Lifestone Health Care

Summary: MDH found the licensee failed to provide the physical environment in a continuous state of good repair and operation with regard to the health, safety, and well-being of the residents.

MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide the physical environment in a continuous state of good repair and operation with regard to the health, safety, and well-being of the residents. This had the potential to directly affect all residents and staff. [...]”

Rule cited: “(4) keep the physical environment, including walls, floors, ceiling, all furnishings, grounds, systems, and equipment in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents in accordance [...]”

Summary: MDH found the licensee failed to provide the required plans for fire safety and evacuation.

MDH’s finding, as written: “Based on document review and interview, the licensee failed to provide the required plans for fire safety and evacuation. This had the potential to directly affect all residents and staff. [...]”

Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”

Summary: MDH found the licensee failed to execute a written assisted living contract with the required content for one of one resident (R1) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to execute a written assisted living contract with the required content for one of one resident (R1) with records reviewed. This had the potential to affect all eight (8) residents. [...]”

Rule cited: “(d) The contract must include a description of the facility's complaint resolution process available to residents, including the name and contact information of the person representing the facility who is designated to handle and resolve complaints. [...]”

Summary: MDH found the licensee failed to ensure the assisted living contract did not include language waiving the facility's liability for health, safety, or personal property of a resident.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the assisted living contract did not include language waiving the facility's liability for health, safety, or personal property of a resident. This had the potential to affect all eight (8) residents. [...]”

Rule cited: “The contract must not include a waiver of facility liability for the health and safety or personal property of a resident. [...]”

MDH’s finding, as written: “Based on interview and record review, licensee failed to provide written notice with required content for an emergency relocation and failed to notify the Office of Ombudsman for Long-Term Care (OOLTC) of the emergency relocation for one or one resident (R2) with records reviewed. [...]”

Rule cited: “(a) A facility may remove a resident from the facility in an emergency if necessary due to a resident's urgent medical needs or an imminent risk the resident poses to the health or safety of another facility resident or facility staff member. [...]”

Summary: MDH found the licensee failed to ensure contracted staff met all requirements for training and competency evaluation, as identified in 144G.60, Subd. 4 and 144G.61 Subd 1. and 2, for one of one unlicensed personnel (ULP-E) with records reviewed.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure contracted staff met all requirements for training and competency evaluation, as identified in 144G.60, Subd. 4 and 144G.61 Subd 1. and 2, for one of one unlicensed personnel (ULP-E) with records reviewed. This had the potential to affect all residents recieving medication administration. [...]”

Rule cited: “When a facility contracts with a temporary staffing agency, those individuals must meet the same requirements required by this section for personnel employed by the facility and shall be treated as if they are staff of the facility.”

Summary: MDH found the licensee failed to ensure one of two employees, (licensed assistive living director/registered nurse (LALD/RN)-A) employee record contained orientation to assisted living facility licensing to include all the required topics with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure one of two employees, (licensed assistive living director/registered nurse (LALD/RN)-A) employee record contained orientation to assisted living facility licensing to include all the required topics with records reviewed. [...]”

Rule cited: “All staff providing and supervising direct services must complete an orientation to assisted living facility licensing requirements and regulations before providing assisted living services to residents. [...]”

Summary: MDH found the licensee failed to ensure orientation to assisted living statutes included all the required content for one of one employee unlicensed personnel (ULP)-D with records reviewed.

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 one employee unlicensed personnel (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 one of two employees (unlicensed personnel (ULP)-D) received the dementia care training in the required time frame with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure one of two employees (unlicensed personnel (ULP)-D) received the dementia care training in the required time frame with records reviewed. This had the potential to affect all eight (8) residents. [...]”

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 documentation of medication setup included all the required content for one of one resident (R1) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure documentation of medication setup included all the required content for one of one resident (R1) with records reviewed. [...]”

Rule cited: “Documentation of dates of medication setup, name of medication, quantity of dose, times to be administered, route of administration, and name of person completing medication setup must be done at the time of setup.”

Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for one of one resident (R1) with bedrails who lacked a comprehensive bedrail assessment to include measurements of the bedrails to determine compliance with Food and Drug Administration (FDA) guidelines for bedrails.

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 for one of one resident (R1) with bedrails who lacked a comprehensive bedrail assessment to include measurements of the bedrails to determine compliance with Food and Drug Administration (FDA) guidelines for bedrails. [...]”

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.”

Summary: MDH found the licensee failed to ensure medications

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were administered in accordance with accepted standards for one of eight residents (R1) whose medications were set up by unlicensed personnel ahead of time for later administration. This had potential to affect all eight (8) residents of the facility. [...]”

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 residents had right to individual autonomy, initiative, and independence in making life choices, including having access to television or music in the common area without restricted hours.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure residents had right to individual autonomy, initiative, and independence in making life choices, including having access to television or music in the common area without restricted hours. This had the potential to affect all eight (8) residents. [...]”

Rule cited: “Residents have the right to individual autonomy, initiative, and independence in making life choices, including establishing a daily schedule and choosing with whom to interact.”

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 residents, staff, and visitors.

MDH’s finding, as written: “Based on observation and interview, 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 residents, staff, and visitors. [...]”

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 [...]”