Benedictine Care Community
Inspection Findings
F-Tag F0558
F 0558
manner.
Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Benedictine Care Community
201 9th Street West Ada, MN 56510
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0676
F 0676 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
at least one bath a week and the nurse was expected to have completed a weekly skin assessment and/or
a weekly skin assessment progress note and identify when a bath was given. There were times when the NA marked the bath sheet at the nurse's station and those were filed, unsure as to how long. The staff were expected to take responsibility for the weekly baths and the documentation of them so that it could be tracked easily and assure they were completed. Bathing was important for personal hygiene/skin and if hair was oily could have possibly affected their dignity. Had not heard of any residents complain of lack of bathing, only a family member. Resident council meeting minutes dated 7/8/25, identified nursing concerns/comments: residents were wondering why they can't have more than one bath a week. Resident R2 expressed she was not getting one bath a week. No indicated follow up.Resident council meeting minutes dated 8/12/25, identified nursing concerns/comments: [Resident R2] had not received her bath on her scheduled bath day. She spent all day in a night gown and wanted to know if she would be receiving a bath. No indicated follow up. Facility policy Activities of Daily Living dated 2021, identified the facility associates will be expected to provide care and services to residents unable to carry out ADL's independently necessary to maintain good nutrition, grooming, personal hygiene, elimination, communication, and mobility. Those services include but are not limited to: hygiene (bathing, dressing, grooming and oral care). If a resident refused cares, the response will be documented and associates will approach at a different time, or have another associate speak with the resident as needed.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Benedictine Care Community
201 9th Street West Ada, MN 56510
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0688
F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
upon a significant change in status and in collaboration with therapist, the resident, responsible party or other designated facility associate will design the individual restorative nursing program for the resident.
Associates administering the restorative interventions will be trained and competencies on the interventions that may be assigned to them. A RN will provide oversight to the program to ensure the restorative interventions are being implemented as planned and document at a minimum the program evaluation indicating the progress, and changes to the restorative care plan. Changes will be shared with staff via communication forms. If a resident has improved or declined, therapy should re-evaluate the resident and revise the plan as indicated in collaboration with the RN.
Event ID:
Facility ID:
If continuation sheet
Benedictine Care Community in ADA, MN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ADA, MN, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Benedictine Care Community or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.