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Deficiency Records for Allina Health Restorative Suites
A list of the most recent deficiencies for Allina Health Restorative Suites. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Allina Health Restorative Suites. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-11 | 2024-02-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-11 | 2024-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-02-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-11 | 2024-02-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-11 | 2024-02-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-11 | 2024-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-02-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-11 | 2024-02-21 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-11 | 2024-02-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-11 | 2024-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-09 | 2023-10-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-01 | 2023-03-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-01 | 2023-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-01 | 2023-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-01 | 2023-03-13 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-01 | 2023-03-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-18 | 2023-01-26 | Y |
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