North Ridge Health And Rehab

During an interview on 3/7/25 11:19 a.m., the director of nursing (DON) stated R97's ondansetron order was a transcription error.

The order would have had to be give 4 times a day to be able to give before meals and bedtime. In addition, the nurse should not have manually changed the times to be given at 4:00 p.m. and 8 p.m.

Normally a mediation ordered two times a day would be scheduled for 8:00 a.m. and 8:00 p.m.

This was discussed with RN-C and RN-C has been instructed to contact the provider and get a new order.

The transcribing RN will receive education when they return to work.

The facility policy Medication Orders dated 6/2024 indicated that medication orders must include the type, route, dosage, frequency and strength of medication ordered.

The policy does not address taking verbal orders or order transcription.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

jeopardy to resident health or the POA paperwork for R223 sometime last month and was supposed to update the emergency safety contacts list when she received it so staff knew who to contact but it did not happen.

able to make his own decisions so staff were expected to ask his POA when they had questions about his care. RN-J confirmed SS-A was supposed to update the emergency contact list so staff would contact the right person if decisions needed to be made.

A policy regarding emergency contacts and POAs was requested and not received.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/7/25 at 11:03 a.m., the director of nursing (DON) stated when restraints were needed related to a resident's behaviors possibly compromising their airway, this was treated differently than other possible restraint use.

The DON stated that sometimes residents were admitted from the hospital with these restraints in place and interventions may not be attempted before application related to the airway issue and possible adverse outcomes.

The DON stated it would be up to the nurse manager to get orders from the provider to determine how often restraints should be removed and the resident should be monitored for adverse outcomes related to restraint use.

The DON stated she would then expect this order to be placed on documented on the administration record and a progress note added as needed if adverse outcomes were noted.

The DON stated she would expect staff to reassess residents for the necessity for restraint use every month and if a restraint was noted to be ineffective at treating the symptom it was ordered for, she would expect the resident to be reassessed for the need for continued restraint use or if another intervention should be attempted.

The facility's Physical Restraint Application policy dated 10/24, indicated a physical restraint is any manual method or physical device, material, or equipment attached to the resident's body that cannot be easily removed which restricts freedom of movement or normal access to one's body.

The policy indicated staff should document the date/time the restraint was applied, the type of physical restraint, the specific reason the restraint was applied, the length of time the restraint will be used, and each time the restraint is released.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/7/25 at 8:31 a.m., the MDS nurse stated an SCSA should be completed if there were two changes in activities of daily living needs or significant weight loss.

The MDS nurse stated for R42 they wanted to give her a few weeks in therapy to see if she was progressing.

The MDS stated R42 started physical and occupational therapy on 1/29/25 and discharged on 2/26/25.

The MDS nurse confirmed that R42 had a change in her wheelchair mobility, transfer status and eating assistance stating, this would be a good time to initiate a SCSA for R42.

During an interview on 3/7/25 at 10:49 a.m., the director of nursing (DON) confirmed an SCSA should have been completed for R42 when she returned from the hospital, stating it would have triggered other comprehensive assessments to be completed as well.

The DON stated, I think we could have done better by her.

A facility policy on MDS was requested and not received.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/7/25 at 10:49 the director of nursing stated it was expected for care plans to be reviewed, and updated if needed, at least quarterly and more frequently if a resident had a change in condition.

The DON stated it was important for residents to always have up to date and accurate care plans to ensure all staff know how to take care of the residents.

A facility policy titled Comprehensive Care Plans, reviewed 8/24, indicates an individualized comprehensive person-centered care plan that includes measurable objectives and time frames to meet the resident's medical, nursing, mental, cultural and psychological needs is developed for each resident.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/3/25 at 6:35 p.m., R146 stated that nobody was really talking to them about their careplan or their plan of care.

They stated they were not sure if they had ever been to a care conference meeting or been invited.

During an interview on 3/7/25 at 10:19 a.m., registered nurse RN-C stated it was the social worker's (SW) responsibility to schedule and invite the resident, family and staff to the care conference.

Care conferences are expected to occur at least quarterly and then as needed. I would expect quarterly.

Care conferences are needed because conferences give family and residents an opportunity to hear and give input into care and express needs or concerns.

During a follow-up interview on 3/7/25 at 12:30 p.m., R146 confirmed that they had not attended or been invited to a care conference in a long time.

Facility policy Resident/Family Participation-Assessment/Care Plans last reviewed 10/24 indicated each resident/family member was encouraged to participate in the development of the resident's comprehensive assessment and person-centered care plan.

The resident and/or family members are invited to each care conference.

The policy lacked information related to how often the care conferences should occur.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an observation on 3/4/25 at 9:40 a.m., R28 was observed in bed with his fingernails over ¼ of an inch beyond the end of his fingertip with a brown substance underneath the tips of his fingernails.

During an interview on 3/4/25 at 2:24 p.m., nursing assistant (NA)-D stated she was the aide for R28 yesterday and stated R28 had refused to let her cut his nails. NA-D stated they were supposed to document when a resident refused cares and did not recall if she had done that but thought R28's nails were not that long anyway.

During an observation and interview on 3/4/25 at 2:31 p.m., on entering the room, NA-D was observed standing at R28's bedside and cutting R28's fingernails.

Registered nurse (RN)-J stated she did not think R28 had refused to get his nails cut yesterday but his nails grow underneath so she did not feel it was necessary to have them cut yesterday. NA-D then again stated that R28 refused to have his fingernails cut, and when R28 was asked by RN-J if he refused to get his nails cut, he stated no. RN-J stated if R28 had refused, she would expect the NA to notify the nurse who should have put in a progress note about the refusal.

A policy, Care of Fingernails/Toenails dated 10/2024, identified the purpose of the procedure was to clean the nail bed, to keep nails trimmed, and to prevent infections.

The policy described the steps to clean and trim nails including cleaning underneath and around them with an orange stick and trimming them with a clipper.

For documentation, the policy indicated any refusals of care would be documented.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/6/25 at 9:01 a.m., the activities aide (AA)-A stated the last time R42 was

and was going outside by herself. AA-A confirmed since R42 was hospitalized , she was unable to go outside on her own anymore and her routine had changed however R42 was not compressively reassessed to address how her socialization needs would be met without her able to communicate or move around the facility independently anymore. AA stated she completed an isolation assessment of R42 but not a comprehensive assessment which would have assessed what specific activities R42 would potentially be interest in or able to participate in. AA-A stated she had not initiated any one-to-one visits with R42 but she checked in with R42 once a week to make sure her TV [television] was working.

During an interview on 3/6/25 at 10:36 a.m., nursing assistant (NA)-J stated prior to R42's hospitalization she was able to transfer on her own and spent a lot of time outside, smoking with other residents. NA-J stated since her stroke, R42 required a mechanical lift for transfers and NA-J had been instructed to lay R42 back in bed after meals, stating if R42 was left up in her wheelchair she would try to go outside and was not safe to go outside alone anymore.

During an interview on 3/6/25 at 10:50 a.m., licensed practical nurse (LPN)-H stated R42 spent a lot more time in her room since her hospitalization, stating she had a complete change since her hospitalization and was no longer able to go outside and smoke anymore.

During an interview on 3/6/25 at 12:10 p.m., nurse manager and registered nurse (RN)-F stated staff at times would offer to bring R42 to a group activity, but she was never really into group activities.

RN-F stated R42 liked to watch television and could hold her own remote.

During an interview on 3/6/25 at 11:24 a.m., R42's family member (FM)-E stated R42 was never a frequent participant in group activities but that she was a social butterfly and got her socializing in through smoking outside with other residents. FM-E stated when R42 first returned from the hospital she had a family friend staying with her as she lived out of town but now there was not anyone available to frequently visit her. R42 voiced concerns that R42 was just lying in bed with nobody there to help her.

During an interview on 3/7/25 at 10:49 a.m., the director of nursing (DON) stated she would have expected a comprehensive activities assessment to be completed after R42 had a stroke to determine how her socialization needs could be met.

The DON stated, I think we could have done better by her [R42] and that if a significant change MDS was initiated it would have triggered staff to comprehensively assess R42.

A facility policy titled Activities and Social Events, revised 9/2012, indicated, staff will evaluate a resident's physical and mental capacity to participate in various levels of activities.

They will note any significant physical and cognitive limitations or behavior issues that would influence the level of a resident's participation or type of activities that are relevant to that individual.

They will also note in the medical record any restrictions or needs that might be relevant to participation in activities (e.g., the need for toileting during the activity or limitations on the type, consistency, or amount of food that can be eaten while participating in an activity involving food).

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/7/25 at 10:36 a.m., RN-B stated they had not been the only nurse that had performed dressing changes on R4. RN-B was not sure if anyone else has documented on R4's skin, but they had not because R4's sites had been red for a few days leading up to R4's ED visit so it was not a new skin change. RN-B stated the nurse manager was also aware of R4's skin on 3/4/25. If they were going to document on a skin issue they would go in and make a progress note.

During an interview on 3/7/25 at 11:23 a.m., advanced practice registered nurse APRN-O stated they had looked at R4's tube feeding site the day R4 went to the ED. R4's tube feeding site and R4's supra pubic sites had been red and gunky.

Because R4 was considered high acuity/high risk, R4 was sent to the ED to have those sites checked their suprapubic catheter as well.

When NAs are changing R4 and they notice urine or drainage from the tube feeding or catheter site, they should be immediately reporting that.

Nurses should be documenting and reporting those changes to the provider immediately. APRN-O stated they expected nurses to follow facility policies for catheter/tube feeding care and management.

During an interview on 3/7/25 at11:23 a.m., the director of nursing (DON) stated NAs should be looking at skin and bringing forward changes/concerns.

When a dressing change is completed and there is a change in skin condition that nurse is responsible for documentation and proper notifications. A full skin assessment should be completed each week, and any changes should be documented and brought forward to the nurse manger/provider.

Wound assessments should be done as they are found and weekly.

When a new concern is brought forward or a wound has changed, it should be documented and communicated to the provider so care can be updated as needed.

This process would include tube feeding, catheter sites, and any other noted skin change or wound.

The facility policy Suprapubic Catheter Care F 690 dated 10/2024, included staff instruction to remove the drainage sponge from around the stoma site and wash around the site and along the tubing.

Inspect the stoma site and skin around the stoma for redness or skin break down.

Document the results of the skin assessment around the stoma.

Notify physician of any abnormality in the skin assessment or characteristics of the urine.

The facility policies Enteral Nutrition F-F693 dated 10/2024, and Gastric Tube Feeding Via Continuous Pump dated 5/2024, were received and reviewed however neither policy addressed tube feeding site skin assessment.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/7/25 at 11:23 a.m., the director of nursing (DON) pulled up R4's Skin and

as MASD on 1/22/25.

The DON reviewed R4's hospital note from 12/30/24, and confirmed it identified R4 had a coccyx stage 3 pressure ulcer.

The DON had not been directly involved in R4's care but did articulate expectations.

All staff including NA's should be looking at skin and bringing forward changes/concerns. A full skin assessment should be completed each week, and any changes should be documented and brought forward to the nurse manger.

Wound assessments should be done as they are found and weekly.

When a new concern is brought forward or a wound has changed, it should be documented and communicated to the provider so care can be updated as needed. R4's coccyx should have been identified and treated as a pressure ulcer.

Both the nurse mangers and providers can stage a wound. R4's pressure wound should have been added to the flow sheet and the careplan. R4 should have had a pressure reducing mattress and likely a wound nurse consult implemented much earlier in R4's wound progression. R4 should not be returned to the same position after care, R4 should be repositioned into a new position every two hours.

This was an expectation because off-loading took pressure off of R4's wound and helped it heal whereas pressure on the wound could worsen the wound and or prevent healing.

The facility policy Pressure Injury treatment Guidelines dated 4/2024, heading Stage 3 and Stage 4 Protocol provided instruction to staff to protect, fill dead space including tunnels and undermining, manage drainage, and to promote moist wound healing and management of pressure ulcer pain.

The header Debride slough/eschar directed staff to follow provider order for debridement most appropriate to resident's condition and goals.

The policy Documentation and Reporting sections instructed daily monitoring of pressure ulcers indicated if a pressure ulcer showed no progression after 2 to 4 weeks, the provider should be contacted for new treatment.

The facility prortocols for pressure injury were resquested and not received.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

normal procedure, so she could not confirm that it was being done.

motion would receive appropriate treatment and services to prevent further decrease in ROM.

The

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

regarding heating pads brought in from home. RN-B stated she did not know what she would do if a

from the resident's home. RN-C verified R90 was using an electrical heating pad and believed it was not a facility heating pad.

On 3/7/25 at 8:41 a.m., the director of nursing (DON) stated electrical heating pads should not be brought in from home, there should be a provider order and staff should be doing skin checks.

The DON verified the maintenance department never inspected the heating pad and identified the heating pad as Intertek #5023264.

The Electrical Safety for Residents dated 10/2024, identified residents would be protected from injury associated with the use of electrical devices, including electrocution, burns and fire.

Residents were supposed to be oriented to basic electrical safety precautions as part of the admission process and reinforced as indicated or appropriate.

The policy identified electrical devices were supposed to be inspected as part of routine fire safety and maintenance inspections.

The policy identified the use of electrical heating pads was discouraged. If used follow manufacturer's instructions, do not allow residents to sleep with heating pads turned on, do not allow the heating pad to be constricted, encourage residents to report redness, pain, burning sensation and inspect resident's skin often for signs of thermal injury.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/6/25 at 12:52 p.m., RN-J, the nurse manager stated she would expect the NAs to find a nurse, including herself, if they needed to lower the head of the bed to complete cares.

RN-J stated she would be worried about aspiration if the tube feed was not turned off when the head of the bed was lowered.

The facility policies Gastric Tube Feeding Via Continuous Pump dated 5/2024, and the policy Enteral Nutrition F-F693 dated 10/2024 were received and reviewed however neither policy addressed aspiration prevention or the labeling and dating of supplies and solutions for infection prevention purposes.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During interview on 3/6/24 at 2:37 p.m., registered nurse (RN)-H verified R204 had an oxygen concentrator and portable oxygen in his room. RN-H confirmed R204 would use oxygen as needed.

RN-H verified R204's medical record did not contain an active order for oxygen administration.

During joint interview on 3/7/24 at 9:51 a.m., director of nursing (DON) and assistant administrator (AA) identified expectation for staff to follow provider orders. DON explained provider orders should be followed in order for the provider and the staff to properly monitor administration and effectiveness of medication or treatment.

Oxygen Administration policy dated 10/2024, identified the purpose was to provide guidelines for safe oxygen administration.

Policy indicated the first step was to verify that there is a physicians's order, and ensure the proper flow of oxygen is being administered.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/6/24 at 12:29 p.m., the social worker (SW)-C stated she did not find out about the allegation of sexual assault and resulting SANE assessment until R42's care conference on 1/30/25. SW-C stated she had offered ACP to R42 however was unable to provide documentation and R42's care conference note lacked any documentation of a conversation with R42 and FM-E regarding the allegations and any resulting trauma. SW-C stated she did not do a trauma assessment with R42 because R42 did not acknowledge what had happened. SW-C stated generally if a resident had allegations of sexual assault resulting in a SANE assessment, it would trigger a trauma assessment, and she would be reaching out to the provider to have ACP go in for their own assessment.

However, SW-C didn't want to cause more trauma as she did not believe R42 had been phased by what had happened.

During an interview on 3/6/25 at 1:00 p.m., CDB stated she was aware of the allegation of sexual assault and that the allegation was unsubstantiated against the facility.

The CDB stated she was aware that FM-E was apprehensive about R42 returning to the facility due to the potential sexual assault and that FM-E wanted safeguards put in place for R42 when she returned to the facility.

The CDB stated the admission coordinator at that time would have been responsible for communicating that information to the floor staff.

During an interview on 3/7/25 at 10:49 a.m., the director of nursing (DON) stated after the facility's own internal investigation they believed the vulvar lesions to perhaps be self-inflicted and not from a sexual assault, however stated she would believe the SANE assessment to be potentialy traumatizing for someone, along with any potential trauma from having a stroke and not being able to fully communicate.

The DON stated she was aware FM-E did not want R42 to return to the care facility, stating the facility could have done better by her [R42] by completing a more comprehensive assessment for R42 upon her return from the hospital.

A facility policy titled Clinical Protocol: Trauma-Informed Care, revised 10/22, indicated that residents would be assessed upon admission, quarterly and with a change in condition to determine if they may have new or existing trauma or post traumatic stress disorder.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During a tour on 3/5/25 at 11:48 a.m., with registered nurse (RN)-E of the medication room for the 500 wing the refrigerator had an insulin kit with lorazepam (a benzodiazepine [controlled substance] medication used to treat anxiety) one bottle 2 milligrams per milliliter (mg/ml). RN-E verified the kit was not part of the narcotic count at the change of shift and the box was not secured in the refrigerator.

On 3/7/25 at 8:41 a.m., the director of nursing (DON) stated the emergency kit with insulin and lorazepam did not need to be counted at the shift change because the kit was secured with a green tab that only pharmacy could replace.

The DON did however, state when the narcotic count was done staff should have been laying eyes on the box because it wasn't secured in the refrigerator.

The facility policy Controlled Substances dated 10/2024, identified Controlled substances must be stored in the medication cart in a locked container, separate from containers for any non-controlled medications.

This container must remain locked at all times, except when it is accessed to obtain medications for residents. If permitted by law, and in accordance with state regulations, the community may store some controlled medications in an emergency medication supply. A reconciliation record will be maintained. In addition, Nursing staff must count controlled drugs at the end of each shift.

The nurse coming on duty and the nurse going off duty must make the count together.

They must document and report any discrepancies to the director of Nursing Services.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During interview on 3/7/25 at 10:09 a.m., CP explained she would look at medications for each resident every month. CP reported looking at medications, monitoring, lab work, medical notes, and vital signs from resident's medical record. CP further explained any recommendations would be emailed to the facility, with the DON and assistant director of nursing (ADON) get the report monthly.

CP identified checking previous month's recommendations and would resend recommendations if no provider response within 60 days. CP identified the importance of monitoring any medication for side effects.

During joint interview on 3/7/25 at 9:52 a.m., DON and assistant administrator (AA) stated expectation that pharmacy reviews were done monthly and they were important part of resident's care. DON explained pharmacy medication reviews were helpful to ensure residents were getting medications correctly and providers aware of potential problems from the medications. DON stated expectation for providers to review recommendations from pharmacy consultant and to respond with their acceptance or declination of the recommendation.

The facility's Drug Regimen Review policy was not provided.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

antifungal was written for had gone away, she would expect the nurse to notify the provider, so they

resolved, the facility could discontinue the medication as although the risk was low, there were risks of long-term use of antifungal use.

The facility's Infection Prevention and Control Program policy dated 8/24, was received but did not include the process of antimicrobial monitoring.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During joint interview on 3/7/25 at 9:52 a.m., DON and assistant administrator (AA) stated expectation that non-pharmalogical interventions should be used before any medication based intervention was used. DON stated importance was to not have resident take unnecessary medications if it could be avoided.

facility would also be checking for outdated medications and supplies. CP-E stated when staff open

expect them to follow their facility policy to correct the temperature. CP-E stated if after a few days

pharmacy to see if the medications were still viable for use. CP-E stated medications left after a resident was discharged should have been sent home or destroyed properly based on the payer type.

CP-E stated she would not expect to find medications from residents discharged several months ago or from 2021.

The facility policy Storage of Medications dated 10/2024, identified The facility shall not use discontinued, outdated, or deteriorated drugs or biologicals.

The policy did not address labeling insulin pens for an open and expiration date.

The policy identified Medications requiring refrigeration must be stored in a refrigerator located in the drug room at the nurses' station or other secured location.

The policy did not address medication refrigerator temperatures.

The facility policy Controlled Substances dated 10/2024, identified the facility would comply with all laws, regulation, and other requirements related to handling, storage, disposal, and documentation of Schedule II and other controlled substances.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/5/25 at 2:49 p.m., R90's room mate stated they always used her table and never cleaned it.

During an interview on 3/5/25 at 3:05 p.m., R90 stated the staff didn't typically throw the TF bag away after each use. R90 stated it usually hung for the day.

During an interview on 3/5/25 at 3:20 p.m., RN- C verified R90 was not on Glucerna and was not sure why it would have been in her room. RN-C also verified TF bottles should have both the date and the time they were opened because they could only be used for 24 hours. RN-C verified staff should not be using the room mates overbed table for TF's for R90, and stated it was an infection control issue.

RN-C verified the TF bag should be changed with each tube feeding.

During an interview on 3/6/25 at 12:20 p.m., RN-G verified she had done a TF in the morning but did not change the graduate which was dated 3/5, stated nights should have done that.

During an interview on 3/7/25 at 8:41 a.m., the director of nursing (DON) verified site care should be monitored at each TF and concerns reported to the provider.

The DON verified staff should not be using the room mate's overbed table and the TF bottle should have a date and time it was opened to prevent use beyond 24 hours.

The facility policy Gastric Feeding via Continuous Pump dated 5/2024, identified as part of preparation the physician order should be reviewed. In addition, the policy identified the overbed table should be cleaned after use and disposable equipment should be discarded.

The policy identified any assessments or complications should be documented.

The policy did not address dating and placing a time after opening tube feeding bottles.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

During an interview on 3/7/25 at 10:42 a.m., RN-N confirmed there was one nurse supervisor on

light had gone on longer than ten minutes.

A call light policy and procedure were requested but not received.

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North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428

Review of R21's care plan dated 1/31/25, identified altered respiratory status related to chronic respiratory failure and COPD with an intervention to provide oxygen as ordered.

Review of R21's electronic medical record (EMR) identified oxygen saturation readings from 3/1/25 to 3/6/25 ranging from 92-100%.

The oxygen liter flow was not identified at each reading.

During an observation on 3/4/25 at 8:57 a.m., R21 was wearing a nasal cannula which was connected to the oxygen tank, and the dial on the tank was set to five liters.

During an observation on 3/5/25 at 11:43 a.m., R21 was sleeping in his bed wearing an oxygen cannula connected to an oxygen tank with the dial set to five liters.

During an interview on 3/5/25 at 2:52 p.m., registered nurse (RN)-M stated they check oxygen saturation levels every shift for R21, and at that time they should be checking the liter flow and taking a look at the person to see how they are doing. RN-M confirmed the oxygen liter flow for R21 was 3.5 liters, and then went to R21's room and confirmed the dial on the oxygen tank was set to five. RN-M adjusted the oxygen from five down to 3.5, R21's oxygen saturation level was 96%. RN-M explained the risk for R21 having his oxygen too high could be retaining too much carbon dioxide.

During an interview on 3/7/25 at 11:53 a.m., the director of nursing (DON) would expect the liter flow for oxygen was correct when nurses were checking the oxygen saturation level of a resident.

The DON stated for R21 this would be important because he had COPD and he could become over-oxygenated.

49878

R204's quarterly Minimum Data Set (MDS) identified resident as being cognitively intact with diagnoses that included acute respiratory failure with hypoxia (low levels of oxygen in the body), history of throat cancer, chronic obstructive pulmonary disease (lung condition caused by damage to the airways and alveoli of the lungs), moderate protein-calorie malnutrition, emphysema, muscle weakness, and anxiety.

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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 03/07/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

North Ridge Health and Rehab 5430 Boone Avenue North New Hope, MN 55428