Hillcrest Suites

Summary: MDH found the licensee failed to ensure orientation to assisted living statutes included all the required content for one of three employees (clinical nurse supervisor (CNS)-C).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure orientation to assisted living statutes included all the required content for one of three employees (clinical nurse supervisor (CNS)-C). [...]”

Rule cited: “(a) The orientation must contain the following topics: (1) an overview of this chapter; (2) an introduction and review of the facility's policies and procedures related to the provision of assisted living services by the individual staff person; (3) handling [...]”

Summary: MDH found the licensee failed to ensure medication was administered according to the medication administration plan for one of four residents (R3.)

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medication was administered according to the medication administration plan for one of four residents (R3.) 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 [...]”

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 medications were secure and permitted access to only authorized personnel into one of one medication cart.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were secure and permitted access to only authorized personnel into one of one medication cart. [...]”

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 date time sensitive medications for three of three residents (R2, R3, R7) and the licensee failed to ensure medication was maintained bearing the original prescription label with legible information for one of three residents (R3.) Further, the licensee failed to monitor for expired stock medication.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to date time sensitive medications for three of three residents (R2, R3, R7) and the licensee failed to ensure medication was maintained bearing the original prescription label with legible information for one of three residents (R3.) Further, the licensee failed to monitor for expired stock medication. [...]”

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 (R5, R4) who had treatments managed by the facility.

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 (R5, R4) who had treatments managed by the facility. [...]”

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 failed to ensure prior to delegating nursing tasks, the registered nurse (RN) trained unlicensed personnel (ULP) to demonstrate the ability to follow the procedure to perform the tasks applying ice packs for one of one resident (R5).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure prior to delegating nursing tasks, the registered nurse (RN) trained unlicensed personnel (ULP) to demonstrate the ability to follow the procedure to perform the tasks applying ice packs for one of one resident (R5). [...]”

Rule cited: “Ordered or prescribed treatments or therapies must be administered by a nurse, physician, or other licensed health professional authorized to perform the treatment or therapy, or may be delegated or assigned to unlicensed personnel by the licensed health [...]”

Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards by two of two unlicensed personnel (ULP)-E, ULP-B) during medication administration for R4.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards by two of two unlicensed personnel (ULP)-E, ULP-B) during medication administration for R4. [...]”

Rule cited: “(b) Residents have the right to receive health care and other assisted living services with continuity from people who are properly trained and competent to perform their duties and in sufficient numbers to adequately provide the services agreed to in the [...]”

Summary: MDH found the licensee failed to ensure privacy was maintained for one of four residents (R3) observed during medication administration.

MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure privacy was maintained for one of four residents (R3) observed during medication administration. 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 [...]”

Rule cited: “(a) Residents have the right to consideration of their privacy, individuality, and cultural identity as related to their social, religious, and psychological well-being. [...]”