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Complaint Investigation

Wabasso Restorative Care Center

April 30, 2026 · Wabasso, MN · 660 Maple Street
Citations 4
CMS Rating 1/5
Beds 44
Provider ID 245400
Healthcare Facility
Wabasso Restorative Care Center
Wabasso, MN  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

WABASSO RESTORATIVE CARE CENTER in WABASSO, MN — inspection on April 30, 2026.

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.

Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

was from the wheelchair. R2 had a new power wheelchair and had assessments done and passed

stated as soon as R2's story changed she began education with nursing staff. DON had begun

stated she watched R2 go in and out of the smoking area door as she thought maybe the door shut to hard and got his foot but R2 went in and out without difficulty. R2 was also reassessed by therapy for the power wheelchair. AD-A stated the facility was unable to determine a root cause for the fracture because all the staff that transferred R2 on the days leading up to the incident could not recall R2 bumping his leg, the names of staff he gave worked on 4/11/26 together, only NA-D worked 4/13/26, and they could not nail down a time so it was inconclusive.

245400 04/30/2026

Wabasso Restorative Care Center 660 Maple Street Wabasso, MN 56293

transfer. LPN-A reviewed R2's care plan and verified the care plan did not identify mechanical lift

care plan.

During an interview on 4/29/26 at 10:03 a.m., certified occupational therapy assistant

Therapy did not make that determination.

During an interview on 4/29/26 at 12:32 p.m., DON stated nursing assesses sling sizes for residents.

The weight of the resident determines what sling size to use; DON did not articulate height was also required to determine appropriate sling size.

The MDS or floor nurses would put the information in the resident care plan. DON stated it was not her expectation that mechanical lift sling sizes would be included in the care plans but that the information would be in a binder at the nurse's station. DON went to the nurses' station and took the NA binder and looked through it, there was no information about sling sizes in the NA binder. DON stated she would find an NA and ask how they know the sling sizes. DON went to NA-B who stated NA's decided sling size by looking in the storage closet by the office at the sling size guide and resident's weight.

245400 04/30/2026

Wabasso Restorative Care Center 660 Maple Street Wabasso, MN 56293

from doing most activities.8-intense my pain is so severe that it is hard to think of anything else.

someone to take me to the emergency room to get help for my pain.

245400 04/30/2026

Wabasso Restorative Care Center 660 Maple Street Wabasso, MN 56293

treatment documentation to include measurement of each area of skin breakdown's width, length,

ulcer. LPN-A set the supplies on the overbed table. LPN-A removed the tabs from R1's brief and

hands. LPN-A took some gauze from the container and wiped around R1's penis and testicles. LPN-A removed gloves and applied a new pair without sanitizing hands. LPN-A lifted the wound supplies into his hand and arm, took a sanitizing wipe, wiped down the overbed table, and placed the supplies back on the table. LPN-A opened Calcium Alginate. LPN-A removed gloves and applied a new pair without sanitizing hands.

Registered nurse (RN)-A entered room wearing EBP to assist with dressing change.

RN-A examined R1's penis and testicles, removed gloves and applied a new pair without sanitizing hands. LPN-A and RN-A rolled R1 to his right side. R1 was incontinent of bowels. LPN-A cleaned bowels. LPN-A removed gloves and applied a new pair without sanitizing hands. LPN-A removed dressing from R1's sacral ulcer. LPN-A removed gloves and applied a new pair without sanitizing hands. LPN-A sprayed wound cleanser onto gauze and cleaned ulcer. LPN-A removed gloves and applied a new pair without sanitizing hands. LPN-A placed Calcium Alginate on wound bed, opened and placed Mepilex over ulcer. LPN-A removed gloves and applied a new pair without sanitizing hands. RN-A removed gloves and applied a new pair without sanitizing hands. RN-A applied cream to penis and removed gloves. LPN-A and RN-A boosted R1 in bed. LPN-A picked up wound supplies, washed overbed table, and left room.

During an interview on 4/30/26 at 12:28 p.m., LPN-A stated when doing dressing changes he would sanitize his hands prior to the first glove application and when the dressing was completed. LPN-A stated he should have cleaned the work surface prior to setting wound supplies on it for R2.

During an interview on 4/30/26 at 3:35 p.m., director of nursing (DON) stated hands should be sanited before and after wound care is completed. DON expected the surface that the wound supplies would be placed on should be cleaned prior to putting wound supplies on it.The facility Hand Hygiene policy undated, identified the use of gloves does not replace hand hygiene. If your task requires gloves, perform hand hygiene prior to putting on gloves, and immediately after removing gloves.

Hand hygiene should be completed when, during resident care, moving from a contaminated body site to a clean body sit

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 WABASSO, 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 WABASSO RESTORATIVE CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.