F695 in Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F695 less often than its own record predicts
Versus expected share0.55×
0.55 times the national share — cited less often here than elsewhere.
Share of Minnesota citations1.20%
Of every deficiency written in Minnesota in 2025, this is the portion that was F695.
Minnesota1.20%
National2.20%
Share of all citations that were F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F695 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, isolatedJuly 19, 2024
Based on interview and document review the facility failed to timely respond to ventilator alarms for 1 of 3 residents (R1) reviewed for response to ventilator alarms. This resulted in an immediate jeopardy (IJ) for R1 when R1's ventilator alarmed intermittently on [DATE] from 3:19 a.m. to 5:47 a.m., 237 times, for an alarm that indicated high pressure in the ventilator or an obstruction in the ventilation system.
The IJ began on [DATE] at 3:19 a.m., when R1's ventilator alarmed intermittently on [DATE], 237 times between 3:19 a.m., and 5:47 a.m., without staff response. The director of nursing (DON), facility owner, and senior nurse consultant were notified of the IJ on [DATE] at 1:31 p.m. …
Based on interview and document review, the facility failed to follow practitioner orders for 1 of 3 residents (R3) reviewed for respiratory care when R3 was sent to an off-site appointment without oxygen, resulting in a change in her condition requiring hospitalization.The noncompliance that began on 1/27/26 was corrected prior to the start of survey when the facility implemented a corrective action plan on 1/27/26. This is issued in past noncompliance. Findings include:R3's quarterly Minimum Data Set MDS), dated [DATE], indicated she had diagnoses of morbid obesity with alveolar hypoventilation (a condition where breathing is shallow or slow), hypertensive kidney disease, lymphedema (tissue swelling caused by fluid that is usually drained by the body's lymphatic system), atrial… …
D · No harm, potential for more than minimal, isolatedSeptember 11, 2026
Based on interview, and document review, the facility failed to ensure a system was in place to monitor for resident BiPAP (bilevel positive airway pressure, used to assist in delivering oxygen to the body and ridding it of excess carbon dioxide) machine tolerance and intervention effectiveness to reduce the risk of possible complication for 1 of 1 resident (R46) reviewed for BiPAP machine use.Findings include:R46's admission Minimum Data Set (MDS) dated [DATE], indicated R46 had intact cognition and no rejection of care behaviors. The MDS did not include non-invasive ventilation use. …
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