The Lutheran Home: Belle Plaine
THE LUTHERAN HOME: BELLE PLAINE in BELLE PLAINE, MN — inspection on November 4, 2025.
Found 1 citation. 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
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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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.