Based on interview and document review, the facility failed to obtain laboratory services as ordered for 1 of 1 resident (R9) reviewed for laboratory services when staff failed to arrange a white blood count (WBC) laboratory draw ordered for 7/10/26 following R9's return from the emergency department (ED).Findings include:R9's annual Minimum Data Set (MDS) dated [DATE], identified R9 had severe cognitive impairment and required maximal assistance with activities of daily living (ADLs). Diagnoses included Alzheimer's disease, history of transient ischemic attack (TIA) and stroke, heart disease and dementia. …
F770 citations in Minnesota
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F770 less often than its own record predicts
0.37 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F770 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 the clinical laboratory improvement amendments (CLIA) waiver was valid. (A CLIA waiver allows a facility to perform point of care testing including but not limited to urine tests, blood glucose tests, or flu tests to be done within a facility.) This had potential to affect all 45 residents that resided in the facility. Findings include: On [DATE], a CLIA waiver was posted by the main entrance of the facility. It was in a black frame picture frame containing two other documents including certificate of occupancy and facility license. The CLIA waiver was effective on [DATE] with an expiration date [DATE]. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 0.58× |
| 2024 | 0.16% | 0.74× |
| 2025 | 0.08% | 0.37× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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