Based on observation, interview and document review, the facility failed to maintain a safe environment to ensure resident care equipment was in safe repair when a call light with exposed wires was found in use for 1 of 1 resident (R2), reviewed for call lights. Findings includeR7's care plan, dated [DATE], identified R2 had a focus of self-care deficit related to diabetes, suspected deep tissue injury to buttock, heart failure, depression, osteoarthritis of knees, pain and weakness. …
F908 citations in Minnesota
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F908 less often than its own record predicts
0.34 times the national share — cited less often here than elsewhere.
Of every deficiency written in Minnesota in 2025, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F908 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.
During observation, interview and document review, the facility failed to assure that the kitchen dishwasher was maintained per the manufacturer's instructions, causing buildup of thick white residue on the outside of the machine. The had the potential to affect all 44 residents within the facility reviewed for essential equipment being maintained in a safe and operating condition. Findings include: During observation on 11/6/23, at 11:57 a.m., the kitchen dishwasher, which was a [NAME] single tray door type commercial dishwasher, had 80% of the top covered in white and yellow peeked residue, the bottom of the inside and sprayer was 100% covered in white residue and 40% of the front legs was covered in a thick, bumpy, and raised residue. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 0.83× |
| 2024 | 0.20% | 0.45× |
| 2025 | 0.16% | 0.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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