North Ridge Health And Rehab
North Ridge Health And Rehab in NEW HOPE, MN — inspection on July 11, 2024.
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
During an interview on 7/11/24 at 4:16 p.m., the director of nursing (DON) reviewed R40's medications and BPs documented and stated the Midodrine should not have been given since the BP was higher than they allowable parameters to give the medication.
The DON expected all nursing staff would follow the provider orders and only given medication when outside the ordered parameters.
Facility policy Documentation of Medication Administration last revised 9/12 lacked documentation of BP's needed to be taken prior to giving BP medication with parameters and what to do if outside the ordered parameters.
49617
R121:
R121's admission Minimum Data Set (MDS) dated [DATE], indicated she had moderate cognitive impairment and was taking antibiotics. MDS indicated R121 had diagnoses including infection following a procedure, wound infection, malnutrition, and chronic pain.
R121's current physician orders included the following:
- amoxicillin oral suspension reconstituted 400 milligrams (mg)/5 milliliters (mL), Give 6.3mL enterally (directly into the digestive tract) three times a day for infection, dated 6/24/24.
R121's medication administration record (MAR) dated 6/2024, revealed an order for a 48-72 hour antibiotic re-assessment dated [DATE] and discontinued 6/24/24.
The MAR also revealed a discontinued antibiotic order for ampicillin-sulbactam sodium (Unasyn) intravenous solution reconstituted 3 (201) gram (GM), to use 2 gram intravenously every 6 hours for sepsis dated 6/2/24 and discontinued 6/18/24.
R121's care plan lacked documentation of antibiotic monitoring.
A progress note dated 6/11/24, indicated R121 left the facility to an infectious disease appointment and was brought to the emergency department and admitted to the hospital.
245183
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 245183 B.
Wing 07/11/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428
During interview on 7/11/24 at 8:12 a.m., RN-E confirmed the carpet outside of the dining room felt sticky and described the two light brown spots outside of room [ROOM NUMBER] at a spilled supplement from a medication pass. RN-E stated there is a carpet cleaner on site and she would get them up to clean it.
During interview on 7/11/24 at 8:21 a.m., Direct of housekeeping stated she does spot checks on the units daily.
She stated the staff are instructed to wipe down hand railings daily, flat mop the walls weekly and as needed, vacuum the floor in the dining room after breakfast, whip down tables daily after breakfast and lunch.
Director of housekeeping confirmed there was crumbs and food particles on the floor after breakfast.
Direct of housekeeping confirmed there was a 4-foot piece of wallpaper missing and the exposed wall had both liquid and solid spilled on the wall and stated the wallpaper is old and needs to be replaced.
Director of housekeeping confirmed spots on carpet outside of room [ROOM NUMBER] and that the carpet felt sticky outside of the dining room.
She stated staff should have been able to clean spots off the floor.
Direct of nursing confirmed the handrails needed to be cleaned and should have been done daily.
She stated it was important to clean and disinfect daily because this was their home, and the facility needed to make sure they have a safe clean area to live.
During interview on 7/11/24 at 8:56 a.m., administrator stated the carpet on the unit needed to be replaced and that there had been discussion but no solid timeline.
The administrator confirmed the wallpaper in room [ROOM NUMBER] was not satisfactory or homelike and confirmed the color was not a match.
The administrator stated the facility was working on replacing a few non-functioning exhaust fans which was the cause of the odor on the unit. He stated the facility was still obtaining quotes for the exhaust fans.
The administrator confirmed there were rips and missing pieces of wallpaper in the dining room and stated the wallpaper in the whole building needs to be replaced but that was a massive undertaking. He stated it was not a homelike or welcoming environment.
The administrator confirmed a few handrailings were missing endcaps, which caused them to have a blunt edge and could lead to injury. He stated he would have expected a work order to be put in as critical and for the issue to be fixed.
245183