Deficiency Records for St Johns On Fountain Lake
A list of the most recent deficiencies for St Johns On Fountain Lake. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
St Johns On Fountain Lake
ALBERT LEA, MN 56007
Provider #245635
Deficiency Records
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from Complaint? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2024-11-06 | 2024-12-12 | No |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-06 | 2024-12-12 | No |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-06 | 2024-12-12 | No |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-11-06 | 2024-12-12 | No |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-06 | 2024-12-12 | No |
| Provide and implement an infection prevention and control program. | Health | 2024-11-06 | 2024-12-12 | No |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-06 | 2024-12-12 | No |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-06 | 2024-12-12 | No |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-06 | 2024-12-12 | No |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-11-06 | 2024-12-12 | No |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-06 | 2024-12-12 | No |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-06 | 2024-12-12 | No |
| Provide and implement an infection prevention and control program. | Health | 2024-09-24 | 2024-10-10 | Yes |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-08-03 | Yes |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-17 | 2024-05-10 | Yes |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-17 | 2024-05-10 | Yes |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-11 | 2024-02-08 | No |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-11 | 2024-02-08 | No |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-11 | 2024-02-08 | No |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-11 | 2024-02-08 | No |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-05 | No |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-10 | 2024-02-05 | No |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-10 | 2024-02-05 | No |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-10 | 2024-02-05 | No |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-10 | 2024-02-05 | No |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-10 | 2024-02-05 | No |
| Provide and implement an infection prevention and control program. | Health | 2023-09-20 | 2023-10-13 | Yes |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-20 | 2023-10-13 | Yes |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-09-28 | Yes |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-06 | 2023-03-31 | No |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-06 | 2023-03-31 | No |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-06 | 2023-03-31 | No |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-06 | 2023-03-31 | No |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-06 | 2023-03-31 | No |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-06 | 2023-03-31 | No |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-06 | 2023-03-31 | No |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-09 | 2023-03-31 | No |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-09 | 2023-03-31 | No |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-03-31 | No |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-03-09 | 2023-03-31 | No |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-09 | 2023-03-31 | No |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-09 | 2023-03-31 | No |
About Deficiency Records
Deficiency records are based on information provided by the Centers for Medicare & Medicaid Services (CMS) from both standard inspections and complaints filed by residents or their families.
Data Information
Data as of: September 01, 2025
Last Updated: September 01, 2025