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MN Veterans Home Fergus Falls: Immediate Jeopardy - MN
with new psychiatric medication orders, his wife at his side....
Latest reports, citations, and penalties from CMS data
with new psychiatric medication orders, his wife at his side....
The resident had been readmitted to Garden Park, transferred to an acute care hospital on April 15, and returned the same day....
The two residents had been on the smoking patio....
The April inspection of Independence House, triggered by a complaint, documented what happened after staff found Resident 13 on the evening of April 13....
The inspection, completed April 28, stemmed from a complaint....
The deeper problem wasn't the heel protectors on the floor....
Nobody reported it to the state....
When the resident's family asked about the money and jewelry months later, none of it was there....
When state inspectors arrived on April 28, 2026, the Director of Therapy told them directly: she had missed the deadline....
What they found was a facility that had failed to provide basic care and assistance to residents who could not perform activities of daily living on their own....
Inspectors documented the scene at 11:45 a.m....
The problem had lasted roughly a week before a repair was made, and even after that repair, temperatures remained below an acceptable threshold....
The concierge at the front desk saw Resident R125 walk out of the building with a visitor....
That was one item on a longer list....
The resident, identified in inspection records as Resident 156, has lived at the facility since 2014....
The violation affected some residents, according to the inspection report....
When he looked more closely, he found the reason....
The resident was cognitively intact, able to communicate, and understood what was happening around them....
The inspection, completed April 28, 2026, produced two deficiency citations total....
That complaint, filed with the state in April, triggered an inspection on April 28, 2026....