Based on observation, interview, and document review, the facility failed to provide trauma informed care including failure to complete a comprehensive assessment that identified triggers in order to eliminate or mitigate the risk of re-traumatization for 1 of 1 resident (R2) who had a known history of trauma prior to admission. The facility's failures resulted in actual psychosocial harm for R2 when R2 was involved in two resident to resident abuse incidents that caused R2 ongoing fear and aggressive reactions that were uncharacteristic of R2. …
F699 citations in Minnesota
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F699 more often than its own record predicts
2.59 times the share F699 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F699.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F699 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 ensure a comprehensive assessment was completed related to a diagnosis of Post Traumatic Stress Disorder (PTSD) to identify and mitigate potential triggers for 1 of 2 residents (R1) reviewed for trauma-informed care.Findings include:R1's Cognitive Loss/Dementia Care Area Assessment (CAA) dated 11/29/25, identified R1 opened up about her history of abuse from her past boyfriends/husbands. This was confirmed to be true. R1 discussed how it went on for many years. She explained that she has dyslexia (lifelong learning difference that affects how the brain processes written and spoken language), and her family often saw her as being less than due to her learning disability. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.45% | 1.99× |
| 2024 | 0.55% | 1.72× |
| 2025 | 0.85% | 2.59× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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