Good Samaritan Society Albert

Summary: MDH found the licensee failed to ensure training and competency evaluations were completed for one of two employees (unlicensed personnel (ULP)-B) as required prior to providing direct care.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure training and competency evaluations were completed for one of two employees (unlicensed personnel (ULP)-B) as required prior to providing direct care. [...]”

Rule cited: “(a) Training and competency evaluations for all unlicensed personnel must include the following: (1) documentation requirements for all services provided; (2) reports of changes in the resident's condition to the supervisor designated by the facility; (3) [...]”

Summary: MDH found the licensee failed to ensure training and competency evaluations contained all the required training for one of two unlicensed personnel (ULP-B).

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure training and competency evaluations contained all the required training for one of two unlicensed personnel (ULP-B). [...]”

Rule cited: “(b) In addition to paragraph (a), training and competency evaluation for unlicensed personnel providing assisted living services must include: (1) observing, reporting, and documenting resident status; (2) basic knowledge of body functioning and changes in [...]”

Summary: MDH found the licensee failed to ensure the nurse completed a resident assessment within 14 days of admission for one of three residents (R2) and ongoing resident reassessments that did not exceed 90 days for one of three residents (R2).

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the nurse completed a resident assessment within 14 days of admission for one of three residents (R2) and ongoing resident reassessments that did not exceed 90 days for one of three residents (R2). [...]”

Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”

Summary: MDH found the licensee failed to ensure a written service plan was revised to reflect the current fees and services provided for one of three residents (R4).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure a written service plan was revised to reflect the current fees and services provided for one of three residents (R4). [...]”

Rule cited: “(a) No later than 14 calendar days after the date that services are first provided, an assisted living facility shall finalize a current written service plan. [...]”

Summary: MDH found the licensee failed to develop and implement a current individualized medication management plan with the required content for three of three residents (R3, R4, R2).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop and implement a current individualized medication management plan with the required content for three of three residents (R3, R4, R2). [...]”

Rule cited: “(a) For each resident receiving medication management services, the assisted living facility must prepare and include in the service plan a written statement of the medication management services that will be provided to the resident. [...]”

Summary: MDH found the licensee failed to ensure as needed (PRN) medications had documentation of effectiveness after administration for one of four

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure as needed (PRN) medications had documentation of effectiveness after administration for one of four residents (R2). In addition, the licensee failed to ensure prescriber orders were transcribed as ordered for two of four residents (R2, R4), and failed to ensure medications were administered as prescribed for one of five residents (R6). [...]”

Rule cited: “Each medication administered by the assisted living facility staff must be documented in the resident's record. The documentation must include the signature and title of the person who administered the medication. [...]”

Summary: MDH found the licensee failed to ensure a current written or electronically recorded prescription was obtained for all medications the provider had managed for one of three residents (R4).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure a current written or electronically recorded prescription was obtained for all medications the provider had managed for one of three residents (R4). [...]”

Rule cited: “There must be a current written or electronically recorded prescription as defined in section 151.01, subdivision 16a, for all prescribed medications that the assisted living facility is managing for the resident.”

Summary: MDH found the licensee failed to ensure medications were stored securely for one of five residents (R2).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were stored securely for one of five residents (R2). This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and was issued at an isolated scope (when one or a limited number of residents are affected or one or a [...]”

Rule cited: “An assisted living facility must store all prescription medications in securely locked and substantially constructed compartments according to the manufacturer's directions and permit only authorized personnel to have access.”

Summary: MDH found the licensee failed to ensure medications were maintained bearing the original prescription label with legible information for two of two residents (R2, R5) and failed to ensure time sensitive medications were dated when open for two of two residents (R2, R5) with eye drops.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were maintained bearing the original prescription label with legible information for two of two residents (R2, R5) and failed to ensure time sensitive medications were dated when open for two of two residents (R2, R5) with eye drops. [...]”

Rule cited: “A prescription drug, prior to being set up for immediate or later administration, must be kept in the original container in which it was dispensed by the pharmacy bearing the original prescription label with legible information including the expiration or [...]”

Summary: MDH found the licensee failed to develop and implement a treatment or therapy management plan to include all required content for two of three residents (R2, R4).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop and implement a treatment or therapy management plan to include all required content for two of three residents (R2, R4). [...]”

Rule cited: “For each resident receiving management of ordered or prescribed treatments or therapy services, the assisted living facility must prepare and include in the service plan a written statement of the treatment or therapy services that will be provided to the [...]”

Summary: MDH found the licensee lacked documentation of treatments for one of three residents (R2).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee lacked documentation of treatments for one of three residents (R2). This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and was issued at an isolated scope (when one or a limited number of residents are affected or one or a limited number of [...]”

Rule cited: “Each treatment or therapy administered by an assisted living facility must be in the resident record. [...]”

Summary: MDH found the licensee failed to ensure up-to-date written or electronically recorded treatment orders were maintained for two of three residents (R2, R4).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure up-to-date written or electronically recorded treatment orders were maintained for two of three residents (R2, R4). [...]”

Rule cited: “There must be an up-to-date written or electronically recorded order from an authorized prescriber for all treatments and therapies. [...]”