F760 in Minnesota. Pick another state for the same tag.
Against expectation — 2025
Minnesota cites F760 more often than its own record predicts
Versus expected share1.10×
1.10 times the share F760 takes of citations nationally.
Share of Minnesota citations1.44%
Of every deficiency written in Minnesota in 2025, this is the portion that was F760.
Minnesota1.44%
National1.30%
Share of all citations that were F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F760 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, isolatedMay 4, 2026
Based on interview and record review, the facility failed to ensure that residents were free from a significant medication error for 1 of 3 residents (R1) reviewed for medication errors. The facility's failure to ensure accurate transcriptions and available medication resulted in Immediate Jeopardy for R1 who was administered 39 incorrect and insufficient doses of lactulose (a medication that reduces ammonia levels in the blood) resulting in new onset of seizures, severe hyperammonemia and hospitalization.The IJ began on 4/3/26 when R1 did not receive six doses of scheduled lactulose because the medication was not available. …
Based on interview and document review, the facility failed to ensure steroid medication was given in accordance with physician orders for 1 of 3 residents (R1) reviewed. R1 had a history of long-term steroid use and multiple complex medical conditions. R1 had orders from the hospital for prednisone (a steroid medication) which were not correctly transcribed into the care center record (EMR) causing at least one missed dose. This error contributed to R1 developing an adrenal crisis and being hospitalized which constitutes actual harm. However, the facility took corrective actions on 7/24/26 prior to the onsite investigation, so these findings are issued at past non-compliance (PNC). …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on observation, interview and document review, the facility failed to ensure medications were administered in accordance with prescriber orders, resulting in significant medication errors for 3 of 3 residents (R4, R5, R6) reviewed for medication administration.Findings include: R4R4's annual Minimum Data Set (MDS) dated [DATE], identified R4 had intact cognition. R4's medical diagnoses include progressive neurological conditions, Parkinson's, anemia (low iron), thyroid disorder, anxiety, depression, and malnutrition. R4's orders identified:Ensure 6 ounces (oz) once a day. Special instructions: Please ensure resident drinks supplement don't just leave on table in room. May give flavor of choice. Scheduled time: 6:30 a.m. - 10:30 a.m. …
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