Vitality Living of Kimball

Summary: MDH found the licensee failed to ensure training was completed in all required areas for one of one unlicensed personnel (ULP)-D with records reviewed.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure training was completed in all required areas for one of one unlicensed personnel (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) [...]”

Summary: MDH found the licensee failed to ensure the registered nurse (RN) conducted training and competency evaluations for one of one unlicensed personnel (ULP)-H who performed delegated tasks.

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 one of one unlicensed personnel (ULP)-H who performed delegated tasks. [...]”

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 document all required content for medication setup 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 document all required content for medication setup for one of one resident (R3) 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 ensure one of two medication refrigerators (south) maintained an acceptable temperature to ensure medications were stored according to manufacturer's recommendations.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure one of two medication refrigerators (south) maintained an acceptable temperature to ensure medications were stored according to manufacturer's recommendations. [...]”

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, including the expiration date for time sensitive medications, for three of three residents (R2, R6 and R9) with records reviewed.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure medications were maintained, including the expiration date for time sensitive medications, for three of three residents (R2, R6 and R9) with records reviewed. [...]”

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 develop and implement a treatment or therapy management plan to include all required content for one of three residents (R4) receiving modified diets with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop and implement a treatment or therapy management plan to include all required content for one of three residents (R4) receiving modified diets with records reviewed. [...]”

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 treatment or therapies were administered as directed and failed to document the reason they were not administered and any follow up procedures provided to meet the resident's needs for one of one resident (R1) with blood glucose (sugar) monitoring managed by the provider with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure treatment or therapies were administered as directed and failed to document the reason they were not administered and any follow up procedures provided to meet the resident's needs for one of one resident (R1) with blood glucose (sugar) monitoring managed by the provider with records reviewed. [...]”

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 the facility was staffed twenty four hours a day, seven days a week in the two key pad secured units (north and south).

MDH’s finding, as written: “Based on interview, observation, and record review, the licensee failed to ensure the facility was staffed twenty four hours a day, seven days a week in the two key pad secured units (north and south). This had the potential to affect all residents residing at the facility and resulted in an immediate correction order on October 27, 2021, at 1:00 p.m. [...]”

Rule cited: “An assisted living facility with dementia care providing services in a secured dementia care unit must have an awake person who is physically present in the secured dementia care unit 24 hours per day, seven days per week, who is responsible for responding to [...]”