A list of the most recent deficiencies for Minot Health and Rehab, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-09 | 2023-06-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-09 | 2023-06-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-06-13 | N |
| 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 | 2023-05-09 | 2023-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-09 | 2023-06-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-09 | 2023-05-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-21 | 2023-01-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-21 | 2023-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-21 | 2023-01-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-09 | 2022-12-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-09 | 2022-12-09 | 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 | 2022-11-09 | 2022-12-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-09 | 2022-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-07 | 2022-09-07 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-01 | 2022-08-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-26 | 2022-06-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-26 | 2022-06-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-26 | 2022-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-26 | 2022-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-01 | 2022-02-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-04 | 2022-02-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-04 | 2021-12-09 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-04 | 2021-12-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-04 | 2021-12-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-24 | 2021-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-24 | 2021-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-24 | 2021-08-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-24 | 2021-07-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-24 | 2021-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-24 | 2021-07-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-24 | 2021-07-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-24 | 2021-06-30 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-05-24 | 2021-06-30 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-24 | 2021-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-24 | 2021-06-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-05-24 | 2021-06-30 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-05-24 | 2021-06-30 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-24 | 2021-06-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-24 | 2021-06-30 | 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 | 2021-05-24 | 2021-06-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-24 | 2021-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-24 | 2021-06-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-24 | 2021-06-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-24 | 2021-06-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-24 | 2021-06-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-05-24 | 2021-06-30 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-05-24 | 2021-06-30 | Y |
| 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 | 2021-05-24 | 2021-06-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-24 | 2021-06-30 | Y |
| 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 | 2021-05-24 | 2021-06-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-05-24 | 2021-06-30 | Y |
