Allina Health Restorative Suites
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
During interview on 8/12/2025 at 1:32 p.m., DON confirmed 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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