Carver Ridge Senior Living.
Carver Ridge Senior Living is Grade C, ranked in the top 45% of Minnesota memory care with 1 MDH citation on record; last inspected Aug 2025.
A large home, reviewed on public record.
Ranked against 142 Minnesota facilities.
ALF memory care · 36-month window. Higher percentile = better. Source: Minnesota Dept. of Health · Health Regulation Division.
FACILITY WATCH · BETA
Carver Ridge Senior Living has 1 citation on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
1 deficiencie on record. Each bar is a month with a citation.
Finding distribution
1 total · 36 monthsScope × Severity (CMS A–L)
Questions to ask before you visit.
A short pre-tour checklist tailored to Carver Ridge Senior Living's record and state requirements.
The most recent Minnesota Department of Health inspection on August 13, 2025 found zero deficiencies across all standards — can you walk us through the facility's internal audit process that helps maintain compliance, and how often does leadership review policies before state visits?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
One complaint was filed with MDH during the inspection period on record — even though no deficiencies were cited, can you describe what that complaint involved and what steps the facility took in response?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
This community holds an Assisted Living Facility with Dementia Care license under Minnesota Statutes chapter 144G — can you provide a copy of the written dementia care program that MDH reviewed during licensure, and explain how staff competency in dementia care is documented?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every MDH visit, verbatim.
3 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-08-13Annual Compliance VisitNo findings
Plain-language summary
A routine inspection of Carver Ridge Senior Living on August 13, 2025, found one violation related to fire protection and physical environment under Minnesota state statute 144G.45, Subdivision 2(a), and the facility was assessed a $500 fine. The facility must document the actions it took to correct this violation within the timeframe specified by the state.
Full inspector notes
correction orders and document the actions taken to comply in the facility's records. The Department reserves the right to return to the facility at any time should the Department receive a complaint or deem it necessar yto ensure the health, safety, and welfare of residents in your care. STATE CORRECTIO ONRDERS The enclosed State Form documents the state correction orders. MDH documents state licensing correction orders using federal software. Tag numbers are assigned to Minnesota state statutes for Assisted Living Facilities .The assigned tag number appears in the far left column entitled "ID Prefix Tag". The state statute number and the corresponding text of the state statute out of compliance are listed in the "Summary Statemen tof Deficiencies "column. This column also includes the findings that are in violation of the state statute after the statement, "This MN Requiremen tis not met as evidenced by . . ." IMPOSITION OF FINES In accordance with Minn. Stat. § 144G3. 1, Subd .4, fines and enforcement actions may be imposed based on the level and scope of the violations and may be imposed immediately with no opportunity to correct the violation first as follows: Leve l1: no fines or enforcement; Leve l2: a fine of $500 per violation, in addition to any enforcement mechanism authorized in § 144G2. 0; Leve l3: a fine of $1,000 per incident, in addition to any enforcement mechanism authorized in § 144G2. 0; Leve l4: a fine of $3,000 per incident, in addition to any enforcement mechanism authorized in An equal opportunity employer . Letter ID: IS7N REVISE 0D9/13/2021 Carve rRidge Senior Living Septembe r30, 2025 Page 2 § 144G2. 0; Leve l5: a fine of $5,000 per violation, in addition to any enforcement mechanism authorized in § 144G2. 0. Therefore ,in accordance with Minn. Stat. §§ 144G0. 1 to 144G9. 999, the following fines are assessed pursuant to this survey: St - 0 - 0775 - 144g.45 Subd. 2. (a) - Fire Protection And Physica lEnvironment - $500.00 Therefore ,in accordance with Minn. Stat. §§ 144G0. 1 to 144G9. 999, the total amount you are assesse dis $500.00. You will be invoiced approximately 30 days after receipt of this notice, subject to . appeal DOCUMENTATIO ONF ACTION TO COMPLY In accordance with Minn. Stat. § 144G3. 0, Subd .5(c), the licensee must docum ent actions taken to comply with the correction orders within the time period outlined on the state form; however, plans of correction are not required to be submitted for approval. The correction order documentation should include the following: x Identify how the area(s) of noncompliance was corrected related to the resident(s)/ employees( ) identified in the correction order. x Identify how the area(s) of noncompliance was corrected for all of the provider’s resident(s)/ employees that may be affected by the noncompliance. x Identify what changes to your systems and practices were made to ensure compliance with the specific statute(s). CORRECTIO ONRDER RECONSIDERATI OPRNOCESS In accordance with Minn. Stat. § 144G3. 2, Subd .2, you may challenge the correction order(s) issued, including the level and scope ,and any fine assesse dthrough the correction order reconsideration process .The request for reconsideration must be in writing and received by MDH within 15 calendar days of the correction order receipt date. To submit a reconsideration request, please visit: https:/ / forms.web.health.state.mn.us/form/ HRDAppealsForm REQUESTIN AG HEARING Alternatively ,in accordance with Minn. Stat. § 144G3. 1, Subd .5(d), an assisted living provider that has been assesse da fine under this subdivision has a right to a reconsideration or a hearing under this section and chapter 14. Pursuan tto Minn. Stat. § 144G2. 0, Subd .14 and Subd .18, a request for a hearing must be in writing and received by the Department of Health within 15 business days of the correction order receipt date. The request must contain a brief and plain statement describing each matter or issue contested and any new information you believe constitutes a defense or mitigating factor. Carve rRidge Senior Living Septembe r30, 2025 Page 3 To submit a hearing request, please visit: https:/ / forms.web.health.state.mn.us/form/ HRDAppealsForm To appea lfines via reconside ration, please follow the pr ocedur e outlined above. Plea se note that you may request a reconsideration or a hearing, but not both. If you wish to contest tags without fines in a reconsideration and tags with the fines at a hearing, please submit two separate appeals forms at the website listed above. The MDH Health Regulation Division (HRD )values your feedback about your experience during the survey and/or investigation process .Please fill out this anonymous provider feedback questionnaire at your convenience at this link: https:/ / forms.office.com/g/ Bm5uQEpHV.a Your input is important to us and will enable MDH to improve its processe sand communication with providers . If you have any questions regarding the questionnaire ,please contact Susan Winkelmann at susanw. inkelmann@state.mn.us or call 651-201-5952. You are encouraged to retain this document for your records . It is your responsibility to share the information contained in the letter and state form with your organizations’ Governing Body. If you have any questions ,please contact me. Sincerely, Kelly Thorson ,Supervisor State Evaluation Team Email: Kelly.Thorson@state.mn.us Telephone :320-223-7336 Fax :1-866-890-9290 AH PRINTED: 09/30/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ B. WING _____________________________ 35660 08/13/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 920 6TH STREET WEST CARVER RIDGE SENIOR LIVING CARVER, MN 55315 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE PREFIX PREFIX REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 *****ATTENTION***** Minnesota Department of Health is documenting the State Licensing ASSISTED LIVING PROVIDER LICENSING Correction Orders using federal software. CORRECTION ORDER(S) Tag numbers have been assigned to Minnesota State Statutes for Assisted In accordance with Minnesota Statutes, section Living License Providers. The assigned 144G.08 to 144G.95, these correction orders are tag number appears in the far-left column issued pursuant to a survey. entitled "ID Prefix Tag." The state Statute number and the corresponding text of the Determination of whether violations are corrected state Statute out of compliance is listed in requires compliance with all requirements the "Summary Statement of Deficiencies" provided at the Statute number indicated below. column. This column also includes the When Minnesota Statute contains several items, findings which are in violation of the state failure to comply with any of the items will be requirement after the statement, "This considered lack of compliance. Minnesota requirement is not met as evidenced by." Following the surveyors' INITIAL COMMENTS: findings is the Time Period for Correction. SL35660016 PLEASE DISREGARD THE HEADING OF THE FOURTH COLUMN WHICH On August 11, 2025, through August 13, 2025, STATES,"PROVIDER'S PLAN OF the Minnesota Department of Health conducted a CORRECTION." THIS APPLIES TO full survey at the above provider and the FEDERAL DEFICIENCIES ONLY. THIS following correction orders are issued. At the time WILL APPEAR ON EACH PAGE. of the survey, there were 69 residents; 58 receiving services under the Assisted Living THERE IS NO REQUIREMENT TO Facility with Dementia Care license. SUBMIT A PLAN OF CORRECTION FOR VIOLATIONS OF MINNESOTA STATE STATUTES. The letter in the left column is used for tracking purposes and reflects the scope and level issued pursuant to 144G.31 subd. 1, 2, and 3. 0 775 144G.45 Subd. 2. (a) Fire protection and physical 0 775 SS=F environment LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 DNHO11 If continuation sheet 1 of 3 PRINTED: 09/30/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ B.
2025-04-30Complaint Investigation1 · Substantiated Finding
Plain-language summary
A complaint investigation found that the facility neglected a resident by failing to assess fall risk and implement individualized interventions, resulting in 14 falls over four months with the final fall causing a hip fracture requiring surgery and hospitalization. The facility also failed to address a significant 12-pound weight loss within three months of admission through documented interventions. Staff did not complete focused fall assessments or change-of-condition assessments after falls, and care conferences were not properly documented or interdisciplinary.
“MDH substantiated maltreatment or licensing violation finding”
Full inspector notes
Finding: Substantiated, facility responsibility Nature of Investigation: The Minnesota Department of Health investigated an allegation of maltreatment, in accordance with the Minnesota Reporting of Maltreatment of Vulnerable Adults Act, Minn. Stat. 626.557, and to evaluate compliance with applicable licensing standards for the provider type. Initial Investigation Allegation(s): The facility neglected the resident when staff failed to provide necessary care and services to address the resident’s frequent falls and decline in condition. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was substantiated. The facility was responsible for the maltreatment. The facility failed to assess the resident’s risk for falls and implement individualized interventions relevant to the causative factors to prevent falls or reduce risk of serious injury. The resident had approximately 14 falls within in four months, the last fall resulted in a hip fracture which required surgical intervention. In addition, the facility failed to implement interventions following a 12-pound weight loss in three months following admission. The investigator conducted interviews with facility staff members, including administrative staff, nursing staff, and unlicensed staff. The investigation included review of the resident record, facility documents, facility incident reports, staff schedules, and related facility policy and procedures. During an onsite visit, the investigator observed cares, and staff interactions with residents. The resident resided in an assisted living memory care unit. The resident’s diagnoses included dementia and a history of a stroke. The resident’s service plan included assistance with dressing, grooming, meal escorts, bathing, toileting, medication administration and stand by assist for transfers. The resident’s admission assessment indicated the resident had not had any falls in the last three months and was able to ambulate safely, however the resident’s progress notes indicated the resident fell at home three days prior to admission. The resident’s assessment indicated the resident frequently refused medications and assistance with dressing. The resident walked with a walker, was at high risk for falls and received around the clock safety checks. The resident’s individual abuse prevention plan indicated the resident was able to ambulate independently and had not fallen since the last assessment. The assessment lacked an individualized assessment of the resident’s current health status or individualized needs including interventions to prevent falls. The assessment also indicated the resident had a 12-pound weight loss in the last three months. The resident’s record did not include interventions to attempt to decrease the resident’s weight loss. The resident’s progress notes, and incident reports indicated the resident fell two times in the first 30 days. Toileting services were added to the resident’s service plan but there was no documentation to assess if the intervention was appropriate. There also was not a focused fall assessment completed following the falls. The next month the resident fell four times. The residents medical record did not include focused fall assessments following the fall, a change in condition assessment related to the resident’s decline, or individualized interventions related to the root cause of the fall. The third month the resident fell five times. The resident’s medical record did not include a focused fall assessment, change in condition assessment related to the resident’s decline, or individualized interventions related to the root cause to prevent falls. The fourth month the resident fell three times. Following the 12th fall the primary care provider made order changes including monitoring of the resident’s weight, blood pressure, pulse, and medication changes. The residents medical record did not include a focused fall assessment, change in condition assessment related to the resident’s decline, or additional interventions to prevent falls. The resident’s progress notes and incident reports indicated the resident’s 14th fall resulted in a hip fracture requiring surgical repair. The resident was hospitalized and then discharged to a higher level of care. During an interview, licensed practical nurse (LPN) stated the resident had a walker but would not use it. The resident refused medications, and only allowed certain people to care for him. The nurse was responsible for implementing interventions and she had never reviewed falls with the director of nursing (DON). The resident fell a lot more when he started to decline since he wasn't eating or taking his medications. It was the DON’s responsibility to make changes or additions to a resident’s service plan. The LPN stated at times they worked short staffed due to call in's and could be a cause for an increase in falls. During an interview, the registered nurse (RN) stated normally the floor nurse would come up with an immediate fall intervention. The resident was admitted from home and did not adjust well and would not come out of his apartment. The care conferences referenced in the incident reports included her and the resident’s family members and did not include an interdisciplinary team and were not documented. The resident’s family members did not want the facility to add services because the resident was applying for medical assistance. The RN did not know why there was over a one month wait for initiation of therapy services. The RN stated there should have been a change in condition assessment completed and should have been completed after every three falls. Fall interventions should have been developed and implemented related to the root cause of the fall. The RN stated there were no documented interventions to prevent the resident’s weight loss and did not know if the resident’s primary care provider was notified of the resident’s weight loss. During an interview, the resident’s family member (FM) stated they met with the RN three or four times with concerns about resident’s care and services. The FM would share their concerns with the RN but would never receive a follow up regarding their repeated care concerns. The FM stated there were many times the resident was not checked on hourly and was left in his room most days with little encouragement from staff to come out and eat or attend activities. The FM was concerned with the number of falls but did not feel facility staff was concerned. A few times resident’s FM has had to call and tell staff that the resident was on the floor and required assistance. During an interview, the resident’s family member stated the family went to management multiple times with concerns regarding services not being provided per the service plan. In conclusion, the Minnesota Department of Health determined neglect was substantiated. Substantiated: Minnesota Statutes, section 626.5572, Subdivision 19. “Substantiated” means a preponderance of evidence shows that an act that meets the definition of maltreatment occurred. Neglect: Minnesota Statutes, section 626.5572, subdivision 17 “Neglect” means neglect by a caregiver or self-neglect. (a) "Caregiver neglect" means the failure or omission by a caregiver to supply a vulnerable adult with care or services, including but not limited to, food, clothing, shelter, health care, or supervision which is: (1) reasonable and necessary to obtain or maintain the vulnerable adult's physical or mental health or safety, considering the physical and mental capacity or dysfunction of the vulnerable adult; and (2) which is not the result of an accident or therapeutic conduct. Vulnerable Adult interviewed: No. The resident was deceased. Family/Responsible Party interviewed: Yes Alleged Perpetrator interviewed: Not Applicable Action taken by facility: No action taken Action taken by the Minnesota Department of Health: The responsible party will be notified of their right to appeal the maltreatment finding. The facility was found to be in noncompliance. To view a copy of the Statement of Deficiencies and/or correction orders, please visit: https://www.health.state.mn.us/facilities/regulation/directory/provcompselect.html If you are viewing this report on the MDH website, please see the attached Statement of Deficiencies. You may also call 651-201-4200 to receive a copy via mail or email cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities Carver County Attorney Carver City Attorney Carver Police Department PRINTED: 05/12/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ C B.
2023-06-01Annual Compliance VisitNo findings
Plain-language summary
A standard inspection of Carver Ridge Senior Living was conducted from May 30 through June 1, 2023, and resulted in state correction orders for violations of Minnesota assisted living regulations. The facility was found to have deficiencies related to its infection control program and other areas of noncompliance with state statutes; no immediate fines were assessed at the time of this survey. The facility was required to document how it corrected these violations and made changes to prevent future noncompliance.
Full inspector notes
CORRECTION ORDERS The enclosed State Form documents the state correction orders. The MDH documents state licensing correction orders using federal software. Tag numbers are assigned to Minnesota state statutes for Assisted Living Facilities. The assigned tag number appears in the far left column entitled "ID Prefix Tag." The state statute number and the corresponding text of the state statute out of compliance are listed in the "Summary Statement of Deficiencies" column. This column also includes the findings that are in violation of the state statute after the statement, "This MN Requirement is not met as evidenced by . . ." In accordance with Minn. Stat. § 144G.31 Subd. 4, MDH may assess fines and enforcement actions based on the level and scope of the violations; however, no immediate fines are assessed for this survey of your facility. DOCUMENTATION OF ACTION TO COMPLY In accordance with Minn. Stat. § 144G.30, Subd. 5(c), the licensee must document actions taken to comply with the correction orders within the time period outlined on the state form; however, plans of correction are not required to be submitted for approval. The correction order documentation should include the following: · Identify how the area(s) of noncompliance was corrected related to the resident(s)/employee(s) identified in the correction order. · Identify how the area(s) of noncompliance was corrected for all of the provider’s resident(s)/employees that may be affected by the noncompliance. · Identify what changes to your systems and practices were made to ensure compliance with An equal opportunity employer. Letter ID: IS7N REVISED 09/13/2021 Carver Ridge Senior Living June 15, 2023 Page 2 the specific statute(s). CORRECTION ORDER RECONSIDERATION PROCESS In accordance with Minn. Stat. § 144G.32, Subd. 2, you may challenge the correction order(s) issued, including the level and scope, and any fine assessed through the correction order reconsideration process. The request for reconsideration must be in writing and received by the MDH within 15 calendar days of the correction order receipt date. A state correction order under Minn. Stat. § 144G.91, Subd. 8, Free from Maltreatment is associated with a maltreatment determination by the Office of Health Facility Complaints. If maltreatment is substantiated, you will receive a separate letter with the reconsideration process under Minn. Stat. § 626.557. Please email reconsideration requests to: Health.HRD.Appeals@state.mn.us. Please attach this letter as part of your reconsideration request. Please clearly indicate which tag(s) you are contesting and submit information supporting your position(s). Please address your cover letter for reconsideration requests to: Reconsideration Unit 85 East Seventh Place St. Paul, MN 55164-0970 You are encouraged to retain this document for your records. It is your responsibility to share the information contained in the letter and state form with your organization’s Governing Body. If you have any questions, please contact me. Sincerely, Jodi Johnson, Supervisor State Evaluation Team Email: jodi.johnson@state.mn.us Telephone: 507-344-2730 Fax: 651-281-9796 PMB PRINTED: 06/15/2023 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ 35660 B. WING _____________________________ 06/01/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 920 6TH STREET WEST CARVER RIDGE SENIOR LIVING CARVER, MN 55315 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) 0 000 Initial Comments 0 000 ******ATTENTION****** Minnesota Department of Health is documenting the State Correction Orders ASSISTED LIVING PROVIDER LICENSING using federal software. Tag numbers have CORRECTION ORDER(S) been assigned to Minnesota State Statutes for Assisted Living License In accordance with Minnesota Statutes, section Providers. The assigned tag number 144G.08 to 144G.95, these correction orders are appears in the far left column entitled "ID issued pursuant to a survey. Prefix Tag." The state Statute number and the corresponding text of the state Statute Determination of whether violations are corrected out of compliance is listed in the requires compliance with all requirements "Summary Statement of Deficiencies" provided at the Statute number indicated below. column. This column also includes the When Minnesota Statute contains several items, findings which are in violation of the state failure to comply with any of the items will be requirement after the statement, "This considered lack of compliance. Minnesota requirement is not met as evidenced by." Following the surveyors' INITIAL COMMENTS: findings is the Time Period for Correction. SL35660015 PLEASE DISREGARD THE HEADING OF On May 30, 2023, through June 1, 2023, the THE FOURTH COLUMN WHICH survey at the above provider, and the following CORRECTION." THIS APPLIES TO correction orders are issued. At the time of the FEDERAL DEFICIENCIES ONLY. THIS survey, there were 71 active residents receiving WILL APPEAR ON EACH PAGE. services under the Assisted Living with Dementia Care license. THERE IS NO REQUIREMENT TO SUBMIT A PLAN OF CORRECTION FOR VIOLATIONS OF MINNESOTA STATE STATUTES. The letter in the left column is used for tracking purposes and reflects the scope and level issued pursuant to 144G.31 subd. 1, 2, and 3. 0 510 144G.41 Subd. 3 Infection control program 0 510 SS=F (a) All assisted living facilities must establish and maintain an infection control program that LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 IN1K11 If continuation sheet 1 of 14 PRINTED: 06/15/2023 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ 35660 B. WING _____________________________ 06/01/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 920 6TH STREET WEST CARVER RIDGE SENIOR LIVING CARVER, MN 55315 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) 0 510 Continued From page 1 0 510 complies with accepted health care, medical, and nursing standards for infection control. (b)The facility's infection control program must be consistent with current guidelines from the national Centers for Disease Control and Prevention (CDC) for infection prevention and control in long-term care facilities and, as applicable, for infection prevention and control in assisted living facilities. (c) The facility must maintain written evidence of compliance with this subdivision. This MN Requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee failed to ensure infection control standards were followed during medication administration by one of one employee (unlicensed personnel (ULP)-D). This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has affected or has potential to affect a large portion or all of the residents). The findings include: On May 31, 2023, at 7:33 a.m. unlicensed personnel (ULP)-D was observed assisting R7 with compression socks, providing transfer assistance to R5, medication administration to R8, escort to R9, and eye drop administration to R10. ULP-D did not complete hand hygiene with any of the activities. At 8:14 a.m., the surveyor reminded ULP-D to complete hand hygiene and STATE FORM 6899 IN1K11 If continuation sheet 2 of 14 PRINTED: 06/15/2023 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ 35660 B. WING _____________________________ 06/01/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 920 6TH STREET WEST CARVER RIDGE SENIOR LIVING CARVER, MN 55315 (X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE DEFICIENCY) 0 510 Continued From page 2 0 510 ULP-D immediately used hand sanitizer. On May 31, 2023, at 8:23 a.m. ULP-D was observed assisting R5 with medication administration. ULP-D donned gloves and Minerin Cream was applied to R5's lower legs. Gloves doffed. ULP-D administered oral medications with ensure and donned gloves. ULP-D administered Diclofenac Sodium Topical Gel to R5's hands. Gloves doffed.
Family reviews
No reviews yet — be the first to share your experience
No published reviews yet. Use the button above to share your experience.