Based on interview and document review, the facility failed to ensure the provider performed a comprehensive review of medications at each provider visit for 1 of 1 residents (R4) reviewed for provider visits. The facility failure to ensure the attending physician provided a comprehensive review of R4's medications resulted in R4 not receiving orders for and being administered [MEDICATION(S)] (anti-[CONDITION(S)] medication) for a period of 6 months which resulted in harm when R4 experienced breakthrough seizures at the facility and was hospitalized for seizures. Findings include: R4's quarterly Minimum Data Set (MDS) dated [DATE], indicated R4 was severely cognitively impaired. …
F711 citations in Minnesota
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F711 less often than its own record predicts
0.63 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F711.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F711 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 a complete medical record was maintained to include the physician reviewed orders, treatments and care plans during routine visits for 1 of 2 residents (R7) reviewed during medication administration. Findings include: R7's undated Resident Face Sheet identified admitted [DATE]. Diagnoses included epilepsy, diabetes, pain, autistic disorder, fibromyalgia and chronic kidney disease. R7's Physician Order Report dated 10/7/24 to 1/7/25, lacked complete orders. The signed physician order report identified 12 ordered medications on page one and two of the documents. Of the 12 orders, only nine were legible as the document had faded and incomplete printed areas over the pages. …
Based on interview and document review, the facility failed to ensure a complete medical record was maintained to include the physician progress notes during routine visits for 4 of 14 residents (R2, R10, R32, R39) reviewed in the sample .Findings include:R2's quarterly Minimum Data Set (MDS) dated [DATE], identified R2 was cognitively intact and had diagnoses that included atrial fibrillation (irregular heartbeat), major depressive disorder, morbid obesity and lymphedema (tissue swelling).R2's medical record identified an Order Summary Report signed by R2's physician and dated 9/3/24. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.61× |
| 2025 | 0.08% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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