Based on observation, interview and document review the facility failed to ensure a resident received appropriate interventions to prevent contractures for a resident who was admitted to the care facility without contractures (permanent shortening of tissue, such as muscle, tendon or skin leading to the inability to straighten joints fully and to permanent deformity and disability) for one of two residents (R20) reviewed for range of motion. This resulted in actual harm when R20 developed severe contractures of bilateral upper and lower extremities. Findings include:R20s significant change Minimum Data Set (MDS), dated [DATE], indicated R20 was admitted to the care facility on 3/20/19. The MDS indicated R20 was not on any range of motion or restorative nursing programs. …
F688 citations in Minnesota
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F688 more often than its own record predicts
1.61 times the share F688 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F688 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 range of motion (ROM) exercises were completed as planned for 2 of 2 residents (R8, R101) reviewed for ROM.Findings include:R8R8's significant change Minimum Data Set (MDS), dated [DATE], identified R8 had severe cognitive impairment and required assistance with activities of daily living (ADLs). R8's diagnoses included Alzheimer's disease (a progressive disease that affects memory and thinking), arthritis (inflammation or degeneration of the joints that can cause pain, stiffness, and decreased joint movement), non-Alzheimer's dementia (a decline in memory, thinking, and the ability to perform daily activities from causes other than Alzheimer's disease), and seizure disorder (a condition that causes recurrent… …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 1.48% | 1.61× |
| 2024 | 1.57% | 1.77× |
| 2025 | 1.28% | 1.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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