Based on interview and record review the facility failed to include a resident discharge summary that included a reconciliation of all pre-discharge medications with resident's post-discharge medication (both prescribed and over-the-counter) at discharge for seven of ten residents (R1, R2, R5, R6, R7, R9, and R12). R1 received R2's Mirtazapine (a medication to treat depression) at discharge. Findings include: According to the State Operations Manual, Appendix PP - Guidance to Surveyors for Long Term Care Facilities, revised and issued 8/8/24: -Reconciliation of Medications: A process of comparing pre-discharge medications to post-discharge medications by creating an accurate list of both prescription and over the counter medications that includes the drug name, dosage, frequency, route,… …
F661 citations in Minnesota
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Minnesota cites F661 more often than its own record predicts
1.03 times the share F661 takes of citations nationally.
Of every deficiency written in Minnesota in 2024, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F661 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 a comprehensive discharge summary was provided at the time of discharge for 1 of 1 resident (R34) reviewed for closed records. Findings include: R34's admission Minimum Data Set (MDS) dated [DATE], indicated R34 was cognitively intact and needed extensive assistance with transfers, dressing, toilet use, and personal hygiene, limited assistance with bed mobility, and was independent with eating. R34's diagnoses included fracture of left femur, heart failure, hypertension, difficulty walking, weakness, dysphagia, and hearing loss. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 1.00× |
| 2024 | 0.24% | 1.03× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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