F684 in Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F684 more often than its own record predicts
Versus expected share1.36×
1.36 times the share F684 takes of citations nationally.
Share of Minnesota citations5.86%
Of every deficiency written in Minnesota in 2025, this is the portion that was F684.
Minnesota5.86%
National4.30%
Share of all citations that were F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F684 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.
J · Immediate jeopardy, isolatedJune 12, 2026
Based on interview and document review, the facility failed to verify and obtain on admission a resident's need for bipap (bilevel positive airway pressure machine which delivers pressurized air through a mask over the nose or mouth to provide improvement in breathing) equipment and failed to notify the provider after prescribed breathing interventions were ineffective for 1 of 1 resident (R90) reviewed for hospitalization. This resulted in an Immediate Jeopardy situation when R90 continued to have respiratory decompensation leading to the need for transfer to the emergency room, intubation, and admission to the intensive care unit. The IJ began on 6/4/26, when R90 was hospitalized , intubated, and admitted to the intensive care unit. …
Based on interview and document review, the facility failed to complete neurological assessments as indicated after a head injury sustained during a resident-to-resident altercation for 1 of 1 resident (R1) who sustained a significant head injury. R1 suffered actual harm resulting in a subdural hematoma (a collection of blood between the brain and its outer covering) and was sent to emergency department and returned on hospice care. Findings include: R1's July medication administration record (MAR) dated [DATE] through [DATE], indicated he received his scheduled Tylenol order for 1000 milligrams (mg) at 8:00 a.m. and 8:00 p.m. In addition, R1 had an order for additional as needed (PRN) Tylenol 1000 mgs once a day for pain but, no additional doses were given from [DATE] through [DATE]. …
E · No harm, potential for more than minimal, patternSeptember 11, 2026
Based on interview and record review, the facility failed to administer long-acting insulin at consistent times according to the manufacturer's instructions and short-acting insulin prior to meals in accordance with professional standards for 1 of 1 resident (R46) reviewed for insulin use. In addition, the facility failed to provide necessary care and services in accordance with physician orders and residents' assessed needs when the facility failed to implement and monitor a physician-ordered fluid restriction for 1 of 1 resident (R13) reviewed for fluid restriction, implement physician-ordered interventions for edema management for 2 of 2 residents (R13, R4) reviewed for edema, and administer medication in accordance with the physician's order for 1 of 1 resident (R107) reviewed for… …
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