Based on observation and interview, the facility failed to ensure handrails on the second floor were securely attached to the wall. This had the potential to affect all residents, staff, and visitors who had access to the handrails.Findings include: During observation on 6/14/26 at 9:17 a.m., second floor hallway handrails were loosely attached to wall across from the elevator, across from the dining room and nursing desk, between two resident rooms. In addition, one handrail was unattached at one end pulling away from the wall outside a resident room.During review of April, May, and June 2026 electronic work orders (TELS) reports, there was no report of loose handrails.During observation and interview on 6/15/26 at 5:26 p.m., the regional maintenance director (RM)-D and the maintenance… …
F924 citations in Minnesota
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F924 more often than its own record predicts
1.03 times the share F924 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F924.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F924 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.
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 2.23× |
| 2024 | 0.04% | 0.92× |
| 2025 | 0.04% | 1.03× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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