Fair Oaks Lodge
Fair Oaks Lodge in WADENA, MN — inspection on February 12, 2025.
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
During an interview on 2/12/25 at 1:56 p.m., licensed practical nurse (LPN)-A stated the facility worked short staffed every weekend and at least twice a week Monday through Friday. LPN-A further stated the facility would have staff float (work in a different area) than originally assigned due to staff call-ins or an open shift resulting in resident cares taking longer to complete or longer to answer call lights. LPN-A verified the facility utilized agency staff at times and rarely mandated staff to work. LPN-A confirmed it was exhausting to work short staffed and tough on the residents.
During an interview on 2/12/25 at 3:38 p.m., scheduler stated staffing levels were determined on resident acuity and census.
Scheduler further stated staff would float to other areas of need within the facility if there was a call-in or scheduled short staff instead of mandating staff to cover the open shift.
Scheduler verified the facility utilized supplemental nursing agency staff at times.
Scheduler confirmed the facility had 61 call-ins in the past 30 days and even though 61 call-ins sounded like a lot, that was an average number of call-ins for the facility.
Scheduler verified the following model was used when scheduling staff:
Memory Care first floor;
-Day shift two nursing assistants (NA), one nurse.
-Evening shift two NA's and one nurse.
-Night shift one NA and one nurse.
Second floor;
245581
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 245581 B.
Wing 02/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Fair Oaks Nursing & Rehab LLC 201 Shady Lane Drive Wadena, MN 56482
245581
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 245581 B.
Wing 02/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Fair Oaks Nursing & Rehab LLC 201 Shady Lane Drive Wadena, MN 56482
During a telephone interview on 2/10/25 at 4:59 p.m., FM-B stated FM-B on a few occasions over the past couple months, had came to see R41 and had to assist R41 in the bathroom. FM-B further stated R41 had been left in the bathroom at times due to not having enough staff to assist R41 while R41 was using the restroom. FM-B indicated R41 was a high fall risk and FM-B felt R41 was going to have another fall because the unit was understaffed. R41 was to be monitored at all times due to several previous falls.
During an interview on 2/12/25 at 8:23 a.m., nursing assistant (NA)-E indicated activities aids were responsible for completing activities on the memory care unit but at times activities did not get completed. NA-E further indicated nursing staff had been told they were responsible to complete activities but stated nursing staff did not have the time or staff to complete activities. NA-E stated nursing staff did not have the staff to meet the needs of the residents in the memory care unit. NA-E further stated nursing staff were not able to complete all their required tasks because the unit was usually short staffed. NA-E indicated there were times when the memory care unit had one NA and one nurse because the second NA had been pulled to another floor. NA-E there were times when the facility only had three NAs on staff at one time. NA-E stated nursing staff had to ask for help but it usually did not change anything. NA-E further stated nursing staff did not have enough staff to answer call lights in a timely manner. NA-E indicated residents had long wait times due to short staffing. NA-E stated nursing staff did not have time to complete exercises with residents and often did not have time to walk residents.
245581
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 245581 B.
Wing 02/12/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Fair Oaks Nursing & Rehab LLC 201 Shady Lane Drive Wadena, MN 56482