New Survey Data: Top Cited Deficiencies from Nursing Home Recertification Surveys

Posted on August 4, 2022 by Jonathan Lips

The information available from the Centers for Medicare and Medicaid Services (CMS) Quality, Certification and Oversight Reports (QCOR) database shows that the Minnesota Department of Health (MDH) has completed 127 nursing facility recertification surveys during the federal fiscal year-to-date. There is some lag time in survey data entry, so the actual current total of surveys conducted is somewhat higher. Here's a sampling of the data:

Top Five Health Deficiencies

• F880 Infection Prevention & Control
• F684 Quality of Care
• F812 Food Procurement, Store/Prepare/Serve Sanitary
• F689 Free of Accident Hazards/Supervision
• F677 ADL Care Provided for Dependent Residents

Top Emergency Preparedness Deficiencies

• E0041 Emergency Power
• E0037 EP Training Program
• E0007 EP Program Patient Population
• E0015 Subsistence Needs for Staff and Patients
• E0039 EP Testing Requirements

Top Life Safety Deficiencies

• K 0353 Sprinkler System - Maintenance and Testing
• K 0712 Fire Drills
• K 0345 Fire Alarm System - Testing and Maintenance
• K 0914 Electrical Systems - Maintenance and Testing
• K 0761 Maintenance, Inspection and Testing - Doors

Please visit our Care Center Survey Issues webpage to download a PowerPoint File summarizing current nursing home survey trends in Minnesota and a list with illustrative findings relating to the top ten most-cited health deficiencies.