The Gardens At Foley Llc
The Gardens at Foley LLC in FOLEY, MN — inspection on October 29, 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
During an interview on 10/29/25 at 12:00 p.m., RN-E, the regional consultant, stated they identified areas for improvement and had already started on a plan to fix process concerns related to assessments, updating appropriate people, and documentation processes.
During an interview on 10/29/25 at 12:44 p.m., the medical director expected the appropriate staff to be updated, and protocols followed when skin impairments were identified.
This included care manager visual assessment of the area, adequate and timely documentation, provider updates, individualized intervention implementation, and monitoring.
When it came to provider update for redness, she stated she would expect this more so if the area deteriorated.
The medical director was unable to speculate answers surrounding radiation questions or what may have occurred if staff on admission followed expectations; however, commented that R1's situation appeared like an error of omission. A Skin Assessment & Wound Management policy, last revised February 2025, directed the following when a New Skin Problem was identified: notify the nurse, provider, the resident's representative, and the nurse manager/wound nurse; complete education with resident/resident representative which included risks and benefits; initiate a Skin and Wound Evaluation; referrals to dietary and therapy if appropriate; review and update the plan of care which included interventions, along with skin breakdown identified risks, and to update the resident care lists.
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