The Ridge at Blaine

Survey completed October 1, 2021: 13 correction orders

• Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure the required staffing plan was developed and posted as required.

  MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure the required staffing plan was developed and posted as required. This had the potential to affect all 41 residents, staff, and visitors. [...]”

  Rule cited: “(11) develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility; (ii) ensures sufficient staffing at all times to [...]”

• Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure food was prepared and served according to the Minnesota Food Code.

  MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure food was prepared and served according to the Minnesota Food Code. This had the potential to affect all 41 residents of the assisted living facility. [...]”

  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 [...]”

• Tag 550: 144G.41 Subd. 7 Resident grievances; reporting maltreatment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to post in a conspicuous place, information

  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, the name, telephone number, and e-mail contact information for the individuals who are responsible for handling resident grievances. This had the potential to affect staff, visitors and all 41 residents receiving assisted living services. [...]”

  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. [...]”

• Tag 630: 144G.42 Subd. 6 Compliance with requirements for reporting ma Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure an individual abuse prevention plan (IAPP) was developed to include statements of the specific measures to be taken to minimize the risk of abuse for three of three residents (R1, R3) with records reviewed.

  MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure an individual abuse prevention plan (IAPP) was developed to include statements of the specific measures to be taken to minimize the risk of abuse for three of three residents (R1, R3) with records reviewed. [...]”

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

• Tag 640: 144G.42 Subd. 7 Posting information for reporting suspected c Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to post the required information related to the grievance procedure and contact information for the Office of Ombudsman for Long-Term Care and Mental Health and Developmental Disabilities.

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to post the required information related to the grievance procedure and contact information for the Office of Ombudsman for Long-Term Care and Mental Health and Developmental Disabilities. This had the potential to affect all 41 residents, 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 [...]”

From MDH’s letter: the letter says the facility is in substantial compliance; no immediate fines.

Allegation, as written: “The facility neglected two residents when resident (R2) pushed resident (R1) to the floor, resulting in R1 breaking his hip.”

“The Minnesota Department of Health determined neglect was inconclusive.”

Summary: MDH looked into an allegation and found: neglect inconclusive.

MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was inconclusive. Although it was alleged R2 pushed R1 to the floor, there were no witnesses and the cause of R1's fall could not be determined.”

Action taken by facility: “No action was taken by the facility.”

Action taken by MDH: “The responsible party will be notified of their right to appeal the maltreatment finding. The facility was found to be in noncompliance.”

Survey completed October 5, 2022: 6 correction orders

• Tag 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma Level 2, isolated scope, scope/level letter D · correction period: Fourteen (14) days
  Details

  Summary: MDH found the facility failed to ensure an individual abuse prevention plan (IAPP) was developed to include statements of the specific measures to be taken to minimize the risk of abuse for one resident (R2) with records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the facility failed to ensure an individual abuse prevention plan (IAPP) was developed to include statements of the specific measures to be taken to minimize the risk of abuse for one resident (R2) with records reviewed. [...]”

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

• Tag 900: 144G.50 Subdivision 1 Contract required Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
  Details

  Summary: MDH found the facility failed to develop and execute an assisted living written contract to include all required content for two of two (R1 and R2) residents with records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the facility failed to develop and execute an assisted living written contract to include all required content for two of two (R1 and R2) residents with records reviewed. This had the potential to affect all residents 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. [...]”

• Tag 1460: 144G.63 Subdivision 1 Orientation of staff and supervisors Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
  Details

  Summary: MDH found the facility failed to provide staff orientation to assisted living licensing requirements and regulations for three of three employees (unlicensed personnel [ULP]-C, D, and E) with records reviewed.

  MDH’s finding, as written: “Based on observation, interview. and record review, the facility failed to provide staff orientation to assisted living licensing requirements and regulations for three of three employees (unlicensed personnel [ULP]-C, D, and E) with records reviewed. This had the potential to affect all residents receiving services from the facility. [...]”

  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. [...]”

• Tag 1490: 144G.63 Subd. 4 Training required relating to dementia Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
  Details

  Summary: MDH found the facility failed to ensure staff received dementia training in the required areas for three of three employees (unlicensed personnel [ULP]-C, D, and E) with employee records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the facility failed to ensure staff received dementia training in the required areas for three of three employees (unlicensed personnel [ULP]-C, D, and E) with employee records reviewed. [...]”

  Rule cited: “All direct care staff and supervisors providing direct services must demonstrate an understanding of the training specified in section 144G.64.”

• Tag 2110: 144G.82 Subd. 3 Policies Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
  Details

  Summary: MDH found the facility failed to ensure the assisted living facility with dementia care developed policies and procedures that address the required ten provisions noted in 144G.82 Subd. 3 for two of two residents (R1 and R2) with records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the facility failed to ensure the assisted living facility with dementia care developed policies and procedures that address the required ten provisions noted in 144G.82 Subd. 3 for two of two residents (R1 and R2) with records reviewed. This had the potential to affect all residents in the facility. [...]”

  Rule cited: “(a) In addition to the policies and procedures required in the licensing of all facilities, the assisted living facility with dementia care licensee must develop and implement policies and procedures that address the: (1) philosophy of how services are [...]”

• Tag 3000: 626.557 Subd. 3 Timing of report Level 2, isolated scope, scope/level letter D · correction period: Fourteen (14) days
  Details

  Summary: MDH found the facility failed to report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment within 24 hours for two residents (R1 and R2), with records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the facility failed to report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment within 24 hours for two residents (R1 and R2), 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 [...]”

Allegation, as written: “The facility neglected the resident when sufficient supervision was not provided in the dining room and the resident choked.”

“The Minnesota Department of Health determined neglect was not substantiated.”

Summary: MDH looked into an allegation and found: neglect not substantiated.

MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was not substantiated. The facility acted appropriately and contacted emergency medical services (EMS) immediately upon the resident's change in condition.”

Action taken by facility: “No action required.”

Action taken by MDH: “No further action taken.”

Survey completed September 26, 2024: no correction orders issued.

Allegation, as written: “The facility neglected a resident when multiple, various skin injuries were found during an assessment.”

“The Minnesota Department of Health determined neglect was not substantiated.”

Summary: MDH looked into an allegation and found: neglect not substantiated.

MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was not substantiated. The facility communicated changes with the provider and provided medical care as ordered.”

Action taken by facility: “The facility provided medical care as ordered by the provider.”

Action taken by MDH: “The facility was found to be in noncompliance.”

Survey completed December 7, 2023: 2 correction orders

• Tag 730: 144G.43 Subd. 3 Contents of resident record Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed document wound care services were performed for one of two residents (R1) reviewed.

  MDH’s finding, as written: “Based on interview and document review, the licensee failed document wound care services were performed for one of two residents (R1) reviewed. R1 received dressing change orders after developing blisters. [...]”

  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, [...]”

• Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to notify the resident's physician for a change in status and direction for treatment for one of two residents (R1) reviewed.

  MDH’s finding, as written: “Based on interview and document review, the licensee failed to notify the resident's physician for a change in status and direction for treatment for one of two residents (R1) reviewed. R1 developed blisters, that had begun opening but the licensee failed to inform R1's physician until three days later when a second nurse took action. [...]”

  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.”

Allegation, as written: “The alleged perpetrator (AP) abused a resident when she hit the resident on the head.”

“The Minnesota Department of Health determined abuse was not substantiated.”

Summary: MDH looked into an allegation and found: abuse not substantiated.

MDH’s conclusion, as written: “The Minnesota Department of Health determined abuse was not substantiated. The AP denied the allegation and passed a polygraph (lie detector) examination administered by law enforcement. The case was closed with no charges.”

Action taken by facility: “The facility reported to the Minnesota Adult Abuse Reporting Center.”

Action taken by MDH: “No further action taken at this time.”

Survey completed December 7, 2023: 2 correction orders

• Tag 730: 144G.43 Subd. 3 Contents of resident record Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed document wound care services were performed for one of two residents (R1) reviewed.

  MDH’s finding, as written: “Based on interview and document review, the licensee failed document wound care services were performed for one of two residents (R1) reviewed. R1 received dressing change orders after developing blisters. [...]”

  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, [...]”

• Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to notify the resident's physician for a change in status and direction for treatment for one of two residents (R1) reviewed.

  MDH’s finding, as written: “Based on interview and document review, the licensee failed to notify the resident's physician for a change in status and direction for treatment for one of two residents (R1) reviewed. R1 developed blisters, that had begun opening but the licensee failed to inform R1's physician until three days later when a second nurse took action. [...]”

  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.”