Based on observation, interview, and document review, the facility failed to consistently include the facility census on the daily nurse staff posting. This had the potential to affect all 60 current residents, their families and visitorsThe facility's Staffing Data Submission Payroll Based Journal (PBJ), noted the facility was triggered for survey review of Low Weekend Staffing and Licensed Nurses for 24 hours per day during the 1st quarter of 2026 for the following dates:Saturday 10/26/25Saturday 11/29/25Saturday 12/13/25Sunday 12/14/25Sunday 12/28/25 In addition, the facility's Staffing Data Submission Payroll Based Journal (PBJ), noted the facility was triggered for survey review of Licensed Nurses for 24 hours per day during the 2nd quarter of 2026 for the following dates:Saturday… …
F851 citations in Minnesota
Staffing data submission · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F851 more often than its own record predicts
3.04 times the share F851 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F851 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 submit accurate and/or complete data for staffing information based on payroll during Quarter 2 2026 (January1-March 31), to the Centers for Medicare Services (CMS), according to specification established by CMS. Findings include:Review of the Payroll Based Journal (PBJ) [NAME] Report 1705D for quarter 2 2026 (January 1-March 31) identified the facility had one star staffing, 4 or more days within the quarter with no Registered Nurse (RN) hours (35 of 90 days), 4 or more days within the quarter with <24 hours/day licensed nurse coverage (66 of 90 days) , and excessively low weekend staffing. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.71% | 3.08× |
| 2024 | 1.02% | 3.50× |
| 2025 | 0.66% | 3.04× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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