Birchwood Health Care Center
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
did not sanitize her hands because she got nervous. During an observation on 12/18/25 at 3:48 p.m., licensed practical nurse (LPN)-A and NA-A sanitized hands, applied gown and gloves, and entered Resident R3's room. LPN-A gathered supplies and explained to Resident R3 that she was going to change his feeding tube dressing. LPN-A removed her gloves, washed her hands, and applied clean gloves. LPN-A removed Resident R3's dressing with no drainage on it and placed it in the garbage, removed her gloves, sanitized her hands, and applied clean gloves. LPN-A cleansed the insertion site and applied a clean dressing without changing her gloves or sanitizing her hands. LPN-A removed her gloves, dated a piece of tape, sanitized her hands, applied a clean pair of gloves, and put the tape on the clean dressing. During an interview on 12/18/25 at 4:01 p.m., LPN-A stated she should have changed her gloves and sanitized her hands after cleansing Resident R3's feeding tube insertion site but she did not because she was nervous. On 12/19/25 at 11:55 a.m., the director of nursing (DON) stated staff were expected to perform hand hygiene per policy. When residents are on EBPs staff were expected to wear a gown and gloves with cares and when completing dressing changes. On 12/19/25 at 11:57 a.m., the administrator stated staff were expected to follow the hand hygiene policy. Staff were expected to follow EBP guidelines when preforming dressing changes on a resident on EBPs. The facility Hand Hygiene policy revised 8/2025, indicated staff would cleanse hands
before putting on gloves, after removal of gloves, and before moving from a soiled body site to a clean body site. The facility Personal Protective Equipment Selection and Use policy reviews 9/2023, indicated staff would apply a gown and gloves prior to high contact care, which may apply to indwelling medical devices regardless of MDRO colonization. EBPs would be used during high contact resident activities such as hygiene, incontinence cares, and devices or wound care.
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BIRCHWOOD HEALTH CARE CENTER in FOREST LAKE, 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 FOREST LAKE, 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 BIRCHWOOD HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.