St Francis Home
ST FRANCIS HOME in BRECKENRIDGE, MN — inspection on June 9, 2026.
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
During telephone interview on 6/8/26 at 2:30 p.m., family member (FM)-A indicated they did not think staff routinely brushed R34's teeth. FM-A stated I think they do floss occasionally, but do not brush R34's teeth often enough.
During observation on 6/9/26 at 7:06 a.m., nursing assistant (NA)-A was in R34's room attaching a sling for the stand- up lift to R34 while R34 sat on the edge of bed with assistance. At 7:07 a.m., NA-B entered room and assisted NA-A with the stand-up lift for R34, then they assisted R34 to the bathroom. NA-B left the room, then NA-A assisted R34 with washing and drying upper half of body, then applied R34's shirt and deodorant. At 7:16 a.m. NA-B came into R34's room and completed perineal cares, applied new brief and pants. NA-B assisted NA-A to transfer R34 to her wheelchair. NA-B left the room, then NA-A combed R34's hair, and applied perfume. NA-A made R34's bed, bagged up soiled clothing, linen, and garbage. NA-A wheeled R34 out to the common area near the TV. NA-A then sanitized hands.
NA-A returned to room and disposed of soiled clothing, linens and garbage in soiled utility room. NA-A did not offer or complete oral cares for R34. At 8:12 a.m. R34 was assisted to the dining room, where staff fed her breakfast.
During interview on 6/9/26 at 8:56 a.m., NA-A verified he did not offer to complete R34's oral cares or to brush R34's teeth. NA-A indicated he usually worked pm shift until a few weeks ago and was not used to morning cares. NA-B stated his usual practice was to complete oral cares in the evening. NA-A stated it was important to complete oral cares, so residents did not get cavities. NA-A stated it was difficult to be observed completing cares and most residents had dentures, so he was used to rinsing and applying dentures for residents in morning.
During interview on 6/9/26 at 11:04 a.m., registered nurse (RN)-A stated expectation was for oral cares and brushing of teeth to be done with morning and evening cares. RN-A indicated oral cares were important, so residents did not develop infections, and for good oral hygiene.
Director of Nursing (DON) was not available for an interview.
The facility policy titled Grooming For Residents, undated, identified All residents would receive the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial wellbeing manifested in part by being fully groomed.
Residents who had their own teeth should have their teeth brushed every morning, every evening and as needed (PRN).
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
245265 06/09/2026
St Francis Home 2400 St Francis Drive Breckenridge, MN 56520
indicated NA-A should have been wearing a gown when NA-A provided personal cares for R2. NA-A
thought about putting a gown on but did not want to stop cares for R2.
During an interview on 6/9/26
on gowns, gloves and completing hand hygiene while providing R2's personal cares.During an interview on 6/09/2026 at 10:42 a.m., RN-A indicated RN-A assisted with infection control and had talked to staff about following EBP. RN-A further indicated EBP was discussed at meetings and staff received training on how to follow EBP.
During an interview on 6/9/2026 at 10:47 a.m., administrator and vice president (VP) of patient services indicated the importance of EBP was to protect the residents and staff.
Administrator and VP of patient services stated they would both expect staff to be compliant and follow EBP when providing personal cares to residents who are on EBP.Facility policy titled Isolation Precautions dated 11/22, identified healthcare personnel will utilize enhanced barrier precautions with all patient care activities to minimize exposure to potential pathogens as recommended by The Centers for Disease Control and Prevention (CDC). EBP was to be used with all residents have wounds and/or indwelling medical devices (urinary catheter).
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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.