Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0550
D

Failure to Honor Residents' Rights to Leave Facility

Duluth, Minnesota Survey Completed on 12-04-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to honor the rights of two residents to leave the facility, as required, by restricting their leave of absence (LOA) privileges through physician orders. One resident, who had diagnoses including type 2 diabetes, infection, pain, weakness, and substance abuse, was assessed as low risk for elopement but had her LOA privileges revoked due to suspected drug and alcohol use. The care plan and physician order specifically indicated that the resident was not allowed to leave the facility, and staff interviews confirmed that the restriction was based on suspicions of substance use and refusal to comply with urinalysis requests. There was no evidence that less restrictive alternatives were considered prior to revoking the resident's right to leave. Another resident, with diagnoses including depression, head laceration, anemia, tobacco use, and alcohol dependence, also had his LOA privileges revoked due to a history of impaired decision-making and risk for self-harm related to chemical dependency. The care plan and physician orders documented the suspension of LOA privileges due to safety concerns. Despite this, written agreements were made between the resident and the administrator to allow limited, supervised outings, which were to be reported to the physician. Staff interviews indicated that the resident had previously engaged in unsafe behaviors and had not returned to the facility on time, leading to the revocation of LOA privileges. Facility policy recognizes residents' rights to leave the facility for therapeutic reasons and outlines procedures for granting and documenting LOA privileges. However, the policy also allows for the revocation of these privileges by the physician. Staff interviews revealed a belief that leaving the facility is a privilege rather than a right, and that the facility's safety policy could override resident rights. There was no documentation or evidence that less restrictive measures were explored before restricting the residents' ability to leave, resulting in a failure to fully honor their rights to self-determination and a dignified existence.

An unhandled error has occurred. Reload 🗙