Mn Veterans Home Minneapolis
Inspection Findings
F-Tag F0578
F 0578 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
changed. She left the room to call the OD and to look up his code status. She still had her gloves on, and
she only saw attempt resuscitation. She started CPR when she returned to the room. The next day staff told her she read the POLST wrong. She looked again and saw the check mark for Do not resuscitate. Since
she had training on how to read a POLST. She now knows the chart spine label is colored white for a full code and blue for a DNR. In addition, the POLST was located inside the chart. The facility policy Medical Emergency Protocol dated [DATE REDACTED], indicated the nurse would first identify absence of breathing and circulation. Before starting CPR, the resident's code status would be reviewed in the electronic medical record, or the POLST found in the residents chart. The past noncompliance immediate jeopardy began on [DATE REDACTED]. The immediate jeopardy was removed and he deficient practice corrected on [DATE REDACTED] after the facility implemented a systemic plan that included the following actions: 1. Health unit coordinator (HUC), nurse manager, and registered nurses would check all resident's charts to ensure POLST matched the electronic medical record banner and the charts spine color. 2. Staff were educated on emergency protocols. a. Where to check code status.b. Two people verify the POLST. 3. Completed audits with staff and verified the training. 4. Completed monthly Code drills where staff would read the POLST and correctly identify if a full code or DNR. 5. Ongoing audit schedule to evaluate staff knowledge regarding the POLST and where to find the code status.
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MN Veterans Home Minneapolis in MINNEAPOLIS, 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 MINNEAPOLIS, 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 MN Veterans Home Minneapolis or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.