Truman Senior Living
TRUMAN SENIOR LIVING in TRUMAN, MN — inspection on January 2, 2026.
Found 3 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
side of her face near her eye.
Origin is unknown but resident has been known to rub her face.
Area
and she never noticed a bruise on R25's temple area.
Denied ever getting R25 out of bed using the lift
onto the grab bar with her hand and to her knowledge R25's face never hit the grab bar on the bed. On interview 1/2/26 at 10:40 a.m., director of nursing (DON) indicated she was notified Tuesday afternoon 12/30/25 regarding R25's bruise and was unaware of this prior.
The DON completed an incident report on 12/30/25 and implemented monitoring of the area on 12/31/25.
The DON stated she would expect an incident report to be completed at the time of discovery of the injury and also for family to be notified. On interview 1/2/26 at 11:25 a.m., licensed practical nurse (LPN)-B stated she discovered the bruise on R25's temple area on Sunday, 12/28/25. LPN-B stated she was not sure if it was from R25 frequently rubbing that area and she noticed her skin was dry so she applied lotion.
LPN-B stated when they laid R25 in the bed, it was noted she put her hands up in the area where the injury was so that likely caused the injury. LPN-B stated she forgot to complete an incident report and forgot to notify the family of the bruise.
Facility Notification of Changes policy, undated, included: Circumstances requiring notification includes: Accident resulting in injury or potential to require physician intervention, or circumstances that require a need to alter treatment which may include a new treatment or discontinuation of current treatment.
Contact information of the resident's legal representative or family member must be recorded and periodically updated.
245346 01/02/2026
Truman Senior Living 400 North 4th Avenue East Truman, MN 56088
During an email exchange on 12/31/25 at 12:47 p.m., the facility MDS coordinator indicated she used a document titled MDS 3.0 Drug Class Index developed by MED-PASS with revised date of 9/25, to guide her when coding MDS assessments.
During an interview on 12/31/25 at 1:15 p.m., the administrator was informed of findings and stated she would have expected MDS assessments to be coded accurately.
Facility MDS 3.0 Completion policy undated, indicated the responsibility of all sections of the MDS would be assigned.
Persons completing part of the assessment must attest to the accuracy of the section they completed.
All disciplines shall follow the guidelines in Chapter 3 of the current RAI (Resident Assessment Instrument) Manual for coding each assessment.
245346 01/02/2026
Truman Senior Living 400 North 4th Avenue East Truman, MN 56088
R5 remained in her bed with lights off.
Door was slightly ajar, bed was in low position and R5 was on
few times but she hasn't wanted to get up yet this morning. NA-A stated R5 repositions herself in the
uncooperative at times. NA-A stated for interventions to prevent falls they checked on R5 frequently and R5 had a low bed so if she tries to get up, she would not get hurt. On 12/31/25 at 11:30 a.m., R5 was sitting in her wheelchair in the dining room with her oxygen on. On interview 1/2/26, licensed practical nurse (LPN)-A stated yesterday 1/1/26, R5 was found on the floor by her bed with no apparent injury.
Provider was notified and ordered a bed alarm to be implemented. LPN-A stated the alarm is only for when she is in bed. LPN-A stated they keep a close eye on R5 throughout the day and she tends to hang out by the nurses station desk. LPN-A stated R5 does have sleep issues and sometimes sleeps all day and other days she is up and around the nurses station all day and night.
LPN-A stated she had seen R5 fall asleep while sitting in her wheelchair a lot. On interview 1/2/26 at 10:00 a.m., nursing assistant (NA)-B stated they tend to keep R5 by the nurses station whenever she is in her wheelchair. NA-B stated R5 had times where she is anxious and other times where she won't cooperate with staff. NA-B indicated for interventions to prevent falls they checked on R5 frequently when she is in bed. On interview 1/2/26 at 10:11 a.m., the director of nursing (DON) stated that even though some interventions were not on the plan of care such as close observation, it was listed on the tasks and was being completed.
When questioned about brakes on the wheelchair, attempting to get R5 to lay down if falling asleep in wheelchair, and staff to allow R5 to sleep and not wake her, the DON stated they were not on the task list and also confirmed they were not on the plan of care.
Facility Fall Risk Assessment (undated) policy included: The risk assessment will contain the following components: Identify environmental hazards and individual risks, including the need for supervisionEvaluate and analyze hazards and risks. An At Risk for Falls care plan will be completed for each resident to address each item identified on the risk assessment and will be updated accordingly.
The At Risk for Falls care plan will include interventions, including adequate supervision, consistent with a resident's needs, goals and current standards of practice in order to reduce the risk of an accident.
Monitor the effectiveness of the care plan interventions, and modify the interventions as necessary, in accordance with current standards of practice.