F886 in Minnesota. Pick another state for the same tag.
Against expectation — 2023
Minnesota cites F886 less often than its own record predicts
Versus expected share0.82×
0.82 times the national share — cited less often here than elsewhere.
Share of Minnesota citations0.06%
Of every deficiency written in Minnesota in 2023, this is the portion that was F886.
Minnesota0.06%
National0.08%
Share of all citations that were F886.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F886 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.
L · Immediate jeopardy, widespreadJanuary 12, 2023
Based on observation, interview and record review, the facility failed to ensure all staff were tested for COVID-19 during outbreak testing; and failed to test and/or implement confirmatory testing for symptomatic residents and staff, licensed practical nurse (LPN)-A, LPN-B, dietary aide (DA)-D, activity aide (AA)-C, nursing assistant (NA)-D, R108, R29 and R41, who were not tested or had an initial negative rapid antigen testing for COVID-19, per the Centers for Disease Control (CDC) guidance on testing protocols. This system wide breakdown resulted in an immediate jeopardy (IJ) situation which had the high likelihood to cause serious illness and/or death to all 54 residents residing in the facility, along with staff and visitors. …
D · No harm, potential for more than minimal, isolatedMarch 28, 2023
Based on interview and document review, the facility failed to conduct contact-trace or broad-based testing after a staff member tested positive for COVID-19, putting the facility into outbreak status. This had the potential to affect all staff, residents, and visitors who may have had contact with the staff member.
Findings include:
The CMS QSO-20-38-NH memo dated 9/23/22, indicated Swift identification of confirmed COVID-19 cases allows the facility to take immediate action to remove exposure risks to nursing home residents and staff. The memo also indicated, upon the identification of an individual presenting with symptoms consistent with COVID-19, or who tests positive for COVID-19, the facility must take actions to prevent the transmission of COVID-19. …
C · No harm, potential for minimal, widespreadDecember 1, 2022
Based on interview and document review the facility failed to track and monitor staff COVID-19 test occurrances and results during a COVID-19 outbreak according to the Center for Medicare & Medicaid (CMS) and the Center for Disease Control and Prevention (CDC) guidelines. This deficient practice had the potential to affect all 71 residents, all staff, and all visitors to the facility.
Findings include:
CMS Memo QSO-20-38-NH dated 9/23/22, indicated, Swift identification of confirmed COVID-19 cases allows the facility to take immediate action to remove exposure risks to nursing home residents and staff. Facilities must test any individual with symptoms consistent with COVID-19 or with known or suspected exposure to COVID-19. …
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