Mn Veterans Home Minneapolis
MN Veterans Home Minneapolis in MINNEAPOLIS, MN — inspection on September 22, 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
jeopardy to resident health or safety
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], 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].
The immediate jeopardy was removed and he deficient practice corrected on [DATE] 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.
Facility ID: