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Health Inspection

Southview Acres Healthcare Center

January 9, 2025 · West Saint Paul, MN · 2000 Oakdale Avenue
Citations 2
CMS Rating 2/5
Beds 210
Provider ID 245189
Healthcare Facility
Southview Acres Healthcare Center
West Saint Paul, MN  ·  View full profile →
Inspection Summary

Southview Acres HealthCare Center in WEST SAINT PAUL, MN — inspection on January 9, 2025.

Found 2 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

FF142
Minimal harm or functioning every shift. R142's report did not include skin care orders. Few injuries) dated 11/12/24, indicated a score of 15, which indicated R142 was at risk to develop a pressure affected

During observation and interview on 1/7/25 at 2:38 p.m., R142 stated he had a bowel movement and requested to be changed.

Nursing assistant (NA)-D applied R142's prosthetic leg and assisted him to stand up. NA-D cleaned R142 perineal (rectal area) area and R142 moaned in pain and said, it hurts! RN-C came into the room and verified the two pressure areas but said she didn't feel comfortable staging affected area, RN-C observed a pressure area, on each buttock; she measure the pressure area on the left buttock measured about two centimeters (cm) in length and one cm in width, and the pressure area on his right buttock measured one by one cm.

During observation and interview on 1/7/25 at 3:06 p.m., registered nurse (RN)-E verified R142 skin breakdown. RN-E stated his bottom had healed but stated every time R142 takes antibiotics, he gets diarrhea, and his bottom opens. RN-E proceeded to cleanse the area and applied alginate powder and Vitamin A and D cream.

Duirng interview on 1/7/25 at 3:17 p.m., NA-E stated all nursing assistants received training about how to care for him. We use a barrier cream for this bottom.

Everytime we go to his room he is on the phone. He is busy and asks us to come back. We use the Kardex.

During interview on 1/7/25 at 3:20 p.m., nurse manager RN-C stated she was not aware of any documentation on R142's progress notes about the skin breakdown on his coccyx (bottom) area. RN-C stated she would look at R142's skin later in the afternoon.

During interview on 1/7/25 at 3:42 p.m., NA-D stated since yesterday, R142 complained of buttocks' pain during toileting cares. NA-D stated they always apply barrier cream after they clean him up. NA-D stated R142 often refuses to reposition and likes to sit down on his recliner chair for most of the day. NA-D stated his Kardex indicated repositioning every two hours and walking once a day. NA-D stated R142 used his call light to request help. NA-D stated the nursing assistants would inform the nurses of R142 refusal of cares.

During interview on 1/7/25 at 3:55 p.m., licensed practical nurse (LPN)-D stated he worked on January 5th and when he cleaned R142's coccyx and buttocks, R142 complained of pain. LPN-D stated he observed R142 had a new pressure area on his right buttock and the skin in both buttocks was red. LPN-D documented in the progress notes, R142's skin had started to breakdown. LPN-D stated when he moved from the 1st floor TCU unit to the current unit, he had a pressure area on his right buttock which healed a few weeks ago. LPN-D stated on 1/5/24, he performed the same treatment used for his previous pressure area. LPN-D left a voice mail for the nurse manager, RN-C because he knew the next day [Monday] the facility's wound team would make rounds.

245189

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 245189 B.

Wing 01/09/2025

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

Southview Acres Healthcare Center 2000 Oakdale Avenue West Saint Paul, MN 55118

During interview on 1/8/25 at 1:46 p.m., with facility administrator who walked by the unattended cart, the administrator stated, this [pointing to patient care sheet] should not be visible.

This is private information.

The administrator placed the care sheet face down under some papers on the medication cart.

During interview with facility assistant director of nursing (IPCP) on 1/8/25 at 2:29 p.m., the IPCP stated resident personal information contained in the Care sheet should not be left unattended for Privacy matter.

During interview with registered nurse (RN-A) on 1/9/25 at 10:46 a.m., RN-A stated, care sheets with patient information should not be left unattended.

Someone could look at the patient information which they have no business doing.

During interview with nurse manager of second floor (RN-C) on 1/9/25 at 1:37 p.m., RN-C stated, Care sheets should never be left unattended on the cart.

For HIPPA (health information portability privacy act). RN-C stated the medication cart in question would be assigned the nurse passing medications for two wings of the facility where the laminate flooring was being installed and the care sheet included 25 residents and their information.

Facility policy titled Confidentiality of Information and Personal Privacy dated reviewed 12/08/2021, The facility will safeguard the personal privacy and confidentiality of all resident personal and medical records. In addition, The facility will strive to protect the resident's privacy regarding his or her:

a. accommodations;

b. medical treatment;

c. written and telephone communications;

d. personal care;

e. visits; and

f. family and resident group meetings.

245189

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 245189 B.

Wing 01/09/2025

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

Southview Acres Healthcare Center 2000 Oakdale Avenue West Saint Paul, MN 55118

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 WEST 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 Southview Acres HealthCare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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