Southview Acres Healthcare Center
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.
Inspection Findings
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