Zumbrota Care Center
Zumbrota Care Center in ZUMBROTA, MN — inspection on November 26, 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
from falls. D.
Post Fall Assessment: If a fall occurs while the individual is residing in the care center (or off premises on a care center specific activity) staff will perform the incident fall tracking assessment. a.
Nursing staff will complete a fall scene investigation, assess the resident, and call for any additional assistance or 911 as necessary. b. An immediate intervention will be put into place, according to the immediate determination of the potential root cause of the fall, to prevent further falls until the root cause analysis (RCA) of the incident is completed. c.
Nursing staff will document the fall by completing an Incident Report in the electronic medical record.
From the immediate assessment of the incident, a determination will be made if the incident involved any maltreatment and/or serious bodily injury. If so, administrative staff will be notified, and a report of the incident will be sent to the State agency. e.
The interdisciplinary team (IDT) will evaluate the fall by reviewing the fall incident report to determine a Root Cause Analysis (RCA) of the fall and further interventions may be put into place according to the determined cause of the fall, to help prevent further falls.
Any further interventions that are developed will be documented.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/26/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Zumbrota Care Center
433 Mill Street Zumbrota, MN 55992
SUMMARY STATEMENT OF DEFICIENCIES
Based on the initial urinary incontinence or bowel incontinence history reported by the resident and/or family member(s), the new resident will be assisted in using incontinence products provided by the care center.
Measurements of the resident, pattern of reported incontinence, incontinence product protocols for product use, and resident choice will be considered in the choice of incontinence product(s). b.
The 3-day bowel and bladder pattern assessment will be completed and documented in hourly increments. A component of the three (3) day bowel and bladder pattern assessment may include bladder ultrasound equipment use. c.
The comprehensive bowel and bladder assessment will include a report of prior incontinence history, a physical examination, documentation of genitourinary tract anomalies, results of the three (3) day bowel and bladder pattern, a review of diagnoses and medications that may impact urinary or bowel status, food and fluid intake patterns, environmental concerns as well as the consideration of adaptive devices, review of potential or existing complications of incontinence, and the resident's level of need for assistance due to physical or cognitive impairments.
This assessment will be used to determine an individualized bowel and bladder program for each resident.
Bowel and Bladder Policy, revised 8/2023, indicated each resident receives the necessary care and service to attain or maintain the highest practicable level of bowel and bladder continence.2.
The comprehensive assessment results are used to develop a care plan addressing the individual needs of each resident.
Care plan interventions are determined with consideration of: a. the ability of the resident to make decisions and call for assistance to use the toilet. B.
The presence of permanent physical impairment or disease which could prevent incontinence. C.
Resident's desire to participate in bowel and bladder programing. D. current standards of practice in accordance with state and federal law. 3.
Review of the comprehensive assessment and care plan will occur on at least a quarterly basis and more frequently if there is a change in residents' condition.
Facility ID: