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Complaint Investigation

Allina Health Restorative Suites

August 12, 2025 · Plymouth, MN · 2775 Campus Drive North
Citations 1
CMS Rating 5/5
Beds 50
Provider ID 245624
Healthcare Facility
Allina Health Restorative Suites
Plymouth, MN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

ALLINA HEALTH RESTORATIVE SUITES in PLYMOUTH, MN — inspection on August 12, 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

FF0760
Pharmacy Service Deficiencies

During interview on 8/12/2025 at 1:32 p.m., DON confirmed R1 had received 5 incorrect doses of Oxycodone. DON would

medications, the nurse should triple check the medication to the provider orders.

The Medication Administration policy dated 10/8/24. identified medications would be administered to residents as prescribed by the primary medical doctor, nurse practitioner, or physician assistant.

Staff would follow the six rights of medication administration.

Right resident, right medication, right dose, right dosage form, right frequency and right route.

The past-noncompliance immediate jeopardy began on 7/23/25, and was removed on 7/25/25, when the facility implemented a systemic plan to ensure all residents were safe.

The following actions were implemented prior on 7/25/25; The facility assigned an online learning about medication to all nurses.

All nurses who administer medications completed the learning module.

The facility completed audits on: narcotic count observations, passing medications according to policy, and checking the medication card and medication room.

Facility policy for medication administration was reviewed with no changes needed.

Pharmacy was consulted.

The facility requested the pharmacy place stickers on cards indicating a change.

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 PLYMOUTH, 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 ALLINA HEALTH RESTORATIVE SUITES or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

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.