Inspection Reports for Moorhead Manor
1710 13th Avenue, North Moorhead, MN 56560, MN, 56560
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Inspection Report
Follow-Up
Census: 16
Deficiencies: 12
Jul 30, 2024
Visit Reason
The Minnesota Department of Health conducted a follow-up survey on July 30, 2024, to determine correction of orders found on the survey completed on May 2, 2024.
Findings
The follow-up survey found the facility had not corrected all state correction orders from the May 2, 2024 survey. Additional violations were identified related to conditions, infection control, medication administration documentation, and administration of treatments and therapy. The licensee was found in substantial compliance but must take action to correct the outstanding orders.
Severity Breakdown
Level 1: 3
Level 2: 7
Level 3: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Failed to ensure sufficient staffing 24 hours per day to meet scheduled and reasonably foreseeable needs of residents; failed to review staffing plan twice per year. | Level 3 |
| Food was not prepared and served according to Minnesota Food Code. | Level 2 |
| Assisted living contracts required residents to include and pay for meals as part of their contract without an opt-out option. | Level 1 |
| Failed to develop a written emergency preparedness plan with all required content and post it prominently; failed to review missing resident plan quarterly. | Level 2 |
| Assisted living contracts lacked required content including complaint resolution process and contact information for Ombudsman for Mental Health and Developmental Disabilities. | Level 1 |
| Failed to ensure registered nurse conducted assessments with uniform assessment tool including all required content for residents. | Level 2 |
| Medications were not maintained with legible opened-on date for time sensitive medication; expired stock medications found in medication storage cabinet. | Level 2 |
| Failed to document disposition of medications upon resident discharge. | Level 2 |
| Failed to ensure medication administration process was followed by unlicensed personnel; failed to follow planned time away procedure including labeling medications with resident name. | Level 2 |
| Failed to post required notice to visitors regarding electronic monitoring devices at main entrance. | Level 1 |
| Failed to ensure orientation to assisted living statutes included all required content for unlicensed personnel. | Level 2 |
| Failed to ensure dementia care training was completed within required timeframe for non-direct care staff. | Level 2 |
Report Facts
Fine amount: 3500
Residents present: 16
Overnight shifts worked alone: 15
Hours worked: 192
Dementia training hours required: 4
Dementia training hours completed: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ULP-D | Unlicensed Personnel | Worked overnight shifts alone without full training and competency; lacked required dementia training and orientation content. |
| LALD-A | Licensed Assisted Living Director | Provided statements regarding staffing, contracts, and training deficiencies. |
| CNS-B | Clinical Nurse Supervisor | Provided statements regarding staffing, medication administration, and training deficiencies. |
| LPN-G | Licensed Practical Nurse | Failed to follow planned time away medication procedure; medication administration documentation issues. |
| ULP-C | Unlicensed Personnel | Failed to follow medication administration process correctly. |
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