Lifecare Greenbush Manor
Lifecare Greenbush Manor in GREENBUSH, MN — inspection on October 16, 2025.
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
for the vulnerable adult is of utmost priority.
Examine, assess and interview the resident immediately upon knowledge to determine any injury.
Verbal abuse was defined as the use of oral, written or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance, regardless of age, ability to comprehend, or disability.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Lifecare Greenbush Manor
19120 200th Street Greenbush, MN 56726
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/16/25 at 1:36 p.m., assistant administrator stated she was notified of the R1's incident that occurred on 10/9/25 at 3:44 p.m., NA-A had left for the day, was not allowed to work again, and terminated on 10/10/25.
The staff nurse would have been expected to complete an assessment including skin and emotional as soon as the alleged perpetrator was removed and document.
Important to assess immediately to collect a baseline identify injuries and extent of them.
The care coordinator in this case should have collected the data and completed the initial assessment (must be licensed staff) right away.
Behaviors and skin assessments should have been completed and monitored daily every shift for at least the first three days to identify a baseline, worsening condition and physical or emotional changes had occurred. If no changes were identified such as behaviors of abuse and/or skin the order would have been discontinued or extended.
She entered R1's orders for nursing to monitor skin and behaviors and had not realized for some reason it did not go onto the TAR.
Those assessments were not completed.
She would have expected the care coordinator nurse to monitor and review the notes over the weekend and should have been caught at that time. NAs were expected to document under tasks every shift R1's behaviors and if none were identified a check mark should have been place in the last column none observed.
The five-day facility investigation report did not identify as initial assessment was completed after the incident and should have to identify the severity of the abuse.
Facility policy [NAME] Adult-Resident Abuse, Neglect, Mistreatment and Misappropriation of Property dated 2/19/25, identified each resident will be free from abuse, neglect, mistreatment, and misappropriation of property.
Abuse can include but is not limited to physical harm, pain, mental anguish, verbal abuse (derogatory terms), sexual abuse, or involuntary seclusion from any source.
All residents will be protected from abuse, neglect, and harm while they reside at the facility. No abuse or harm of any type will be tolerated, and residents and staff will be monitored for protection. In the event of suspected maltreatment, the needs of the resident will be immediately (upon knowledge) assessed, and the safety of the resident will be ensured.
The resident will be assessed for physical appearance, skin injuries, trauma, or changed in resident affect, mood, and behavior.
The investigation will consist of at least the following: a root cause analysis of all circumstances surrounding the incident.
Ensuring safety and well-being for the vulnerable adult is of utmost priority.
Examine, assess and interview the resident immediately upon knowledge to determine any injury.
Verbal abuse was defined as the use of oral, written or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance, regardless of age, ability to comprehend, or disability.
Facility ID: