Olivia Restorative Care Center
Inspection Findings
F-Tag F0760
F 0760 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
orders and LPN-C had double checked but neither of them had caught the five medication omission errors.
During an interview on 8/20/25 at 9:35 a.m., LPN-C stated she had double checked Resident R11'd admission orders and did not see the medication errors. During an interview on 8/19/25 at 5:35 p.m., NP-A was made aware of these medication errors during his visit add today (8/19/25) DON. He reviewed Resident R11's the medication list with the director of nursing (DON) for accuracy and changed to medications to read as per physician hospital discharge orders dated 8/15/25. NP-A stated Resident R11 was to have dialysis the following day and they would check his lab for calcium and phosphate levels as Resident R10 did not receive the correct amount of calcium acetate for 8 doses. NP-A further stated it was his expectation that staff transcribed and verify medication orders as written by physician and if questions contact NP-A or MD for clarification.Review of facility undated procedure titled MD order process was reviewed and identified the following: 2. enter order with diagnoses/indication in electronic health record10. Sign and date order11. Put in SECOND CHECK BOX for second nurse to double check14. Second nurse signs and dates order15. put in scan bin for health unit coordinator. Review of facility undated policy titled Medication Orders indicated the following:3.
Elements of the medication order:b. name of medication, c. dose of medicatione. time or frequency of administrationg. route of administrationi. hour of administration 4. Documentation of Medication Orders:a. each medication order should be documented with the date, time, and signature of the person receiving the order. The order should be recorded on the physician order sheet, and the medication administration record (MAR).b. clarify the orderf. transcribe newly prescribed medications on the MAR, ensure the order is in the electronic MAR correctly.
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OLIVIA RESTORATIVE CARE CENTER in OLIVIA, 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 OLIVIA, 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 OLIVIA RESTORATIVE CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.