Vermilion Senior Living

Summary: MDH found the licensee failed to develop the fire safety and evacuation plan with required content, make the plan readily available, provide required training and drills.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to develop the fire safety and evacuation plan with required content, make the plan readily available, provide required training and drills. This had the potential to directly affect all residents, staff, and visitors. [...]”

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

Summary: MDH found the licensee failed to ensure a background study was affiliated with the assisted living license for two of two employees who required background studies (registered nurse (RN-H), RN-I).

MDH’s finding, as written: “Based on interview, and record review, the licensee failed to ensure a background study was affiliated with the assisted living license for two of two employees who required background studies (registered nurse (RN-H), RN-I). [...]”

Rule cited: “(a) Employees, contractors, and regularly scheduled volunteers of the facility are subject to the background study required by section 144.057 and may be disqualified under chapter 245C. [...]”

Summary: MDH found the licensee failed to ensure the registered nurse (RN) ensured training and competency demonstration was completed for one of one unlicensed personnel (ULP-N).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) ensured training and competency demonstration was completed for one of one unlicensed personnel (ULP-N). Additionally, the licensee failed to provide written instructions in the resident records for delegated tasks for two of three residents (R1, R8). [...]”

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 service plans were revised to include provided services for two of four residents (R8, R13).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure service plans were revised to include provided services for two of four residents (R8, R13). [...]”

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 the registered nurse (RN) prepared in writing specific instructions for each resident receiving medication management services and documented those instructions for one of three residents (R1).

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) prepared in writing specific instructions for each resident receiving medication management services and documented those instructions for one of three residents (R1). [...]”

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 two of three unlicensed personnel (ULP)-L, ULP-B) followed registered nurse (RN) written instructions for three of three residents (R11, R1, R4).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure two of three unlicensed personnel (ULP)-L, ULP-B) followed registered nurse (RN) written instructions for three of three residents (R11, R1, R4). In addition, the licensee failed to ensure manufacturer's instructions were followed for one of three residents (R1) who received medication management services. [...]”

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 medication was stored according to manufacturer's instructions by maintaining acceptable medication refrigerator temperatures for one of one medication refrigerator.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure medication was stored according to manufacturer's instructions by maintaining acceptable medication refrigerator temperatures for one of one medication refrigerator. In addition, the licensee failed to ensure medications were secured in one of two medication storage areas (file cabinet). Further, the licensee failed to ensure medication was secured in a locked area for three of six residents (R13, R3, R10). [...]”

Rule cited: “An assisted living facility must store all prescription medications in securely locked and substantially constructed compartments according to the manufacturer's directions and permit only authorized personnel to have access.”

Summary: MDH found the licensee failed to ensure medications were maintained bearing the original prescription label with legible information, including the expiration date, for time sensitive medications for two of two medication storage areas (file cabinet, medication cart).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were maintained bearing the original prescription label with legible information, including the expiration date, for time sensitive medications for two of two medication storage areas (file cabinet, medication cart). In addition, the licensee failed to monitor for expired medication for one of five residents (R5). [...]”

Rule cited: “A prescription drug, prior to being set up for immediate or later administration, must be kept in the original container in which it was dispensed by the pharmacy bearing the original prescription label with legible information including the expiration or [...]”

Summary: MDH found the licensee failed to ensure treatments or therapies were administered as prescribed for one of two residents (R1).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure treatments or therapies were administered as prescribed for one of two residents (R1). [...]”

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, medical, or nursing standards for tobacco products to include lighter storage, and storage of cleaning products.

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 tobacco products to include lighter storage, and storage of cleaning products. Further, the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for storage of oxygen for one of three residents (R10) with an oxygen tank. [...]”

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 the steps of the medication administration process was followed for one of three employees (unlicensed personnel (ULP)-D).

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the steps of the medication administration process was followed for one of three employees (unlicensed personnel (ULP)-D). [...]”

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

Summary: MDH found the licensee failed to ensure privacy was maintained for two of four residents (R1, R4) while receiving services.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure privacy was maintained for two of four residents (R1, R4) while receiving services. 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 [...]”

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. [...]”

MDH’s finding, as written: “Based on observation, interview, and record review the licensee failed to ensure resident's personal health and medical information was kept private for two of three unlicensed personnel (ULP)-D, ULP-B). This had the potential to affect all residents residing at the assisted living facility. [...]”

Rule cited: “(a) Residents have the right to have personal, financial, health, and medical information kept private, to approve or refuse release of information to any outside party, and to be advised of the assisted living facility's policies and procedures regarding [...]”