Inspection Reports for New Perspective Mankato
100 Dublin Rd, Mankato, MN 56001, United States, MN, 56001
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Inspection Report
Follow-Up
Census: 120
Capacity: 80
Deficiencies: 12
Feb 7, 2025
Visit Reason
Follow-up survey conducted to determine if orders from the November 22, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance. The prior survey identified multiple deficiencies including infection control, abuse prevention plan updates, fire safety code violations, training deficiencies, resident reassessments, service plan updates, treatment management, and bed rail safety issues.
Severity Breakdown
Level 2: 11
Level 3: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to establish and maintain an effective infection control program related to glove use and handwashing by unlicensed personnel during medication administration, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to update individual abuse prevention plan with change of condition for one resident, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to comply with State Fire Code: multiple trash chute doors and fire-rated doors did not self-close and latch, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to conduct required fire evacuation drills twice per year per shift with at least one drill every other month, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to provide written notice with required content and notify Ombudsman for emergency relocation of one resident, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to ensure training and competency evaluations were completed prior to providing direct care for unlicensed personnel, including personal hygiene, grooming, safe transfer, ambulation, and range of motion, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to ensure annual training included all required topics for unlicensed personnel, including maltreatment reporting, infection control, dementia communication, and person-centered planning, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to complete resident reassessment within 90 days for one resident, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to revise written service plan to reflect current services provided for two residents, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to develop and implement a treatment or therapy management plan including procedures for notifying nurse when problems arise for one resident receiving oxygen therapy, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to ensure care and services were provided according to accepted health care standards for one resident with a bed rail; bed rail was improperly installed with a gap between mattress and rail posing entrapment risk, resulting in a level three violation at isolated scope. | Level 3 |
Report Facts
Fine amount: 3000
Residents present: 120
Licensed capacity: 80
Days between assessments: 93
Days between assessments: 99
Gap between mattress and bed rail: 6
Gap between mattress and bed rail: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Casey DeVries | Supervisor, State Evaluation Team | Signed follow-up survey letter verifying substantial compliance |
| Jodi Johnson | Supervisor, State Evaluation Team | Signed letter regarding initial survey and correction orders |
| ULP-D | Unlicensed Personnel | Named in findings related to infection control, training deficiencies, and medication administration |
| CNS-B | Clinical Nurse Supervisor | Provided clarifications on infection control, service plans, treatment management, and assessments |
| LALD-A | Licensed Assisted Living Director | Reviewed training records and employee files for ULP-D |
| FM-F | Family member of resident R3, provided information about bed rail safety concerns |
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