Based on interview and document review, the facility failed to implement its antibiotic stewardship protocols for the assessment and monitoring of antibiotic use for 1 of 2 residents (R9) reviewed for antibiotic use. R9 received repeated courses of antibiotics for suspected urinary tract infections (UTIs); however, the facility failed to use its established UTI assessment process and failed to complete, and document required 72-hour antibiotic reassessments to evaluate the continued need, duration, and selection of antibiotic therapy. Findings include:R9's annual Minimum Data Set (MDS) dated [DATE], identified R9 had severe cognitive impairment and required maximal assistance with dressing, grooming and toileting hygiene. R9 was frequently incontinent of bowel and bladder. …
F881 citations in Minnesota
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F881 more often than its own record predicts
1.78 times the share F881 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F881 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 comprehensively initiate an antibiotic stewardship program, which included complete documentation, tracking and analysis of antibiotic (ABX) use within the facility which had the potential to affect all 37 residents residing in the facility. Findings include: During an interview 6/20/19, 11:19 a.m. registered nurse consultant (RNC)-A provided examples of facility infection logs for review. Logs were noted to include resident names, location, type of infection and some culture results, but no other type of testing, such as chest X-rays. Some culture results included the name of an organism, but some simply stated a test was positive. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 1.16% | 2.51× |
| 2024 | 0.63% | 1.41× |
| 2025 | 0.85% | 1.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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