The Waterview Shores Llc
THE WATERVIEW SHORES LLC in TWO HARBORS, MN — inspection on September 11, 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
Review of facility policy titled Care Planning revised 11/24, indicated the care plan would be used in developing the resident's daily care routines and utilized by staff personnel for the purposes of providing care or services to the resident.
The plan of care would be utilized to provide care to the resident.
The care plan was to be modified and updated as the condition and care needs of the resident changes.Review of facility policy titled Fall Prevention and Management revised 2/24, indicate following a fall nursing staff would complete an incident review and analysis.
The IDT would review falls daily at morning meeting.
When a resident falls, the following information should be recorded in the resident's medical record: interventions, first aid, or treatment administered, and appropriate interventions taken to prevent future falls.
Further, follow up included care plans would be updated to reflect fall interventions.The facility implemented the following corrective action on 8/29/25 and this is being issued in past noncompliance. -R1's care plan was updated with current fall interventions,-All staff were educated on revisions and following care plans, if staff had questions or clarifications regarding interventions reach out to the floor nurse or DON-Audits weekly to ensure IDT interventions have been implemented and are in care plan-IDT process change to double check the intervention was added to the care plan and the care guide sheets prior to closing the risk management/incident report
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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.