The Lutheran Home: Belle Plaine
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
after Resident R1 fell and found Resident R1 on her back at the end of the bed. LPN-A stated Resident R1 did not have any initial complaints of pain but did have a rug burn on her right side around the rib cage area; one hour later Resident R1 started to complain about having extreme pain in her right arm and thought Resident R1 must be more seriously injured that initially thought. LPN-A called ambulance and Resident R1's daughter. LPN-A stated initial investigation indicated NA-A transferred Resident R1 alone instead of getting another staff as directed by the care plan. LPN-A stated, we had ample people to help that night, but [NA-A] said she was told if she felt comfortable doing it [EZ stand transfer] with one, she could. LPN-A stated Resident R1 had switched to assist of two with EZ stand transfers because she was getting weaker and had let go of the handlebars. Facility Policy titled Safe Resident Handling last revised 4/25, identified EZ stand transfers with an assist of 1-2 depending on recommendations from therapy. The facility policy was updated 12/25 (after Resident R1 fall) to reflect all EZ stands transfers require an assist of two staff. Facility policy titled Abuse Prohibition Plan and Vulnerable Adult Incident Reporting last revised [DATE REDACTED], identified neglect was the failure of the facility, its employees or service providers to provide goods and services to a resident that were necessary to avoid physical harm, mental anguish, or emotional distress. Serious bodily injury included an injury involving extreme physical pain and involving loss or impairment of the function of a bodily member.The facility implemented the following corrective actions dated prior to the survey and were verified during survey as completed identifying past non-compliance: -NA-A had immediate re-education-Safe Patient Handling policy changed, implemented, and educated to staff. Policy now reflects two staff assist for all transfers.-All resident care plans were updated.-DON provided corrective action, re-education with return demonstration to NA-A.-Random transfer audits by nursing leadership implemented
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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.