CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Episcopal Church Home of Minnesota
View the most recent health deficiencies and inspection results for Episcopal Church Home of Minnesota. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Episcopal Church Home of Minnesota. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2026-05-07 | 2026-06-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2026-05-07 | 2026-06-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-05-07 | 2026-06-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-05-07 | 2026-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-05-07 | 2026-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-05-07 | 2026-06-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2026-05-07 | 2026-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-05-07 | 2026-06-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-05-07 | 2026-06-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2026-05-07 | 2026-06-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2026-05-07 | 2026-06-16 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-12-18 | 2026-01-23 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-12-18 | 2026-01-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-12-18 | 2026-01-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-18 | 2026-01-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-18 | 2026-01-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-04 | 2026-01-14 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-03-06 | 2025-04-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-06 | 2025-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-06 | 2025-04-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-06 | 2025-04-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-06 | 2025-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-06 | 2025-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-06 | 2025-04-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-06 | 2025-04-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-03-06 | 2025-04-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-06 | 2025-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-06 | 2025-04-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-03-06 | 2025-04-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-06 | 2025-04-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-29 | 2024-06-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-29 | 2024-06-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-29 | 2024-06-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-29 | 2024-06-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-29 | 2024-06-24 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-25 | 2024-02-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-25 | 2024-02-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-25 | 2024-02-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-25 | 2024-02-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-25 | 2024-02-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-25 | 2024-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-02-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-25 | 2024-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-25 | 2024-02-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-13 | 2023-08-31 | Y |