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Health Inspection

The Villas At St Paul

June 27, 2024 · Saint Paul, MN · 445 Galtier Avenue
Citations 4
CMS Rating 3/5
Beds 100
Provider ID 245340
Healthcare Facility
The Villas At St Paul
Saint Paul, MN  ·  View full profile →
Inspection Summary

THE VILLAS AT ST PAUL in SAINT PAUL, MN — inspection on June 27, 2024.

Found 4 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.

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Inspection Findings

FF0300

F-F0300 indicated an interview for daily and activity preferences should be conducted and should continue to

During interview and observation on 6/24/24 between 1:21 p.m., and 1:30 p.m., R74 stated he has not had a shower since he has been at the facility. R74 had an odor and stated he hasn't had a bath in weeks. R74 had black debris under his fingernails that were approximately 1/2 inch long. R74 stated he had a sponge bath twice but stated they don't give him a shower. R74's family member (FM)-A stated she received a voicemail from approximately a week ago Friday and played the voice message that indicated R74 would receive a bath if not that evening, the following morning.

During interview on 6/25/24 at 11:19 a.m., nursing assistant (NA)-C stated residents had a bath schedule and went into the 2nd floor nursing station to show the Second Floor Bath Schedule form hanging on the wall.

The schedule indicated room [ROOM NUMBER]-1's bath day was on Sunday a.m. shift.

During interview on 6/26/24 at 8:38 a.m., NA-C stated she offered to get R74 up, but R74 was just going to hang out in bed.

During interview on 6/26/24 at 8:55 a.m., R74 stated NA-C asked if there was anything she could do for him and he told her no and stated he did not like to get up at 7:00 a.m., or 8:00 a.m., but still wanted to have a bath.

245340

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 245340 B.

Wing 06/27/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

The Villas at St Paul 445 Galtier Avenue Saint Paul, MN 55103

F-F0800, Staff Assessment of Daily and Activity Preferences. A dash, indicating the question was not assessed, was identified on all of the questions for

F-F561.

The Centers for Medicare and Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual version 1.18.11, dated October 2023, indicated the purpose of the manual was to offer clear guidance about how to use the resident assessment instrument (RAI) correctly and effectively to provide appropriate care.

The RAI helps nursing home staff gather definitive information on a resident's strengths and needs, which must be addressed in an individualized care plan.

Under the heading, Section F: Preferences for Customary Routine and Activities, indicated the intent was to obtain information regarding the resident's preferences for their daily routine and activities.

Further, this is best accomplished when the information is obtained directly from the resident or through family or significant other, or staff interviews if the resident cannot report preferences.

R74's admission Minimum Data Set (MDS) dated [DATE], indicated R74 was in room [ROOM NUMBER]-1 and had intact cognition, did not have delirium, disorganized thinking, altered level of consciousness, hallucinations, delusions, physical, verbal, or other behavioral symptoms, and did not reject care.

Additionally, the MDS indicated R74 was dependent on staff for showering and bathing.

Further, the MDS indicated an interview for preferences including for receiving a tub, shower, or bed bath should be conducted, however was not assessed.

Under section F, number

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 SAINT PAUL, 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 THE VILLAS AT ST PAUL or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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