Based on observation, interview, and document review, the facility failed to ensure a shared blood glucometer (device to test blood sugar levels) was cleaned and disinfected properly between resident use to prevent transmission of bloodborne pathogens for 2 of 2 residents (R33, R38,) and failed to properly disinfect a blood glucose monitor following use with R31 and prior to placing on shelf at nursing station for use with other residents reviewed for shared use of medical equipment. This practice resulted in an immediate jeopardy (IJ) situation for R38 due to the risk of potential transmission of blood borne pathogens from R33 to R38. …
F880 citations in Minnesota
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F880 more often than its own record predicts
1.27 times the share F880 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F880 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 implement their Water Management Plan to Reduce Legionella Growth and Spread resulting in harm to 1 of 3 residents (R1) reviewed for respiratory infections who developed legionella pneumonia, became very ill and was hospitalized . Findings Include: Review of face sheet, with run date of 4/25/19, indicated R1 was admitted to the facility on [DATE], with [DIAGNOSES REDACTED]. R1's care plan included problem areas of: impaired physical mobility requiring assist of one for transfers and ambulation; alteration in bathing/grooming/dressing requiring assist of one to dress; request for physical and occupational therapy to evaluate and treat beginning 4/15/19. On 4/16/19, a [DIAGNOSES REDACTED]. …
Based on observation, interview and record review, the facility failed to use the required personal protective equipment (PPE) for 1 of 2 residents (R15) who required Enhanced Barrier Precautions (EBP) and failed to ensure sanitization of mechanical lifts were completed between resident use 1 of 2 residents (R91) reviewed who required mechanical lifts for mobility. Furthermore, the facility failed to ensure hand hygiene was completed for 1 of 1 residents (R8) observed during wound and personal cares. Finding include: EBP R15's quarterly Minimum Data Set, dated [DATE], indicated R15 was cognitively intact and required set up for eating and oral hygiene. R15 was dependent on staff for toilet transfers and lower body dressing and substantial assist for upper body dressing. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 6.90% | 1.34× |
| 2024 | 7.68% | 1.36× |
| 2025 | 7.84% | 1.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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