Based on interview and document review, the facility failed to notify the ordering physician of x-ray results, which revealed newly identified fractures, in a timely manner for 1 of 3 residents (R1) reviewed. Findings included: R1's annual Minimal Data Set (MDS) dated [DATE], indicated R1's had a diagnosis of severe vascular dementia with anxiety and mood disturbance. R1's Progress Notes revealed the following: -On 7/15/24 @ 12:17 p.m., R1 reported he fell overnight last night in his bathroom, however, was unable to describe the fall, if he was using an assistive device, and how he got up off the floor. R1 reported pain in his ribs on the left side but no skin alterations were noted at the time. Physician updated and staff requested an x-ray for the left side ribs. …
F777 citations in Minnesota
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Minnesota cites F777 more often than its own record predicts
1.37 times the share F777 takes of citations nationally.
Of every deficiency written in Minnesota in 2024, this is the portion that was F777.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F777 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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