The Estates At Roseville Llc
THE ESTATES AT ROSEVILLE LLC in ROSEVILLE, MN — inspection on November 20, 2025.
Found 2 citations. 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
Allow residents to self-administer drugs if determined clinically appropriate.
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review the facility failed to ensure a self-administration of medications assessment was completed, and orders obtained, for all medications kept at bedside for 1 of 1 resident (R3) observed with medications at their bedside.Findings include:R3's quarterly Minimum Data Set, dated [DATE], indicated intact cognition with a diagnosis of stroke.R3's electronic medical record lacked a self-administration form. R3's care plan dated 6/1/25, lacked indication of self-administration of medications.R3's current provider order list on 9/26/25, lacked orders for muscle rub with lidocaine and artificial tears.On 9/25/2025 at 11:38 a.m., an opened bottle of Aspercreme with lidocaine (a pain relieving cream) and an opened bottle of artificial tears eye drops were observed on R3's bedside table. R3 was interviewed and stated he applied the Aspercreme to his arm when it was sore. He administered the eye drops when his eyes were scratchy. R3 stated staff did not administer the cream or eye drops and did not know if he had a doctor order for them.On 9/25/2025 at 1:56 p.m., licensed practical nurse (LPN)-A stated a resident needed to have a self-administration of medications form filled out before they could keep medications at their bedside. LPN-A confirmed R3 should not have any medications at his bedside.On 9/26/2025 at 10:38 a.m., LPN-C was stated if a resident wanted to self-administer medications, a self-administer form needed to be completed.
The resident needed a provider order for the medication requested. LPN-C was unaware of a self-administration form for R3.On 9/26/2025 at 1:40 p.m., the director of nursing (DON) was stated if a resident requested to self-administer medications the nurse manager completed an assessment, then reached out to the provider for an order for the resident to keep medications in their room. DON confirmed R3 did not have an order for the Aspercream, and the bottle had been removed from R3's room.
Risks of a resident self-administering a medication were not using the correct dose or route.The Self-administration of Medications policy dated 2/2024 instructed the interdisciplinary team to assess each resident's cognitive and physical abilities to determine whether self-administering medications is safe and clinically appropriate for the resident. If it is deemed safe and appropriate for a resident to self-administer medications, this is documented in the medical record and care plan.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
The Estates at Roseville LLC
2727 North Victoria Roseville, MN 55113
SUMMARY STATEMENT OF DEFICIENCIES
injuries can develop quickly depending on the resident's ability to reposition self but typically not in a few hours.
Risk factors for pressure ulcers include old age, frail skin, and inability to reposition self.
Early identification of pressure injuries was important so the area received the proper skin care.
Pressure injuries caught early were easier to heal. On 9/26/2025 at 1:40 p.m., the director of nursing (DON) stated the floor nurse completing the admission should complete a skin check.
All skin concerns were documented on the admission form. If there was a wound, the nurse should look for dressing change orders and reach out to the provider for any needed orders.
When a nurse placed a dressing based on standing orders a nursing note should be written about why the dressing was placed and the nurse manager and provider should be notified. DON confirmed documentation of an area of redness to R2's coccyx with no notes or orders from the provider. DON stated she was not informed of redness to R2's coccyx.
Based only on the documentation it was difficult to determine if the area of redness was from pressure or moisture related.
DON stated it was important to assess areas of redness and alert the provider so orders can be obtained to prevent the area from turning into something bigger.The Skin Assessment and Wound Management policy dated 2/2025 instructed to notify the nurse manager, wound nurse, provider, and resident representative for any new significant alterations in skin integrity or pressure ulcers.
Facility ID:
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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.