a severe cognitive impairment and diagnoses that included benign prostatic hyperplasia (BPH)(an enlarged prostate), Alzheimer's disease, dementia and malignant neoplasm of the prostate (prostate cancer). …
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