Pelican Valley Health Center
PELICAN VALLEY HEALTH CENTER in PELICAN RAPIDS, MN — inspection on March 25, 2026.
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
During an interview on 3/25/26 at 9:08 a.m., director of nursing (DON) verified
IJC. EBP precautions were important to protect staff and residents from MDROs.
Review of facilty policy titled enhanced barrier precaution policy dated 4/11/24, revealed Enhanced Barrier Precautions (EBP) refer to an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) in conjunction with contact precautions and expand the use of PPE to donning of gown and gloves during high-contact resident care activities that provide opportunities for transfer of MDROs to staff hands and clothing.
Enhanced barrier precautions (EBPs) are used as an infection prevention and control intervention to reduce the spread of multidrug-resistant organisms (MDROs) to residents. EBPs employ targeted gown and glove use during high-contact resident care activities when contact precautions do not otherwise apply.
Gloves and a gown are applied prior to performing the high-contact resident care activity (as opposed to before entering the room).
Personal protective equipment (PPE) is changed before caring for another resident.
Face protection may be used if there is also a risk of splash or spray.
Examples of high-contact resident care activities requiring the use of gown and gloves for EBPs include: dressing, bathing/showering, transferring, providing hygiene, changing linens, changing briefs or assisting with toileting, device care or use (central line, urinary catheter, feeding tube, tracheostomy/ventilator, etc.); and, wound care (any skin opening requiring a dressing). In general, gowns and gloves would not be recommended when performing transfers in common areas such as dining or activity rooms, where contact is anticipated to be shorter in duration.
EBPs are indicated (when contact precautions do not otherwise apply) for residents with wounds and/or indwelling medical devices regardless of MDRO colonization.
Wounds generally include chronic wounds, not shorter-lasting wounds, such as skin breaks or skin tears covered with an adhesive bandage (e.g., Band-Aid(R)) or similar dressing.
Examples of chronic wounds include, but are not limited to: pressure ulcers, diabetic foot ulcers, unhealed surgical wounds, venous stasis ulcers.
Indwelling medical device examples include: central lines, urinary catheters, feeding tubes, and tracheostomies. A peripheral intravenous line (not a peripherally inserted central catheter) is not considered an indwelling medical device for the purpose of EBP.
Staff are trained prior to caring for residents on EBPs.
Signs are posted in the door or wall outside the resident room indicating the type of precautions and PPE required. PPE will be available outside of the resident rooms, and alcohol-based hand rub is readily accessible to staff.
Residents, families and visitors are notified of the implementation of EBPs throughout the facility.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.