The Lutheran Home: Belle Plaine
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Note: The nursing home is disputing this citation.
FORM CMS-2567 (02/99) Previous Versions Obsolete
regular wt. monitoring to identify and document trends. If a resident experiences a significant wt. gain at any time, it must be assessed by a physician to determine the cause. When an out-of-range wt. is flagged upon electronic documentation, wt. gain should be addressed immediately to include re-weigh the resident for accuracy, contact physician with noted gain immediately, assess for edema and any symptoms of SOB, continue to monitor the resident for an adverse event.The IJ that began on 10/22/25, was removed on 11/4/25 at 3:02 p.m., when it was determined and verified the facility implemented the following:-identification of 23 like residents at-risk. Addition of baseline wt. to daily wt. orders along with parameters for wt. gain and to contact the physician for a 3 lb. increase in 24 hours or 5 lbs. increase in a week, edema assessments with baseline edema listed in physicians order, lung sounds added to interventions and care plans updated.-developed a new significant weight change policy and reviewed other applicable policies such as weight management, and vital signs.-developed a fluid restriction guideline/worksheet.-new admission order set created for residents admitting with diagnosis of CHF, edema, use of diuretics, and compression which includes daily edema checks, lung sounds, daily wts. with daily and seven-day parameter.-residents who have a diagnosis of heart failure and edema, but currently not at-risk, facility added baseline wts. on their weekly wt. assessment and edema checks with primary bath/skin checks of the week.-clinical coordinators are responsible for assessing and monitoring the resident for a change in condition with subsequent notification of medical provider.-staff completed review of newly developed significant weight change policy and procedure.-direct education reviewing how to assess for edema along with early recognition of heart failure symptoms completed before each licensed nurses next scheduled shift and availability of staff not regularly scheduled. Education also included in orientation of all newly hired staff.
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If continuation sheet
THE LUTHERAN HOME: BELLE PLAINE in BELLE PLAINE, 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 BELLE PLAINE, 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 THE LUTHERAN HOME: BELLE PLAINE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.