Deficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
23% better than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Deficiencies: 2
Date: Nov 20, 2025
Visit Reason
The inspection was conducted to evaluate compliance with privacy and medication storage regulations at the nursing home.
Findings
The facility failed to ensure residents' confidential information was protected on computer screens during medication administration. Additionally, medications were not properly secured in locked compartments as required.
Deficiencies (2)
F 0583: The facility failed to keep residents' personal and medical records private and confidential, leaving confidential information visible on open computer screens during medication administration for 3 residents.
F 0761: The facility failed to ensure medications were stored in locked compartments, leaving a bottle of acetaminophen unsecured on top of the medication cart accessible to residents.
Report Facts
Residents affected: 3
Residents affected: 3
Medication dosage: 500
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Trained Medical Assistant (TMA)-A | Observed leaving computer screens unlocked and medication unsecured | |
| Clinical Administrator (CA) | Provided information on facility policies and procedures regarding privacy and medication storage |
Inspection Report
Routine
Census: 29
Deficiencies: 4
Date: Oct 17, 2024
Visit Reason
Routine inspection to assess compliance with nursing staff posting requirements, medication administration accuracy, medication error rates, and food safety standards.
Findings
The facility failed to post accurate nurse staffing data daily, resulting in discrepancies affecting all 29 residents. Medication administration errors were identified in 3 of 9 residents, with a 13.79% error rate. Food safety violations included improper food storage, unlabeled and undated food items, unclean kitchen fans, and staff with facial hair not wearing beard nets.
Deficiencies (4)
F 0732: The facility failed to ensure required nurse staff data was posted daily before each shift and the accuracy of the posted nurse staffing information, potentially affecting all 29 residents.
F 0755: The facility failed to accurately transcribe a medication order and check the medication administration record against the medication label for 1 of 1 resident receiving an anticoagulant.
F 0759: The facility failed to ensure medications were administered according to physician orders and manufacturer guidelines for 3 of 9 residents, resulting in a medication error rate of 13.79%.
F 0812: The facility failed to ensure food items were properly stored, labeled, and dated; kitchen fans were not kept clean; and staff with facial hair did not wear beard nets, potentially affecting all 29 residents.
Report Facts
Residents affected: 29
Medication error rate: 13.79
Medication errors: 4
Medication administration opportunities: 29
Inspection Report
Deficiencies: 3
Date: Dec 7, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to care planning, medication administration, and vaccination policies at the nursing home.
Findings
The facility failed to ensure a care conference was conducted and residents and their representatives were involved in care plan revisions. There was a medication transcription error leading to incorrect medication administration for one resident. Additionally, the facility did not ensure pneumococcal vaccinations were offered or administered according to CDC recommendations for some residents.
Deficiencies (3)
F 0657: The facility failed to ensure a care conference was conducted and residents and their representatives were involved in the revision of the plan of care for 1 of 1 residents reviewed.
F 0755: The facility failed to accurately transcribe a medication order and check the medication administration record against the medication label prior to administration for 1 of 4 residents observed during medication administration.
F 0883: The facility failed to ensure 3 of 5 residents were offered or received the pneumococcal vaccine in accordance with CDC recommendations.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 3
Medication doses left: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN-A | Licensed Practical Nurse | Mentioned in medication administration observation and interview regarding care conference documentation |
| LPN-B | Licensed Practical Nurse | Interviewed about telephone/verbal order processing and medication transcription |
| RN-A | Registered Nurse | Interviewed about order processing and medication transcription |
| Director of Nursing | Director of Nursing | Interviewed regarding care conference scheduling and medication order transcription |
| Pharmacist | Interviewed about medication label checks against MAR | |
| Nurse Practitioner NP-A | Nurse Practitioner | Interviewed about expectations for order entry and medication transcription |
| Medical Director | Medical Director | Interviewed about medication transcription error and potential outcomes |
| Infection Preventionist | Infection Preventionist | Interviewed about pneumococcal vaccination policies and resident immunization status |
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