Ivy Senior Housing

Summary: MDH found the licensee failed to have a written emergency disaster plan with all required content and failed to post an emergency plan prominently.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to have a written emergency disaster plan with all required content and failed to post an emergency plan prominently. This had the potential to affect all residents, staff and visitors. [...]”

Rule cited: “(a) The facility must meet the following requirements: (1) have a written emergency disaster plan that contains a plan for evacuation, addresses elements of sheltering in place, identifies temporary relocation sites, and details staff assignments in the event [...]”

Summary: MDH found the licensee failed to ensure the resident record contained documentation of the services being provided for two of two residents (R2, and R3) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the resident record contained documentation of the services being provided for two of two residents (R2, and R3) with records reviewed. [...]”

Rule cited: “Contents of a resident record include the following for each resident: (1) identifying information, including the resident's name, date of birth, address, and telephone number; (2) the name, address, and telephone number of the resident's emergency contact, [...]”

MDH’s finding, as written: “No further action required”

Rule cited: “(a) Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and: (1) for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) [...]”

Summary: MDH found the licensee failed to execute an assisted living contract to include all required content for three of three residents (R2, R3 and R6) receiving assisted living services.

MDH’s finding, as written: “Based on interview, and record review, the licensee failed to execute an assisted living contract to include all required content for three of three residents (R2, R3 and R6) receiving assisted living services. [...]”

Rule cited: “(a) An assisted living facility may not offer or provide housing or assisted living services to any individual unless it has executed a written contract with the resident. [...]”

Summary: MDH found the licensee failed to ensure training and competency evaluations contained all the requirements for two of two employees (unlicensed personnel (ULP)-C and ULP-D) with records reviewed.

MDH’s finding, as written: “Based on interview, and record review, the licensee failed to ensure training and competency evaluations contained all the requirements for two of two employees (unlicensed personnel (ULP)-C and ULP-D) with records reviewed. [...]”

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) [...]”

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 two of two employees (unlicensed personnel (ULP)-C and ULP-D) with records reviewed. [...]”

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 employees received orientation to assisted living facility licensing requirements and regulations for one of three employees (registered nurse (RN)-A) with records reviewed.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure employees received orientation to assisted living facility licensing requirements and regulations for one of three employees (registered nurse (RN)-A) with records reviewed. [...]”

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 one of three employees (registered nurse (RN)-A) received the required amount of dementia care training in the required time frame with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure one of three employees (registered nurse (RN)-A) received the required amount of dementia care training in the required time frame with records reviewed. [...]”

Rule cited: “(a) All assisted living facilities must meet the following training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on topics specified under paragraph (b) within 120 working hours of the employment start [...]”

Summary: MDH found the licensee failed to ensure the registered nurse (RN) completed a comprehensive reassessment using the uniform assessment tool on day 90 for two of two residents (R2 and R3) and the licensee failed to ensure the RN completed an initial assessment and 14-day reassessment and monitoring using the uniform assessment tool for one for one resident (R6) as required with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) completed a comprehensive reassessment using the uniform assessment tool on day 90 for two of two residents (R2 and R3) and the licensee failed to ensure the RN completed an initial assessment and 14-day reassessment and monitoring using the uniform assessment tool for one for one resident (R6) as required with records reviewed. [...]”

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 develop a service plan no later than 14 calendar days after the date services were first provided for one of one resident (R6) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop a service plan no later than 14 calendar days after the date services were first provided for one of one resident (R6) with records reviewed. [...]”

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 ensure service plans included all the required content for two of two residents (R2, and R3) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure service plans included all the required content for two of two residents (R2, and R3) with records reviewed. [...]”

Rule cited: “(f) The service plan must include: (1) a description of the services to be provided, the fees for services, and the frequency of each service, according to the resident's current assessment and resident preferences; (2) the identification of staff or [...]”

Summary: MDH found the licensee failed to ensure prior to delegating nursing tasks, the registered nurse (RN) trained the unlicensed personnel (ULP) in the proper methods to perform the task or procedure for each resident, and failed to ensure the ULP demonstrated the ability to competently follow the procedure to perform the tasks for one of two employees (ULP-C).

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 the unlicensed personnel (ULP) in the proper methods to perform the task or procedure for each resident, and failed to ensure the ULP demonstrated the ability to competently follow the procedure to perform the tasks for one of two employees (ULP-C). [...]”

Rule cited: “When administration of medications is delegated to unlicensed personnel, the assisted living facility must ensure that the registered nurse has: (1) instructed the unlicensed personnel in the proper methods to administer the medications, and the unlicensed [...]”

Summary: MDH found the licensee failed to ensure the effectiveness of PRN (as necessary) medications was documented for one of one resident (R3), and failed to ensure medications were documented as administered after administration.

MDH’s finding, as written: “Based on interview, and record review, the licensee failed to ensure the effectiveness of PRN (as necessary) medications was documented for one of one resident (R3), and failed to ensure medications were documented as administered after administration. [...]”

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 the registered nurse (RN) developed written procedures for medication management when residents had unplanned time away from home; and the licensee failed to ensure two of two unlicensed personnel (ULP-C and ULP-D) were trained and demonstrated competency to prepare and give medications for residents having unplanned time away.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) developed written procedures for medication management when residents had unplanned time away from home; and the licensee failed to ensure two of two unlicensed personnel (ULP-C and ULP-D) were trained and demonstrated competency to prepare and give medications for residents having unplanned time away. [...]”

Rule cited: “(2) for unplanned time away, when the pharmacy is not able to provide the medications, a licensed nurse or unlicensed personnel shall provide medications in amounts and dosages needed for the length of the anticipated absence, not to exceed seven calendar [...]”

Summary: MDH found the licensee failed to develop a treatment management plan to include all required content for one of one resident (R2) receiving treatment management services.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop a treatment management plan to include all required content for one of one resident (R2) receiving treatment management services. [...]”

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 the unlicensed personnel (ULP) in the proper methods to perform the task or procedure for each resident, and failed to ensure the ULP demonstrated the ability to competently follow the procedure to perform the tasks for two of two employees (ULP-C and ULP-D) with records

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure prior to delegating nursing tasks, the registered nurse (RN) trained the unlicensed personnel (ULP) in the proper methods to perform the task or procedure for each resident, and failed to ensure the ULP demonstrated the ability to competently follow the procedure to perform the tasks for two of two employees (ULP-C and ULP-D) with records reviewed. [...]”

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 document treatments for one of one resident (R2) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to document treatments for one of one resident (R2) with records reviewed. 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 a pattern scope (when more than a limited number of residents are affected, more than a [...]”

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 a menu was prepared at least a week in advance and provided to the residents.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure a menu was prepared at least a week in advance and provided to the residents. This had the potential to affect all twenty-two (22) residents. [...]”

Rule cited: “(13) offer to provide or make available at least the following services to residents: (i) at least three nutritious meals daily with snacks available seven days per week, according to the recommended dietary allowances in the United States Department of [...]”

Summary: MDH found the licensee failed to post in a conspicuous place, information about the facility's grievance procedure, and the name, telephone number, and e-mail contact information for the individuals who are responsible for handling resident grievances.

MDH’s finding, as written: “Based on observation and interview, the licensee failed to post in a conspicuous place, information about the facility's grievance procedure, and the name, telephone number, and e-mail contact information for the individuals who are responsible for handling resident grievances. [...]”

Rule cited: “All facilities must post in a conspicuous place information about the facilities' grievance procedure, and the name, telephone number, and e-mail contact information for the individuals who are responsible for handling resident grievances. [...]”

Summary: MDH found the licensee failed to display the original current license at the main entrance of the assisted living facility as required.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to display the original current license at the main entrance of the assisted living facility as required. This had the potential to affect all of the licensee's current residents, staff and visitors. [...]”

Rule cited: “The original current license must be displayed at the main entrance of each assisted living facility. The facility must provide a copy of the license to any person who requests it.”

Summary: MDH found the licensee failed to engage in and maintain documentation of quality management activity.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to engage in and maintain documentation of quality management activity. This had the potential to affect all twenty-two (22) residents receiving assisted living services. [...]”

Rule cited: “The facility shall engage in quality management appropriate to the size of the facility and relevant to the type of services provided. [...]”

Summary: MDH found the licensee failed to support protection and safety by not posting information and phone numbers for reporting to the Minnesota Adult Abuse Reporting Center (MAARC) and failed to post the 911 emergency number in common areas and near telephones provided by the assisted living facility.

MDH’s finding, as written: “Based on observation and interview, the licensee failed to support protection and safety by not posting information and phone numbers for reporting to the Minnesota Adult Abuse Reporting Center (MAARC) and failed to post the 911 emergency number in common areas and near telephones provided by the assisted living facility. This had the potential to affect all twenty-two (22) residents receiving assisted living services, staff, and visitors. [...]”

Rule cited: “The facility shall support protection and safety through access to the state's systems for reporting suspected criminal activity and suspected vulnerable adult maltreatment by: (1) posting the 911 emergency number in common areas and near telephones provided [...]”

Summary: MDH found the licensee failed to ensure employee records included all required content for two of three employees, registered nurse (RN)-A and unlicensed personnel (ULP)-D with employee records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employee records included all required content for two of three employees, registered nurse (RN)-A and unlicensed personnel (ULP)-D with employee records reviewed. [...]”

Rule cited: “(a) The facility must maintain current records of each paid employee, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”

Summary: MDH found the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC). [...]”

Rule cited: “(a) The facility must establish and maintain a comprehensive tuberculosis infection control program according to the most current tuberculosis infection control guidelines issued by the United States Centers for Disease Control and Prevention (CDC), Division [...]”

Summary: MDH found the licensee failed to have a written emergency disaster plan with all required content and failed to post an emergency plan prominently.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to have a written emergency disaster plan with all required content and failed to post an emergency plan prominently. This had the potential to affect all residents, staff and visitors. [...]”

Rule cited: “(a) The facility must meet the following requirements: (1) have a written emergency disaster plan that contains a plan for evacuation, addresses elements of sheltering in place, identifies temporary relocation sites, and details staff assignments in the event [...]”

Summary: MDH found the licensee failed to ensure entries in the resident's records were authenticated by the name and title of the person making the entry for three of three residents (R1, R2, and R3) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure entries in the resident's records were authenticated by the name and title of the person making the entry for three of three residents (R1, R2, and R3) with records reviewed. [...]”

Rule cited: “(a) Assisted living facilities must maintain records for each resident for whom it is providing services. [...]”

Summary: MDH found the licensee failed to ensure the resident record contained documentation of the services being provided for three of three residents (R1, R2, and R3) and failed to ensure the resident record contained documentation of complaints received and any resolution for one of one resident (R3) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the resident record contained documentation of the services being provided for three of three residents (R1, R2, and R3) and failed to ensure the resident record contained documentation of complaints received and any resolution for one of one resident (R3) with records reviewed. [...]”

Rule cited: “Contents of a resident record include the following for each resident: (1) identifying information, including the resident's name, date of birth, address, and telephone number; (2) the name, address, and telephone number of the resident's emergency contact, [...]”

Summary: MDH found the facility failed to provide smoke alarms that complied with fire protection requirements.

MDH’s finding, as written: “Based on observation and interview, the facility failed to provide smoke alarms that complied with fire protection requirements. This had the potential to directly affect all residents and staff. [...]”

Rule cited: “(a) Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and: (1) for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) [...]”

Summary: MDH found the licensee failed to execute an assisted living contract to include all required content for three of three residents (R1, R2, and R3) receiving assisted living services.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to execute an assisted living contract to include all required content for three of three residents (R1, R2, and R3) receiving assisted living services. [...]”

Rule cited: “(a) An assisted living facility may not offer or provide housing or assisted living services to any individual unless it has executed a written contract with the resident. [...]”

Summary: MDH found the licensee failed to ensure training and competency evaluations contained all the required training for two of two employees (unlicensed personnel (ULP)-C and ULP-D) with records reviewed.

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

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) [...]”

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

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 employees received orientation to assisted living facility licensing requirements and regulations for three of three employees (registered nurse (RN)-A, unlicensed personnel (ULP)-C, and ULP-D) with records reviewed.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure employees received orientation to assisted living facility licensing requirements and regulations for three of three employees (registered nurse (RN)-A, unlicensed personnel (ULP)-C, and ULP-D) with records reviewed. [...]”

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 three of three employees unlicensed personnel (ULP)-C, ULP-D and registered nurse (RN)-A) received the required amount of dementia care training in the required time frame with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure three of three employees unlicensed personnel (ULP)-C, ULP-D and registered nurse (RN)-A) received the required amount of dementia care training in the required time frame with records reviewed. [...]”

Rule cited: “(a) All assisted living facilities must meet the following training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on topics specified under paragraph (b) within 120 working hours of the employment start [...]”

Summary: MDH found the licensee failed to ensure the registered nurse (RN) completed a comprehensive reassessment using the uniform assessment tool on day 90 for three of three residents (R1, R2, and R3) as required with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) completed a comprehensive reassessment using the uniform assessment tool on day 90 for three of three residents (R1, R2, and R3) as required with records reviewed. [...]”

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 service plans included all the required content for three of three residents (R1, R2, and R3) with records reviewed.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure service plans included all the required content for three of three residents (R1, R2, and R3) with records reviewed. [...]”

Rule cited: “(f) The service plan must include: (1) a description of the services to be provided, the fees for services, and the frequency of each service, according to the resident's current assessment and resident preferences; (2) the identification of staff or [...]”

Summary: MDH found the licensee failed to complete an individualized medication management plan for three of three residents (R1, R2, and R3) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to complete an individualized medication management plan for three of three residents (R1, R2, and R3) with records reviewed. [...]”

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 prior to delegating nursing tasks, the unlicensed personnel (ULP) were trained in the proper methods to perform the task or procedure for each resident, and were able to demonstrate the ability to competently follow the procedure to perform the tasks for one of two employees (ULP-C).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure prior to delegating nursing tasks, the unlicensed personnel (ULP) were trained in the proper methods to perform the task or procedure for each resident, and were able to demonstrate the ability to competently follow the procedure to perform the tasks for one of two employees (ULP-C). [...]”

Rule cited: “When administration of medications is delegated to unlicensed personnel, the assisted living facility must ensure that the registered nurse has: (1) instructed the unlicensed personnel in the proper methods to administer the medications, and the unlicensed [...]”

Summary: MDH found the licensee failed to ensure the effectiveness of PRN (as necessary) medications was documented in one of one resident (R3), and failed to ensure medications were documented after administration.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the effectiveness of PRN (as necessary) medications was documented in one of one resident (R3), and failed to ensure medications were documented after administration. [...]”

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 the registered nurse (RN) developed written procedures for unplanned time away from home and the licensee failed to ensure two of two unlicensed personnel (ULP-C, and ULP-D) were trained and had demonstrated competency to prepare and give medications for clients having unplanned time away.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) developed written procedures for unplanned time away from home and the licensee failed to ensure two of two unlicensed personnel (ULP-C, and ULP-D) were trained and had demonstrated competency to prepare and give medications for clients having unplanned time away. [...]”

Rule cited: “(2) for unplanned time away, when the pharmacy is not able to provide the medications, a licensed nurse or unlicensed personnel shall provide medications in amounts and dosages needed for the length of the anticipated absence, not to exceed seven calendar [...]”

Summary: MDH found the licensee failed to provide documentation in the resident's record regarding the disposition of medication to include the medication strength, prescription number, quantity, date of disposition, and names of staff and other individuals involved in the disposition for one of one discharged resident (R4) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide documentation in the resident's record regarding the disposition of medication to include the medication strength, prescription number, quantity, date of disposition, and names of staff and other individuals involved in the disposition for one of one discharged resident (R4) with records reviewed. [...]”

Rule cited: “(a) Any current medications being managed by the assisted living facility must be provided to the resident when the resident's service plan ends or medication management services are no longer part of the service plan. [...]”

Summary: MDH found the licensee failed to ensure the licensee's loss and spillage policy was complete.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the licensee's loss and spillage policy was complete. 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), and was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has affected or has the potential to affect a large portion or all of the residents). [...]”

Rule cited: “(a) Assisted living facilities providing medication management must develop and implement procedures for loss or spillage of all controlled substances defined in Minnesota Rules, part 6800.4220. [...]”

Summary: MDH found the licensee failed to develop a treatment management plan to include all required content for two of two residents (R1 and R2) receiving treatment management services.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to develop a treatment management plan to include all required content for two of two residents (R1 and R2) receiving treatment management services. [...]”

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 unlicensed personnel (ULP) were trained in the proper

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure prior to delegating nursing tasks, the unlicensed personnel (ULP) were trained in the proper methods to perform the task or procedure for each resident, and were able to demonstrate the ability to competently follow the procedure to perform the tasks for two of two employees (unlicensed personnel (ULP)-C and ULP-D) with records reviewed. [...]”

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 document treatments for two of two residents (R1 and R2) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to document treatments for two of two residents (R1 and R2) with records reviewed. 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 a pattern scope (when more than a limited number of residents are affected, more [...]”

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 provide care and services according to acceptable health care standards, medical or nursing standards for one of one resident (R1) who utilized bed rails with records reviewed.

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 standards, medical or nursing standards for one of one resident (R1) who utilized bed rails with records reviewed. [...]”

Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”

MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure privacy was maintained during medication administration for one of four residents (R5) with records reviewed. [...]”

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. [...]”

Summary: MDH found the licensee failed to ensure the required notice to visitors was posted at the main entry way of the establishment to display statutory language to disclose electronic monitoring activity, potentially affecting all twenty-two (22) current residents, staff and visitors of the licensee.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure the required notice to visitors was posted at the main entry way of the establishment to display statutory language to disclose electronic monitoring activity, potentially affecting all twenty-two (22) current residents, staff and visitors of the licensee. [...]”

Rule cited: “Subd. 8.Notice to visitors. (a) A facility must post a sign at each facility entrance accessible to visitors that states: "Electronic monitoring devices, including security cameras and audio devices, may be present to record persons and activities." (b) The [...]”