Allina Health Restorative Suites
Inspection Findings
F-Tag F0760
F 0760 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
interview on 8/11/2025 at 10:36 a.m., nurse practitioner (NP) stated 45mg. of Oxycodone was a very high dose that could cause respiratory depression or could be lethal. NP would expect the nurses to check the strength of a medication before administering it to a resident. If the strength did not match the provider order, the medication should not be administered and a provider should be contacted immediately.During
interview on 8/12/2025 at 8:57 a.m., pharmacist (PH)-A stated it was standard practice to dispense a medication based on the dose prescribed. PH-A stated the pharmacy did not call the facility to alert to a change, nor do they regularly place a sticker on the medication card. PH-A would expect the nurse to read
the label and administer the appropriate dose. During interview on 8/12/2025 at 1:32 p.m., DON confirmed Resident R1 had received 5 incorrect doses of Oxycodone. DON would expect nurses to make sure the medication card matched the provider order. When administering 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.
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Allina Health Restorative Suites in PLYMOUTH, 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 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.