Based on interview and document review, the facility failed to ensure coordination of mental health care services for 1 of 1 residents (R4) who had a referral to obtain psychiatrist services. Findings include:R4's quarterly Minimum Data Set (MDS) dated [DATE], identified R4 was cognitively intact with diagnoses of borderline personality disorder, post-traumatic stress disorder and major depressive disorder.R4's provider order dated 3/11/26, indicated psychiatry to see R4 next week, social work to get in touch with case manager to expedite transfer to a setting that would support her mental health, also seeking changes to her psychiatric medications due to her increased anxiety, and R4 requested female caregivers. …
F742 citations in Minnesota
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F742 more often than its own record predicts
1.28 times the share F742 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F742.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F742 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.
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.26% | 2.33× |
| 2024 | 0.12% | 0.95× |
| 2025 | 0.16% | 1.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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