Based on interview and document review, the facility failed to ensure staff completed mandatory quality assurance and performance improvement (QAPI) training for 1 of 10 staff members, nursing assistant (NA)-J, who was reviewed for training requirements. This had the potential to affect all 58 residents residing in the facility. Findings include: Review of personnel records indicated the NA-J had not completed education that included QAPI in the last year. During an interview on 6/5/26 at 8:33 a.m., the director of nursing (DON) was informed that QAPI training records for NA-J were not found in the records provided. The DON stated that she expected QAPI training to be completed annually, so NA-J should have completed the training. …
F944 citations in Minnesota
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Minnesota cites F944 more often than its own record predicts
1.28 times the share F944 takes of citations nationally.
Of every deficiency written in Minnesota in 2025, this is the portion that was F944.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Minnesota surveyors wrote
F944 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 provide mandatory training on the facility specific QAPI (Quality Assurance and Performance Improvement) program to include goals and various elements of the program, how the facility intends to implement the program, staff's role in the facility's QAPI program, or how to communicate concerns, problems, or opportunities for improvement to the facility's QAPI program to all staff reviewed for QAPI training. Findings include: On 9/5/24 at 10:59 a.m., nursing assistant (NA)-C stated she does not recall ever being offered or receiving QAPI training. She would not know where to bring concerns in regards to QAPI, and does not even know what QAPI means for the facility. …
The short window
Recent years
| Year | Share of Minnesota citations | vs expected |
|---|---|---|
| 2023 | 0.13% | 2.09× |
| 2024 | 0.35% | 3.82× |
| 2025 | 0.12% | 1.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Minnesota surveyors cite →
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