Based on observation, interview and document review, the facility failed to train staff and consistently implement a communication board for 1 of 1 resident (R40) reviewed who was dependent on an alternative means of communication to communicate care needs, share feelings and socialize. This resulted in harm for R40 who suffered emotional distress, and cried when describing how staff failed to allow her an opportunity to communicate in a meaningful manner. Findings include: On 4/15/19 at 4:50 p.m., R40 requested to be interviewed by the surveyor. Due to R40 requiring assistance with communication, registered nurse (RN)-C was asked who would best be able to help provide a method of alternative communication. …
F676 citations in Minnesota
Activities of daily living · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F676 more often than its own record predicts
2.88 times the share F676 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F676.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F676 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 observation, interview, and document review, the facility failed to provide the necessary assistance with activities of daily living (ADL) to maintain oral hygiene for 1 of 1 resident (R36) reviewed for ADL assistance. Findings include:R36's face sheet provided on 8/5/26, included diagnoses of malignant neoplasm (cancerous tumor) of right bronchus or lung, and palliative care (specialized medical care during serious illness).R36's admission Minimum Data Set (MDS) assessment dated [DATE], indicated moderately impaired cognition, clear speech, could understand and be understood. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 1.03% | 2.92× |
| 2024 | 0.39% | 1.09× |
| 2025 | 0.85% | 2.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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