Based on observation, interview, and record review, the facility failed to provide licensed nursing staff on a 24 hour basis for 8 days in the first quarter of fiscal year 2024. Findings include: The facility's certification and survey provider enhanced report (CASPER) identified 20 days between October 1st 2023 and December 31st 2023 when there was no licensed nursing staff in the facility. During interview on 5/17/24 at 10:52 a.m., director of nursing (DON) stated the facility was staffed well now and the gaps in the CASPER were a result of their payroll software not working correctly. …
F731 citations in Minnesota
Nursing and Physician Services Deficiencies
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Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Minnesota cites F731 more often than its own record predicts
23.97 times the share F731 takes of citations nationally.
Of every deficiency written in Minnesota in 2024, this is the portion that was F731.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F731 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.
What else Minnesota surveyors cite →
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