Based on observation, interview, and document review, the facility failed to ensure that residents requiring assistance with eating were provided services by qualified staff for 1 of 1 residents (R47) reviewed requiring a mechanically altered diet.Findings include: R47's quarterly Minimum Data Set (MDS), dated [DATE], indicated R47 had severe cognitive impairment and was dependent on staff for assistance with eating. The MDS indicated R47 was on a mechanically altered diet and utilized a feeding tube.R47's care plan dated 7/2/25, indicated R47 required assistance from staff with eating. R47's speech therapy discharge note dated 10/7/25, indicated R47 had a diagnosis of dysphagia, respiratory failure, and a traumatic brain injury. …
F811 citations in Minnesota
Nutrition and Dietary Deficiencies
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F811 more often than its own record predicts
7.89 times the share F811 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F811.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F811 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 |
|---|---|---|
| 2024 | 0.08% | 7.38× |
| 2025 | 0.12% | 7.89× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction