Wabasso Restorative Care Center: Infection Control Failures - MN
The nurse, identified in inspection records as LPN-A, entered a resident's room that morning to perform a dressing change on a sacral ulcer. What followed was a nearly unbroken chain of contamination. LPN-A examined the resident's enlarged testicles with gloved hands, then removed those gloves and put on a new pair without sanitizing. He wiped down the overbed table, handled wound supplies, and changed gloves again without sanitizing. He cleaned the resident after a bowel incontinence episode, changed gloves without sanitizing. He removed the dressing from the sacral ulcer, changed gloves without sanitizing. He cleaned the ulcer, changed gloves without sanitizing. He placed the wound filler and dressing, changed gloves without sanitizing.
A registered nurse, RN-A, who entered the room to assist, did the same thing twice, including after examining the resident's genitals and before applying cream.
The sacral ulcer received new dressing after gloves that had handled fecal matter were removed and replaced without any hand hygiene between.
When inspectors interviewed LPN-A afterward, he said he believed sanitizing before the first glove application and after the dressing was finished was sufficient. He also acknowledged he should have cleaned the overbed table before setting wound supplies on it.
The director of nursing, interviewed later that afternoon, said hands should be sanitized before and after wound care. She said she expected staff to clean the work surface before placing supplies on it.
The facility's own hand hygiene policy states that gloves do not replace hand sanitizing, and that staff must sanitize before putting gloves on and immediately after removing them, including when moving from a contaminated body site to a clean one during the same procedure.
LPN-A moved from a contaminated body site to a clean one at least seven times. He sanitized his hands none of those times.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Wabasso Restorative Care Center from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
WABASSO RESTORATIVE CARE CENTER in WABASSO, MN was cited for violations during a health inspection on April 30, 2026.
The nurse, identified in inspection records as LPN-A, entered a resident's room that morning to perform a dressing change on a sacral ulcer.
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.