Southview Acres Healthcare Center
Southview Acres HealthCare Center in WEST SAINT PAUL, MN — inspection on March 26, 2026.
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 an interview on 3/26/26 at 9:34 a.m., licensed practical nurse (LPN)-A stated if she saw a resident had a wound, she would let the provider know right away and get treatment orders.
During an interview on 3/26/26 at 11:24 a.m., RN-B stated she received a note on 3/22/26 that R1 had a wound on his right stump and RN-B had assessed it on 3/23/26.
After RN-B assessed the wound, RN-B had a care conference with guardian-A.
During an interview on 3/26/26 at 1:10 p.m., LPN-B stated she had discovered the wound on 3/23/26. LPN-B was providing cares for R1 when she saw the wound dressing on his stump, the dressing was dated 3/16/26, but there were no initials to indicate who applied the dressing. LPN-B asked other nurses working if they had noticed the wound on R1's stump and none of the other nurses knew about the wound.
During an interview on 3/26/26 at 1:12 p.m., RN-C stated she worked the overnight shift on 3/16/26, 3/17/26, 3/18/26, and 3/19/26. RN-C stated she did not notice a wound on R1's stump during any of her shifts. If she found a resident had a wound, she would contact the provider and then use the house standing orders for treatment while she waited for treatment from the provider.
During an interview on 3/26/26 at 1:33 p.m., LPN-C stated she worked the evening shift on 3/16/26, 3/17/26, 3/18/26, and 3/20/26 and she did not notice a wound on R1's stump during any of her shifts. If she discovered a wound on a resident, she would assess the wound, then contact the provider for treatment and update the family.
During an interview on 3/26/26 at 1:40 p.m., LPN-E stated she worked with R1 on the evening of 3/16/26. LPN-E stated she did not see any dressing applied to R1's stump.
During an interview on 3/26/26 at 1:46 p.m., LPN-D stated she worked with R1 on 3/16/26 during the day shift and she did not see R1's wound on 3/16/26. LPN-D stated she did recall seeing a band-aid with a date on his stump during her shift but could not recall the date noted.
During an interview on 3/26/26 at 2:00 p.m., LPN-A stated she did not see R1's wound when she worked on 3/16/26 because she was not looking for a wound. LPN-A stated she did not know how or who applied R1's dressing on 3/16/26.
During an interview on 3/26/26 at 2:15 p.m., RN-B stated when she assessed R1's wound on 3/23/26, there had already been a dressing on the wound. RN-B did not recall where the dressing came from or who applied dressing on the wound. RN-B stated the dressing had a date of 3/16/26 but did not have initials of the staff member who applied the dressing.
During an interview on 3/26/26 at 4:22 p.m., RN-D stated it is the expectation that when a nurse discovers a wound, the nurse would notify the provider the day the wound was found and then treat the wound based on what the provider orders.
RN-D stated the wound should be assessed at the duration the provider orders.
The facility's Standing Orders for Skilled Nursing Facility revised in 2025 indicated if the facility wound management process was not available staff should assess all wounds and dressings daily and change dressings every three days and as needed.
The Standing Orders indicated the nurse could treat the wound with normal saline or non-cytotoxic wound cleaner and cover with a non-adherent dressing and secure appropriate cover dressing while avoiding tape to the skin.
Staff should notify the provider the next business day of a new wound or injury.
245189 03/26/2026
Southview Acres Healthcare Center 2000 Oakdale Avenue West Saint Paul, MN 55118
During an interview on 3/26/26 at 1:10 p.m., licensed practical nurse (LPN)-B stated when a resident takes a bath, the nursing aid will alert the nurse who will complete the skin audit.
The nurse will check for redness, swelling, and open wounds. If there are any new skin alterations, she would note that on the weekly bath audit. If there are no new skin alterations, LPN-B stated she would chart nothing new.
During an interview on 3/26/26 at 1:12 p.m., RN-C stated when a resident is taking a bath, they would complete the weekly skin audit. If RN-C found a new wound or skin alteration, she would make a report in risk management.
During an interview on 3/26/26 at 1:33 p.m., LPN-C stated when she is completing a skin audit on a resident, she is looking for any marks under the breasts, under the arms, groin, buttocks, and feet. If there is a new wound, she would document that in the weekly bath audit.
During an interview on 3/26/26 at 1:40 p.m., LPN-E stated when a resident is taking a bath, they would complete the resident's weekly bath audit. LPN-E stated she would document what she found on the resident's skin on the weekly bath audit.
During an interview on 3/26/26 at 1:46 p.m., LPN-D stated the nurse will check a resident's skin when the resident is taking a nap. If the resident has a new or old wound, LPN-D would document that on the weekly bath audit.
During an interview on 3/26/26 at 4:22 p.m., RN-D stated any new or existing wound should be noted on the weekly bath audit. RN-D stated before three months ago staff was instructed not to put the existing wounds on the weekly bath audits, but nurses are now expected to note both new and existing wounds on the weekly bath audit. A policy on weekly bath audits was requested and none was received.