Based on interview and document review, the facility failed to provide timely results of x-rays services for 3 of 3 residents (R1, R2, R3) reviewed for timely diagnostic services. Findings include: R1's significant change Minimum Data Set (MDS) dated [DATE], indicated R1 had diagnosis of Alzheimer's disease. R1's MDS indicated R1 had severe cognitive impairment with memory loss and a history of falls. R1's care plan dated 12/10/24, indicated R1 had a history of falls. On 1/7/25 at 4:46 a.m., a progress note indicated R1 had an unwitnessed fall with a 1.5 centimeter (cm) x 1.5 cm laceration noted to the left side of her head. On 1/8/25 at 9:41 a.m., a progress note indicated R1 had swelling to her left forearm. R1 was observed to use her left hand less than usual. …
F776 citations in Minnesota
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F776 more often than its own record predicts
1.03 times the share F776 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F776.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F776 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 | 0.06% | 1.34× |
| 2024 | 0.04% | 0.69× |
| 2025 | 0.04% | 1.03× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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