Rivers Edge Assisted Living

Summary: MDH found the licensee failed to establish and maintain a comprehensive tuberculosis (TB) infection control prevention program according to the most current guidelines issued by the Centers for Disease Control (CDC), including testing for the presence of the infection with a two-step tuberculin skin test (TST) or single TB blood test, for one of three employees (licensed practical nurse (LPN)-B).

MDH’s finding, as written: “Based on interview and document review, the licensee failed to establish and maintain a comprehensive tuberculosis (TB) infection control prevention program according to the most current guidelines issued by the Centers for Disease Control (CDC), including testing for the presence of the infection with a two-step tuberculin skin test (TST) or single TB blood test, for one of three employees (licensed practical nurse (LPN)-B). This could affect all residents, staff members, and viistors. [...]”

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 [...]”

MDH’s finding, as written: “Based on interview, and record review the licensee failed to ensure documentation of incidents involving the resident and actions taken in response to the needs of the resident were completed for one of three residents (R2). [...]”

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: “Not Assessed”

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. [...]”

MDH’s finding, as written: “Not Assessed”

Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”

MDH’s finding, as written: “Not Assessed”

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 resident assessments provided clear directions for resident cares for two of three residents (R1 and R4).

MDH’s finding, as written: “Based on observation, interview, and document review, the licensee failed to ensure resident assessments provided clear directions for resident cares for two of three residents (R1 and R4). [...]”

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

MDH’s finding, as written: “Not Assessed”

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 [...]”

MDH’s finding, as written: “RE-ISSUE under 0620”

Rule cited: “(a) A mandated reporter who has reason to believe that a vulnerable adult is being or has been maltreated, or who has knowledge that a vulnerable adult has sustained a physical injury which is not reasonably explained shall immediately report the information [...]”

MDH’s finding, as written: “Not assessed”

Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”

MDH’s finding, as written: “Based on observation, interview, and record review the licensee failed to ensure documentation of incidents involving the resident and actions taken in response to the needs of the resident were completed for one of nine residents (R4). [...]”

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 licensee failed to provide the required evacuation drill frequency.

MDH’s finding, as written: “Based on document review and interview, the licensee failed to provide the required evacuation drill frequency. 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 provide facilities that were not a distinct hazard to life.

MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide facilities that were not a distinct hazard to life. This had the potential to directly affect all residents and staff. [...]”

Rule cited: “(g) Existing construction or elements, including assisted living facilities that were registered as housing with services establishments under chapter 144D prior to August 1, 2021, shall be permitted to continue in use provided such use does not constitute a [...]”

MDH’s finding, as written: “Not assessed”

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. [...]”

MDH’s finding, as written: “Not assessed”

Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”

MDH’s finding, as written: “Not assessed”

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 [...]”

MDH’s finding, as written: “Based on observation, interview, and record review the licensee failed to ensure documentation of incidents involving the resident and actions taken in response to the needs of the resident were completed for one of nine residents (R4). [...]”

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

MDH’s finding, as written: “Not assessed”

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 [...]”

MDH’s finding, as written: “Based on interview and record review the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment for two of nine residents (R4, R7). [...]”

Rule cited: “(a) A mandated reporter who has reason to believe that a vulnerable adult is being or has been maltreated, or who has knowledge that a vulnerable adult has sustained a physical injury which is not reasonably explained shall immediately report the information [...]”

MDH’s finding, as written: “Not assessed”

Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”

MDH’s finding, as written: “Based on interview and record review the licensee failed to ensure documentation of incidents involving the resident and actions taken in response to the needs of the resident were completed for one of nine residents (R1) 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: “Not assessed”

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) [...]”

MDH’s finding, as written: “Not assessed”

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

MDH’s finding, as written: “Not assessed”

Rule cited: “(g) Existing construction or elements, including assisted living facilities that were registered as housing with services establishments under chapter 144D prior to August 1, 2021, shall be permitted to continue in use provided such use does not constitute a [...]”

MDH’s finding, as written: “Not assessed”

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. [...]”

MDH’s finding, as written: “Not assessed”

Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”

MDH’s finding, as written: “Not assessed”

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 reassess and monitor change in needs when the resident exhibited exit-seeking behaviors while not wearing clothing appropriate for the weather.

MDH’s finding, as written: “Based on interview and document review, the licensee failed to reassess and monitor change in needs when the resident exhibited exit-seeking behaviors while not wearing clothing appropriate for the weather. Additionally, the resident left the facility unsupervised, fell, and required hospitalization. [...]”

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

MDH’s finding, as written: “Not assessed”

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 [...]”

MDH’s finding, as written: “Based on interview and record review the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment for one of nine residents (R1) with records reviewed. [...]”

Rule cited: “(a) A mandated reporter who has reason to believe that a vulnerable adult is being or has been maltreated, or who has knowledge that a vulnerable adult has sustained a physical injury which is not reasonably explained shall immediately report the information [...]”

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

MDH’s finding, as written: “Based on observation and interview, the licensee 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) [...]”

MDH’s finding, as written: “Based on document review and interview, the licensee failed to provide the required evacuation drill frequency. 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 provide facilities that were not a distinct hazard to life.

MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide facilities that were not a distinct hazard to life. This had the potential to directly affect all residents and staff. [...]”

Rule cited: “(g) Existing construction or elements, including assisted living facilities that were registered as housing with services establishments under chapter 144D prior to August 1, 2021, shall be permitted to continue in use provided such use does not constitute a [...]”

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

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. [...]”

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

Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”

MDH’s finding, as written: “Based on, interview and record review, the licensee failed to ensure one of one employee (unlicensed personnel (ULP)-G) received at least eight hours of dementia care training, in the required timeframe in accordance with 144G.64 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 develop an individualized treatment management plan with all required content for one of one resident (R2) who received treatments.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop an individualized treatment management plan with all required content for one of one resident (R2) who received treatments. [...]”

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 have daily programs of social and recreational activities based on individual and group interests, physical, mental, and psychosocial needs, which create opportunities for active participation in the community at large.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to have daily programs of social and recreational activities based on individual and group interests, physical, mental, and psychosocial needs, which create opportunities for active participation in the community at large. This had the potential to affect all 37 residents of the facility. [...]”

Rule cited: “(ii) weekly housekeeping; (iii) weekly laundry service; (iv) upon the request of the resident, provide direct or reasonable assistance with arranging for transportation to medical and social services appointments, shopping, and other recreation, and provide [...]”

Summary: MDH found the licensee failed to develop a process to consider resident council recommendations and grievances.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop a process to consider resident council recommendations and grievances. This had the potential to affect all 37 residents receiving assisted living services. [...]”

Rule cited: “The facility must provide a resident council with space and privacy for meetings, where doing so is reasonably achievable. Staff, visitors, and other guests may attend a resident council meeting only at the council's invitation. [...]”

Summary: MDH found the licensee failed to post in a conspicuous place, information about the licensee's grievance procedure with the required

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to post in a conspicuous place, information about the licensee's grievance procedure with the required content. This had the potential to affect the licensee's current residents, staff, and visitors. [...]”

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 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 37 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 immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) an allegation of maltreatment for two of two residents (R8, R9) reviewed for elopement and abuse.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) an allegation of maltreatment for two of two residents (R8, R9) reviewed for elopement and abuse. [...]”

Rule cited: “144G.42 Subd. 6. Compliance with requirements for reporting maltreatment of vulnerable adults; abuse prevention plan. (a) The assisted living facility must comply with the requirements for the reporting of maltreatment of vulnerable adults in section 626.557. [...]”

Summary: MDH found the licensee failed to assess or identify specific measures to reduce residents' risk of elopement while providing some residents with the door code to unmonitored key code exit doors.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to assess or identify specific measures to reduce residents' risk of elopement while providing some residents with the door code to unmonitored key code exit doors. This affected 16 of 16 residents the facility identified as "MC" (memory care). [...]”

Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”

Summary: MDH found the licensee failed to ensure employee records contained a job description for one of two employees (unlicensed personnel (ULP)-D) and failed to ensure employee records contained competency testing and evaluations for two of two employees (ULP-D, ULP-E) and all other unlicensed personnel with records reviewed.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure employee records contained a job description for one of two employees (unlicensed personnel (ULP)-D) and failed to ensure employee records contained competency testing and evaluations for two of two employees (ULP-D, ULP-E) and all other unlicensed personnel with 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 provide smoke alarms that complied with

MDH’s finding, as written: “Based on observation and interview, the licensee 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 provide the required plans,

MDH’s finding, as written: “Based on document review and interview, the licensee failed to provide the required plans, training, and drills 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 contract with the required content for two of two residents (R3, R4) and all the other residents with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to execute a written contract with the required content for two of two residents (R3, R4) and all the other residents with records reviewed. [...]”

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. [...]”

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to execute a written contract with the required content for two of two residents (R3, R4) and all the other residents with records reviewed. [...]”

Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”

Summary: MDH found the licensee failed to ensure one of two unlicensed personnel ((ULP)-E) completed training and competency evaluations in all required training topics.

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

Rule cited: “(b) Unlicensed personnel performing delegated nursing tasks in an assisted living facility must: (1) have successfully completed training and demonstrated competency by successfully completing a written or oral test of the topics in section 144G.61, [...]”

Summary: MDH found the licensee failed to ensure the registered nurse (RN) conducted training and competency evaluations for two of two unlicensed personnel ((ULP)-D, ULP-E) who performed delegated tasks, and all other unlicensed personnel with records reviewed.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure the registered nurse (RN) conducted training and competency evaluations for two of two unlicensed personnel ((ULP)-D, ULP-E) who performed delegated tasks, and all other unlicensed personnel with records reviewed. [...]”

Rule cited: “(b) When the registered nurse or licensed health professional delegates tasks to unlicensed personnel, that person must ensure that prior to the delegation the unlicensed personnel is trained in the proper methods to perform the tasks or procedures for each [...]”

Summary: MDH found the licensee failed to ensure two of two employees (unlicensed personnel (ULP)-D, ULP-E) received orientation to assisted living facility licensing requirements and regulations with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure two of two employees (unlicensed personnel (ULP)-D, ULP-E) received orientation to assisted living facility licensing requirements and regulations 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 at least eight hours of dementia care training, in the required timeframe in accordance with 144G.64 with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure one of two employees (unlicensed personnel (ULP)-D) received at least eight hours of dementia care training, in the required timeframe in accordance with 144G.64 with records reviewed. [...]”

Rule cited: “(3) for assisted living facilities with dementia care, direct-care employees must have completed at least eight hours of initial training on topics specified under paragraph (b) within 80 working hours of the employment start date. [...]”

Summary: MDH found the licensee failed to ensure a registered nurse (RN) completed a comprehensive assessment to include all areas identified on the uniform assessment tool for two of two residents (R1, R2) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure a registered nurse (RN) completed a comprehensive assessment to include all areas identified on the uniform assessment tool for two of two residents (R1, R2) with records reviewed. [...]”

Rule cited: “(a) Residents who are not receiving any services shall not be required to undergo an initial nursing assessment. [...]”

Summary: MDH found the licensee failed to ensure the registered nurse (RN) reassessed a resident after a change in condition for one of one resident (R8) reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) reassessed a resident after a change in condition for one of one resident (R8) reviewed. In addition, the licensee failed to ensure a RN conducted ongoing resident monitoring and reassessment was completed for one of four residents (R1) 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 include a signature or other authentication by the resident to document agreement on the services provided for three of four residents (R1, R2, R3) and failed to revise the service plan for one of two residents (R4) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to include a signature or other authentication by the resident to document agreement on the services provided for three of four residents (R1, R2, R3) and failed to revise the service plan for one of two residents (R4) 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 develop written procedures for disposing of medications.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop written procedures for disposing of medications. The licensee's medication disposition policy and procedure had the potential to affect all residents receiving medication services. [...]”

Rule cited: “(a) This section applies only to assisted living facilities that provide medication management services. [...]”

Summary: MDH found the licensee failed to develop and maintain a current individualized medication management plan for each resident to include all required content for one of one resident (R3) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop and maintain a current individualized medication management plan for each resident to include all required content for one of one resident (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 two of two unlicensed personnel ((ULP)-D, ULP-E) demonstrated competency for administering medications.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure two of two unlicensed personnel ((ULP)-D, ULP-E) demonstrated competency for administering medications. [...]”

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 [...]”

MDH’s finding, as written: “Surveyor: Johnson-Crosby, Erin Based on interview and record review, the licensee failed to document follow-up procedures when the licensee did not administer medications as prescribed for one of one resident (R1) record reviewed. [...]”

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 obtain a current written or electronically recorded prescription for all medications the provider had managed for the licensee's three of three residents (R1, R2, R3) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to obtain a current written or electronically recorded prescription for all medications the provider had managed for the licensee's three of three residents (R1, R2, R3) with records reviewed. [...]”

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 develop an individualized treatment management plan with all required content for three of three residents (R1, R2, R3) who received treatments.

MDH’s finding, as written: “Based on interview, observation, and record review, the licensee failed to develop an individualized treatment management plan with all required content for three of three residents (R1, R2, R3) who received treatments. [...]”

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 the registered nurse (RN) included specific instructions for resident treatments and/or therapies and documented those instructions in the resident's record for three of three residents (R1, R2, R3) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) included specific instructions for resident treatments and/or therapies and documented those instructions in the resident's record for three of three residents (R1, R2, R3) 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 ensure up-to-date written or electronically recorded orders were maintained for one of three residents (R3) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure up-to-date written or electronically recorded orders were maintained for one of three residents (R3) with records reviewed. [...]”

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

Summary: MDH found the licensee failed to provide care and services according to a suitable and up-to-date plan, and subject to acceptable health care and medical, or nursing standards for one of one resident (R4) with falls 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 a suitable and up-to-date plan, and subject to acceptable health care and medical, or nursing standards for one of one resident (R4) with falls 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.”

Summary: MDH found the licensee failed to respond to grievances of one of one resident (R8) reviewed for grievances.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to respond to grievances of one of one resident (R8) reviewed for grievances. In addition, the licensee failed to respond to numerous complaints from resident council. [...]”

Rule cited: “Residents have the right to make and receive a timely response to a complaint or inquiry, without limitation. [...]”

Summary: MDH found the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) an allegation of maltreatment for two of two residents (R8, R9) reviewed for elopement and abuse.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) an allegation of maltreatment for two of two residents (R8, R9) reviewed for elopement and abuse. [...]”

Rule cited: “(a) A mandated reporter who has reason to believe that a vulnerable adult is being or has been maltreated, or who has knowledge that a vulnerable adult has sustained a physical injury which is not reasonably explained shall immediately report the information [...]”