F659 in Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F659 more often than its own record predicts
Versus expected share2.00×
2.00 times the share F659 takes of citations nationally.
Share of Minnesota citations0.08%
Of every deficiency written in Minnesota in 2025, this is the portion that was F659.
Minnesota0.08%
National0.04%
Share of all citations that were F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F659 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.
D · No harm, potential for more than minimal, isolatedFebruary 12, 2026
Based on observation, interviews and document review the facility failed to have an appropriately trained staff member assist a resident with meals. This affected 1 of 4 (R24) residents reviewed for dining services.Findings include:R24's annual Minimum Data Set (MDS) assessment dated [DATE] indicated severe cognitive impairment. Diagnoses included dementia and Alzheimer's.R24's care plan revised on 8/11/25 indicated an activity of daily living (ADL) self-care performance deficit along with a cognitive deficit.During an observation on 2/09/26 at 12:28 p.m., cook (C)-A was assisting R24 to eat lunch. After C-A gave R24 four bites of food, C-A walked away to tend to something else. …
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