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Complaint Investigation

Avera Morningside Heights Care Center

Inspection Date: September 24, 2025
Total Violations 1
Facility ID 245228
Location MARSHALL, MN
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Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

provide a medical evaluation, treatment and referral as appropriate. This system could be utilized for a change in condition in a non-emergent situation and accessed 24 hours a day with the resident's primary provider (PCP) being notified of the use of Avel virtual services and the resident's condition. The December 2024, Chain of Command and Administrative Call policy identified staff who have identified a problem situation would collaborate with their peers to determine the urgency of the problem. The responsible provider would be contacted for clarification. If the problem remained unresolved, the staff were to seek guidance of the LTC charge nurse. The charge nurse would contact the responsible provider. If the concern continues to be unresolved and there was an immediate risk to the resident care and safety, the charge nurse was to contact the LTC leader on-call if on a weekend, or the director of nursing on a weekday. The findings would be reviewed and if needed, the LTC leader on call or administrator would call for further clarification and discussion. If the issue remains unresolved, the administrator would be contacted and they would notify the chief medical officer, if needed, for assistance. The undated, E-Care and emergency room Services policy identified for a resident experiencing an injury or illness, the nurse was to assess and determine the best course of action for the resident. Staff were to address E-Care services with the resident and family. If staff were unable to contact family and/or resident was unable to make their needs known, staff had the right to send the resident to the emergency room. The nurse may contact E-Care for all non-emergent needs to confer with an on-call provider. The nurse had a right to utilize the emergency department based on their clinical judgement and assessment. A physician's order was not required to send a resident into the emergency room for evaluation. If a nurse was in doubt about whether to pursue further medical care, they were to collaborate with another nurse.

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📋 Inspection Summary

Avera Morningside Heights Care Center in MARSHALL, MN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 MARSHALL, 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 Avera Morningside Heights Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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