Auburn Home in Waconia: Care Plan Failures - MN
Federal inspectors documented the failure during a November 2025 complaint inspection at the facility on Cherry Drive. The resident, identified only as R1 to protect confidentiality, was cognitively intact and wheelchair-dependent, requiring substantial or maximum staff assistance to move. She had been diagnosed with Parkinson's disease, a condition that routinely causes constipation by slowing the movement of food through the gut and reducing a person's physical activity.
Her physician had addressed this directly. Orders on file since September 2024 called for senna-docusate, a stool softener and stimulant laxative, twice daily in the morning and as needed, plus polyethylene glycol, a separate laxative, once a day as needed. Two medications, both aimed at the same documented problem.
Neither was given in July.
The medication administration record for that month showed no doses of senna-docusate and no doses of polyethylene glycol. During that same period, bowel movement records showed a small movement on July 12 and a medium one on July 16. Nothing in between. Four days passed with no recorded bowel movement and no documented assessment of why, no note from nursing staff, no intervention of any kind logged in her progress notes.
The care plan inspectors reviewed contained no focus area for constipation. No interventions. No timetable for monitoring. No direction to staff on what to do if she went days without a bowel movement, which she did.
A licensed practical nurse interviewed during the inspection was direct about what that meant. Constipation interventions should be on a resident's care plan, she told inspectors, to direct staff on how to manage it. The director of nursing went further. If a resident had a diagnosis of constipation, a history of constipation, and prescriptions for constipation, there was an expectation of a care plan to manage it. Then she acknowledged the obvious: R1's care plan had none.
The facility's own internal Bowel and Bladder Management policy, dated July 29, 2025, spelled out what staff were supposed to do. Assess residents for past and present bowel patterns. Review medications and diagnoses. Build a person-centered care plan with interventions. Review individuals who have gone three days without a recorded bowel movement and provide appropriate intervention. The policy existed. The situation it described existed. The response it required did not happen.
Inspectors tagged the deficiency under F0656, which covers the requirement that facilities develop and implement comprehensive care plans that address each resident's needs with measurable actions and timetables. The cited level of harm was minimal harm or potential for actual harm.
Constipation in Parkinson's patients is not a minor inconvenience. The disease slows the autonomic nervous system, which controls gut movement, and the resulting constipation can become severe, even dangerous, if unmanaged. A patient who is also wheelchair-bound and dependent on staff for mobility has almost no ability to address it independently through exercise or diet changes without staff involvement. The prescriptions on file acknowledged this. The care plan did not.
What makes the record harder to read is the specificity of what was ordered and the completeness of what was ignored. Two separate medications. A daily standing dose and an as-needed option. An entire month in which neither was administered. A four-day gap in bowel movements that generated no nursing note, no assessment, no call to the physician. And a care plan that, as of the inspection date, still contained no mention of the problem.
The director of nursing acknowledged it. The LPN acknowledged it. The facility's own policy described exactly what should have happened. R1 sat in her wheelchair, cognitively aware of her own body, while the system built to track and respond to her needs produced nothing.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Auburn Home In Waconia from 2025-11-25 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
AUBURN HOME IN WACONIA in WACONIA, MN was cited for violations during a health inspection on November 25, 2025.
Federal inspectors documented the failure during a November 2025 complaint inspection at the facility on Cherry Drive.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.