Benedictine Care Community
BENEDICTINE CARE COMMUNITY in ADA, MN — inspection on September 25, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
and document. If it has been over two hours the nurse would be expected to follow up with the
Identification of an infection early and starting an antibiotic would be important to avoid sepsis.
healing while preventing infection.
Drainage identified as sanguineous: blood drainage; blood drainage in a chronic wound may represent a sign of increased microbial load in the wound, which indicates an assessment for signs of infection was needed.
Localized signs of infection would be erythema, induration (hardening of tissue around the wound site can indicate inflammation/infection), increased drainage, change in character of tissue, foul odor, increased pain at wound site, delayed wound healing, general malaise, mental confusion, loss of appetite, leukocytosis, fever (often not present in elderly), hypothermia, blood sugar changes in diabetic.
Document progress toward healing following facility protocol on when to request change of treatment.
Facility policy Change in Condition dated 10/2/23, identified the provided care and services are based upon the current needs of the resident under the direction of the attending provider.
When a significant change in the resident's physical, mental, or psychosocial status is identified by the licensed nurse, or when there is need to alter treatment significantly, the licensed nursing associate consults with the attending provider and notify the resident/resident representative.
Assess significant change in the resident's condition noted through direct observation, interview, or report for [sic] other staff.
Notify the attending provider of the change in condition and implement orders for treatment and appropriate monitoring as directed. If unable to contact the physician, contact the medical director as appropriate.
Document symptoms, assessment, observations, resident/resident representative, and medical provider notification.
245502 09/25/2025
Benedictine Care Community 201 9th Street West Ada, MN 56510
included the skin/incisions.
She verified from 8/27/25 through 8/31/25, there was no documentation
monitor for signs and symptoms of infection.
The nurse would be expected to assess the incision,
would be expected to contact the provider right away when signs and symptoms of infection are seen such as increase in pain, drainage, purulent drainage, fever, and redness.
The nurse can contact the provider by texting or calling depends on the provider and document. If it had been over two hours the nurse would be expected to follow up with the provider again so that continuity in care can be provided.
The provider should have been contacted on 9/1/25 when purulent drainage, redness, and tenderness were noted on R1's left hip incision area.
Identification of an infection early and starting an antibiotic would be important to avoid sepsis.
Facility document Infection Prevention and Control (dressing changes and wound care) undated identified read the care plan of seeing resident to know if/how the wound is be cleaned and what type of dressing if needed should be applied.
After wound care and/or dressing change has been completed documentation was required.
Facility policy Preventing Skin Infections dated 9/2023, identified the purpose was to promote wound healing while preventing infection.
Skin injuries will be observed daily or as ordered. If dressing change is not indicated daily, there will still be a visualization of the surrounding skin condition. A comprehensive wound assessment will be completed on a weekly basis and include location of skin injury, length, width, and depth measurements recorded in centimeters.
Direction of length of tunneling and undermining if present.
Appearance of wound base.
Type and percentage of tissue in wound such as eschar, slough, granulation, epithelial.
Drainage amount and characteristics including color, consistency, and odor.
Drainage identified as sanguinous: blood drainage; blood drainage in a chronic wound may represent a sign of increased microbial load in the wound, which indicates an assessment for signs of infection was needed.
Localized signs of infection would be erythema, induration (hardening of tissue around the wound site can indicate inflammation/infection), increased drainage, change in character of tissue, foul odor, increased pain at wound site, delayed wound healing, general malaise, mental confusion, loss of appetite, leukocytosis, fever (often not present in elderly), hypothermia, blood sugar changes in diabetic.
Document progress toward healing following facility protocol on when to request change of treatment.
Facility policy Change in Condition dated 10/2/23, identified the provided care and services are based upon the current needs of the resident under the direction of the attending provider.
When a significant change in the resident's physical, mental, or psychosocial status is identified by the licensed nurse, or when there is need to alter treatment significantly, the licensed nursing associate consults with the attending provider and notify the resident/resident representative.
Assess significant change in the resident's condition noted through direct observation, interview, or report for [sic] other staff.
Notify the attending provider of the change in condition and implement orders for treatment and appropriate monitoring as directed. If unable to contact the physician, contact the medical director as appropriate.
Document symptoms, assessment, observations, resident/resident representative, and medical provider notification.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.