Inconsistent assistance with personal-care and hydration needs
Unreliable call-light response and timely assistance
Concerns about staff professionalism and resident respect
Gaps in family communication and emergency coordination
Inconsistent leadership accountability and communication
Summary of reviews
Experiences at Minot Health and Rehab vary substantially. One family member described attentive care, clean clothing, and well-maintained grooming, and said their mother’s needs appeared to be met. Visitors also responded promptly when she said she was cold in the dining room. Other family members raised concerns about delayed assistance, support with personal-care and hydration needs, and whether residents’ needs are consistently addressed. One reviewer also described difficulty obtaining basic information about a resident and coordinating an urgent response.
Feedback about staff is similarly mixed. Some comments characterize staff as caring and attentive, while others describe inconsistent professionalism, communication tone, and respect toward residents, including concerns involving night-shift practices. Views of nursing leadership also conflict: one family member praised the director of nursing’s availability and support, while another questioned management communication and accountability.
Dining feedback is limited to a report that a resident felt cold in the dining room and received a blanket promptly; there is not enough information to assess food quality, menu variety, or overall meal service. The reviews provide no meaningful detail about activities or the condition and amenities of the facility. One family member also referenced negative CMS scores, but the reviews do not provide the scores or enough context to evaluate them. Overall, the range of accounts suggests that families considering the facility may wish to ask specifically about response times, personal-care routines, hydration access, staff conduct, communication with families, and emergency procedures.
Reviews written on Mirador
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Medicare Ratings
2·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Minot Health and Rehab is located at 600 Main St S, Minot, ND, 58701.
About Minot Health and Rehab
Minot Health and Rehab sits right in Historic Downtown Minot, offering a view of the city and always staying open around the clock. This place is set up for folks who need either short-term help after a hospital stay, surgery, or accident, or those who need long-term nursing because they can't live alone anymore. They offer things like skilled nursing care 24/7, physical therapy, speech therapy, occupational therapy, hospice care, memory care, and specialized treatments such as IV antibiotics, PICC management, tracheostomy care, tube feedings, and wound care. Residents and families can expect a safe and comfortable place, with activities, outings, meals, and therapy services included to make daily life better. They have a group of therapists, including Colleen L. Feller, Melissa Lee Sober, and Stephanie Diane Palmer, who focus on mobility and recovery with personalized plans for each resident, and the team also helps people with respiratory therapy, swallow studies, and other medical needs. The facility's got 74 to 114 beds, depending on the specific count used, and they average about 3.32 nurse hours per resident a day, with skilled nursing staff available. The staff tries to treat everyone, including visitors and family, like guests in their home. They handle rehabilitation, assisted living, home health, and even brain injury rehab, working closely with doctors and providing in-house visits, pharmacy support, and things like daily weights, glucose monitoring, nebulizer treatments, and infection control. The North Shore Healthcare group oversees the facility, and Farrah Hassan is the executive director. There have been state and federal reports of safety issues in the past, with some deficiencies noted for infection control and overall care, and the nurse turnover rate runs high at about 68.4%. Even so, Minot Health and Rehab has had some recognition from the Centers for Medicare and Medicaid Services as deficiency free at least once, but families will want to review inspection and staffing history for the most up-to-date picture. The center has been around since 2015 and runs as a for-profit company, managing both direct owners and staff. While some information about staff and management isn't public, the most important part is the wide range of services for people with many different care needs, whether that's simply short-term rehab, longer nursing care, or help with medical and memory problems.
People often ask...
Minot Health and Rehab offers assisted living and skilled nursing.
There are 2 photos of Minot Health and Rehab on Mirador.
The full address for this community is 600 Main St S, Minot, ND 58701.
No, Minot Health and Rehab does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.
License number
SNF-minot-health-and-rehab-minot
Facility type
Skilled Nursing Facility
Inspection Reports
57
Reports
8
Type A Citations
0
Type B Citations
0
Complaints
16
Years
18 Aug 2026Life Safety
18 Aug 2026Life Safety
Found multiple life-safety and electrical system deficiencies, including emergency lighting, fire alarm and sprinkler systems, electrical testing, generator operation, fire drills, and kitchen extinguishing system inspections.
NFPA 72; NFPA 70Fire Alarm System - Testing and Maintenance
NFPA 25; 19.7.6Sprinkler System - Maintenance and Testing
NFPA 80; NFPA 90AHVAC - Fire Dampers Testing and Inspection
NFPA 99Electrical Systems - Essential Electric System
NFPA 99; NFPA 110; NFPA 111; NFPA 70Electrical Systems - Essential Electric System Maintenance and Testing
NFPA 99Electrical Equipment - Testing and Maintenance (PCREE)
NFPA 101; 19.7.1.4 through 19.7.1.7Fire Drills
NFPA 17A; 7.2.1 through 7.2.6Wet Chemical Extinguishing System (Kitchen) - Maintenance/Inspection
15 Jun 2026Inspection
15 Jun 2026Inspection
Investigated a resident care incident and accompanying complaint and found a failure to maintain a clean, homelike bathroom environment for one resident dependent on staff for toileting; a bathroom odor and an unflushed bedpan were observed.
Found deficiencies in care that affected residents' dignity, safety during transfers, and infection control practices.
CFR §483.10(e)(2); §483.10(e)Respect, Dignity/Right to have Personal Property
CFR §483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
CFR §483.80(a)(1)-(4); §483.80(e); §483.80(f)Infection Prevention & Control
24 Nov 2025Inspection
24 Nov 2025Inspection
Investigated a complaint and found that a resident was left on a bedside commode for hours without a call light or monitoring, resulting in injury, and the incident was not reported as required.
42 CFR 483.12Freedom from Abuse and Neglect
42 CFR 483.12(c)Reporting of Alleged Violations
23 Jun 2025Life Safety
23 Jun 2025Life Safety
Found that smoke detectors were not sensitivity-tested in accordance with NFPA 72, and no records showed the required two-year testing.
NFPA 101 19.3.4.5; 9.6.2.10.1; NFPA 72 14.4.5.3Smoke Detection System Testing and Sensitivity
10 Jun 2025Inspection
10 Jun 2025Inspection
Identified multiple deficiencies related to the environment, discharge/bed-hold communications, accurate resident assessments, care planning, medication-related processes, bathing, and hospice documentation.
Found no deficiencies during complaint investigations.
31 Dec 2024Inspection
31 Dec 2024Inspection
Found abuse-related deficiencies after investigation, concluding residents were not protected from sexual abuse and mental abuse.
CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
02 Dec 2024Inspection
02 Dec 2024Inspection
Identified that a resident experienced non-consensual sexual contact by another resident, indicating failure to protect residents from abuse.
42 CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
16 May 2024Inspection
16 May 2024Inspection
Investigated a complaint and found multiple deficiencies in notifying residents/POA and physicians about changes in condition, accurate assessment coding, and medication and wound care practices.
483.10(g)(14)-(15)Notify of Changes
483.20(g)Accuracy of Assessments
483.21(b)(3)(i)Services Provided Meet Professional Standards
483.25(b)(1)(i)-(ii)Treatment/Svcs to Prevent/Heal Pressure Ulcer
483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
14 May 2024Life Safety
14 May 2024Life Safety
Identified failure to conduct a required PM shift fire drill during the third quarter of the past year, affecting one of twelve drills.
NFPA 101 Fire Drills (19.7.1.4-19.7.1.7)Fire Drills
09 May 2023Life Safety
09 May 2023Life Safety
Identified noncompliance with NFPA 99 due to an unprotected light switch in an oxygen storage room containing more than 300 cubic feet of oxygen.
NFPA 99, A.5.1.3.3.2(5)Gas Equipment - Cylinder and Container Storage
09 May 2023Inspection
09 May 2023Inspection
Found deficiencies in resident rights, privacy, quality of care, infection control, and restorative nursing that affected multiple residents.
CFR 483.10Resident Rights/Exercise of Rights
CFR 483.10(h)Personal Privacy/Confidentiality of Records
CFR 483.25Quality of Care
CFR 483.80Infection Prevention & Control
CFR 483.25(c)Mobility/ROM
21 Nov 2022Life Safety
21 Nov 2022Life Safety
Found deficiencies in smoke barrier doors, GFCI protection for receptacles near sinks, and emergency generator testing per NFPA standards.
CFR 483.21(b)(3)(i)Comprehensive Care Plans – Meet Professional Standards
CFR 483.45(g)-(h)(1)-(2)Label/Store Drugs and Biologicals
CFR 483.80(i)COVID-19 Vaccination of Facility Staff
07 Sept 2022Inspection
07 Sept 2022Inspection
Investigated a complaint and identified a deficiency due to improper restraints during van transport, resulting in a resident fall and serious injuries.
CFR 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
01 Jun 2022Life Safety
01 Jun 2022Life Safety
Identified failure to separate hazardous areas from other spaces with smoke-resisting partitions and self-closing doors; a corridor door to a Soiled Utility Room lacked a self-closing device.
NFPA 101, 19.3.2.1; 19.3.5.9Hazardous Areas - Enclosure
26 May 2022Inspection
26 May 2022Inspection
Identified multiple deficiencies related to resident notices, bed-hold and transfer communications, and medication administration practices.
§483.10(g)(17) and §483.10(g)(18)Medicaid/Medicare Coverage/Liability Notice
§483.15(c)(3)-(6) and §483.15(c)(8)Notice Requirements Before Transfer/Discharge
§483.15(d)(1) and §483.15(d)(2)Bed-Hold Notice Upon Transfer
§483.21(b)(3)(i)Comprehensive Care Plans
14 Mar 2022Inspection
14 Mar 2022Inspection
Found no deficiencies. The concerns were unsubstantiated.
01 Feb 2022Inspection
01 Feb 2022Inspection
Identified failure to follow physician orders for weekly hemoglobin testing, which led to a transfer for a blood transfusion.
42 CFR 483.21(b)(3)(i)Comprehensive Care Plans
04 Nov 2021Inspection
04 Nov 2021Inspection
Investigated multiple deficiencies across resident care, including failure to notify representatives after changes, privacy lapses, inadequate adherence to professional standards, insufficient ADL support, nutrition concerns, safety issues, medication/recordkeeping problems, and COVID-19 testing gaps.
§483.10(g)(14)-(15)Notify of Changes (Injury/Decline/Room, etc.)
§483.10(h)(1)-(3)Personal Privacy/Confidentiality of Records
§483.21(b)(3)(i)Services Provided Meet Professional Standards
§483.24(a)(2)ADL Care Provided for Dependent Residents
§483.25Quality of Care
§483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
§483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
§483.20(f)(5), §483.70(i)Resident Records - Identifiable Information
§483.80(h)COVID-19 Testing-Residents & Staff
02 Nov 2021Life Safety
02 Nov 2021Life Safety
Identified multiple life-safety deficiencies related to emergency lighting, cooking facilities, fire alarm maintenance, portable extinguishers, and essential electrical systems.
NFPA 96 – Ventilation Control and Fire Protection of Commercial Cooking Operations; NFPA 17A – Wet Chemical Extinguishing SystemsCooking Facilities
NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
NFPA 10Portable Fire Extinguishers
NFPA 99 6.4.1.1.17Electrical Systems - Essential Electric System
NFPA 99; NFPA 110; NFPA 111; NFPA 70Electrical Systems - Essential Electric System Maintenance and Testing
04 Aug 2021Inspection
04 Aug 2021Inspection
Found deficiencies in wound care management, unsafe transfer practices using lifts, and lapses in infection control during dressing changes.
CFR 483.21(b)(3)(i)Comprehensive Care Plans
CFR 483.25(d)Accidents
CFR 483.80(a)Infection Control
13 Jul 2021Inspection
13 Jul 2021Inspection
Found deficiencies in providing reasonable accommodations for a resident, ensuring accurate assessments, following professional standards in care planning, timely nail care, skin protection, and infection control.
CFR 483.10(e)(3)Accommodations of Needs
CFR 483.20(g)Accuracy of Assessments
CFR 483.21(b)(3)(i)Professional Standards of Care
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.25(b)(1)(i)(ii)Treatment/ Svcs to Prevent/Heal Pressure Ulcers
CFR 483.80(a)(1)-(a)(4), (e), (f); 483.80Infection Prevention & Control
14 Jun 2021Life Safety
14 Jun 2021Life Safety
Identified multiple life-safety deficiencies across egress signage, emergency lighting, cooking facilities, fire alarm and sprinkler systems, portable extinguishers, electrical systems, fire drills, and the emergency generator. These findings indicate violations were cited.
NFPA 101; NFPA 70; NFPA 72; 9.6.1.3; 9.6.1.5; 19.3.4.1Fire Alarm System - Testing and Maintenance
NFPA 25; 19.7.6; 4.6.12; NFPA 25 4.6Sprinkler System - Maintenance and Testing
NFPA 10; NFPA 19.3.5.12; NFPA 9.7.4.1; NFPA 7.2.1.1Portable Fire Extinguishers
NFPA 70; 210.8; 210.8(B)Utilities - Gas and Electric
NFPA 101; 19.7.1.4-19.7.1.7Fire Drills
NFPA 99; NFPA 110; NFPA 111; NFPA 70; 700.10Electrical Systems - Essential Electric System
24 May 2021Inspection
24 May 2021Inspection
Investigators found multiple deficiencies across resident rights, care planning, staffing, nutrition, and infection control, indicating noncompliance with federal requirements.
CFR(s): 483.10(a)(1) 483.10(a)(2) 483.10(b)(1) 483.10(b)(2)Resident Rights/Exercise of Rights
Found deficiencies in behavioral health assessment and care planning for a resident at risk of self-harm and in infection prevention/control practices affecting multiple residents.
483.40Behavioral health services
483.80Infection Prevention & Control
17 Mar 2020Inspection
17 Mar 2020Inspection
Verified no deficiencies were found during a COVID-19 focused infection control survey conducted on 2020-03-16.
21 Oct 2019Inspection
21 Oct 2019Inspection
Investigated widespread care deficiencies across resident rights, medical treatments, nutrition, infection control, and staffing, with multiple residents affected by unsafe practices.
Identified multiple deficiencies across care planning, medication management, nutrition, wound care, supervision, and oxygen administration that affected resident safety and quality of care.
42 CFR 483.21(b)Care Plan Timing and Revision
42 CFR 483.21(b)(3)Services Provided Meet Professional Standards
42 CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
42 CFR 483.25(b)Skin Integrity
42 CFR 483.25(d)ADL Care/Supervision to Prevent Accidents
42 CFR 483.25(g)Nutrition/Hydration Status Maintenance
42 CFR 483.25(i)Respiratory Care and Oxygen Administration
23 Jul 2019Life Safety
23 Jul 2019Life Safety
Identified multiple deficiencies in fire safety, emergency preparedness, and life-safety systems, including lack of annual drills, improper exit hardware, misinstalled sprinklers, untested smoke detectors, and overdue generator testing.
CFR 483.73(d)(2)Testing requirements for emergency preparedness
NFPA 101; NFPA 80; 7.2.1; 8.3.3.1Means of Egress - General
NFPA 25; 4.1.4.1; 9.7; NFPA 25Sprinkler System - Maintenance and Testing
NFPA 10; 9.7.4.1; 6.1.3.8.1Portable Fire Extinguishers
NFPA 110; NFPA 25; NFPA 70Electrical Systems - Essential Electric System
11 Jun 2019Inspection
11 Jun 2019Inspection
An onsite complaint review identified multiple deficiencies across resident rights, care planning, infection control, nutrition, medication administration, and supervision, indicating systematic shortcomings in care and environment. Numerous residents were impacted by failures to honor dignity, communicate changes, properly document care, and follow clinical orders.
CFR 483.10Resident Rights/Exercise of Rights
CFR 483.10(g)(14)Notify of Changes
CFR 483.10(i)Safe Environment
CFR 483.10(j)Grievances
CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.25Quality of Care
CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
CFR 483.45(f)Residents are Free of Significant Medication Errors
CFR 483.60Qualified Dietary Staff
CFR 483.80Infection Prevention & Control
16 Aug 2018Inspection
16 Aug 2018Inspection
Investigated numerous deficiencies in resident rights, care planning, assessments, transfers, medications, nutrition, dialysis, and infection control following a short-term survey conducted in August 2018.
42 CFR 483.10Resident Rights/Exercise of Rights
42 CFR 483.10(g)Advance Directives
42 CFR 483.15Transfer and Discharge
42 CFR 483.15Notice before transfer
42 CFR 483.15(d)Bed-Hold Notice Upon Transfer
42 CFR 483.20(g)Accuracy of Assessments
42 CFR 483.20(e)Coordination
42 CFR 483.21(a)Baseline Care Plans
42 CFR 483.21(b)Comprehensive Care Plans
42 CFR 483.25Services Provided Meet Professional Standards
42 CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
42 CFR 483.60(d)Swallow Safety
42 CFR 483.25(d)Accidents
42 CFR 483.35(d)Nurse Aide In-Service
42 CFR 483.45(c)(1)-(5)Drug Regimen Review
42 CFR 483.45(d)Unnecessary Drugs
42 CFR 483.60(c)Menus Meet Resident Needs/Prep in Advance/Followed
Identified multiple life-safety deficiencies including obstructed means of egress, incomplete fire alarm testing, and improper timing of fire drills.
NFPA 101 Means of Egress - General (7.1.10.1, 7.3.2.2)Means of Egress - General
NFPA 70; NFPA 72; 9.6.1.3; 9.6.1.5; 19.3.4.1Fire Alarm System - Testing and Maintenance
NFPA 101 Fire Drills 19.7.1.4; 19.7.1.6; 19.7.1.7; 4.7.4; 4.7.6Fire Drills
26 Jul 2017Inspection
26 Jul 2017Inspection
Investigated multiple deficiencies in resident care, including failure to notify physicians about held medications, incomplete assessments after changes in condition, inadequate participation in planning care, and lapses in nutrition, oxygen, and medication management.
483.10(g)(14)NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)
483.20(b)(2)(ii)COMPREHENSIVE ASSESS AFTER SIGNIFICANT CHANGE
483.10(c)(2)RIGHT TO PARTICIPATE IN PLANNING CARE-REVISE CP
483.21(b)(2)COMPREHENSIVE CARE PLANS
483.21(b)(3)(i)SERVICES PROVIDED MEET PROFESSIONAL STANDARDS
483.21(b)(3)(i)MEDICATION VIA GASTROSTOMY TUBE
483.25(c)(3) and 483.25(n)(3)MAINTAIN NUTRITION STATUS UNLESS UNAVOIDABLE
483.25(b)(2)(f)(g)(5)(h)(i)(j)TREATMENT/CARE FOR SPECIAL NEEDS
Identified failure to maintain the automatic sprinkler system, with inspections not conducted for the past year, risking fire protection reliability.
19.7.6, 4.6.12, NFPA 25, 5.1.1.2Automatic sprinkler systems - maintenance and testing
12 Jan 2017Inspection
12 Jan 2017Inspection
Investigated a wide range of deficiencies across resident care, including notification of changes, care planning, hydration, hygiene, and environmental controls.
483.10(g)(14)Notify of changes (injury/decline/room, etc)
483.10(e)(3)Reasonable accommodation of needs/preferences
483.10(c)(2); 483.21(b)(2)Right to participate planning care; Comprehensive Care Plans
483.24; 483.25(k)(l)Provide care/services for highest well being
483.25(b)(1)Treatment/Service to prevent/heal pressure sores
Identified multiple life-safety deficiencies across egress, electrical, detection, sprinkler, and building-system areas with incomplete risk assessment and lack of required drills.
NFPA 101 Means of Egress - General; 7.2.1.4.3.1Means of Egress - General
483.20(d)(3)RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP
483.25(c)TREAT/SVCS TO PREVENT/HEAL PRESSURE SORES
04 May 2016Inspection
04 May 2016Inspection
Investigations documented multiple deficiencies across resident dignity, safety, medical care, infection control, nutrition, medications, staffing, and environmental practices, showing systemic failures in communication, monitoring, and adherence to care plans.
483.10(b)(11)NOTIFY OF CHANGES (INJURY/DECLINE/ROOM, ETC)
483.15(a)DIGNITY AND RESPECT OF INDIVIDUALITY
483.15(c)(6)LISTEN/ACT ON GROUP GRIEVANCE/RECOMMENDATION
483.15(e)(1)REASONABLE ACCOMMODATION OF NEEDS/PREFERENCES
Identified multiple life-safety deficiencies: hazardous area doors failed to self-close, there were multiple delayed-egress devices on egress doors, exit corridors were obstructed, and sprinkler system maintenance was inadequate.
NFPA 101 Life Safety Code 19.3.2.1Hazardous areas protection
NFPA 101 Life Safety Code 19.2.1; 7.2.1.6.1; 7.1.10.1; 7.3.2Means of egress - delayed-egress devices and obstructions
NFPA 25; NFPA 13; 19.7.6; 4.6.12; 9.7.5Automatic sprinkler system maintenance
13 May 2015Inspection
13 May 2015Inspection
Inspection identified multiple deficiencies, including safety hazards, breaches of privacy, and improper medication storage and handling.
483.25(h)Free of accident hazards/supervision/devices
483.10(e), 483.75(l)(4)Personal privacy/confidentiality of records
Investigated allegations of mistreatment and neglect; identified multiple deficiencies related to privacy, dignity, and confidentiality of records.
483.10Personal Privacy/Confidentiality of Records
483.10Dignity/Privacy
17 Feb 2015Life Safety
17 Feb 2015Life Safety
Identified a fire-safety deficiency involving detectors that increased risk of death or injury from fire.
NFPA 72NFPA 72 fire detector requirements
09 Apr 2014Inspection
09 Apr 2014Inspection
Identified multiple deficiencies related to resident rights information, physician communication, medication management, and safe operational practices.
Notice of Rights, Rules, Services and ChangesNotice of Rights, Rules, Services and Changes
Physician Contact InformationPhysician contact information for residents
Provide Care/Services for Highest Well BeingProvide Care/Services for Highest Well Being
Drug Regimen Is Free From Unnecessary DrugsDrug Regimen Is Free From Unnecessary Drugs
Resident Records Complete/Accurate/AccessibleResident Records Complete/Accurate/Accessible
11 Mar 2014Life Safety
11 Mar 2014Life Safety
Identified multiple life-safety deficiencies, including an untested duct detector, sprinkler-system maintenance gaps, and obstructed exit corridors.
NFPA 101 LIFE SAFETY CODE STANDARDDuct detector testing
NFPA 101 LIFE SAFETY CODE STANDARDAutomatic sprinkler systems maintained
NFPA 101 LIFE SAFETY CODE STANDARDExits, egress, and visibility
20 Nov 2013Inspection
20 Nov 2013Inspection
Identified deficiencies related to privacy and confidentiality, including improper handling of resident records and lack of privacy in daily activities.
—Privacy/Confidentiality of Records
07 Mar 2013Inspection
07 Mar 2013Inspection
Identified multiple deficiencies involving privacy and dignity, including mishandling of confidential records, exposure of a resident, and inadequate activity programming.
—Personal privacy and confidentiality of residents' records
—Binder does not contain required code survey information
—Privacy/dignity during activities and treatment
—Care provided without proper attention to resident privacy and safety
—Inadequate activity program / lack of individualized activities
14 Feb 2013Life Safety
14 Feb 2013Life Safety
Identified life-safety deficiencies including obstructed exit corridors, inadequate fire-resistance barriers, and corroded sprinkler heads needing replacement.
NFPA 101 Life Safety Code Standard 19.3.7.3, 19.3.7.5, 19.1.6.3, 19.1.6.4; 42 CFR 483.70(a)Smoke barriers/fire-resistance barriers not maintained
NFPA 101 Life Safety Code Standard 19.7.6, 4.6.12, NFPA 13, NFPA 25, 9.7.5Automatic sprinkler system maintenance
NFPA 101 Life Safety Code Standard 7.1.10Means of egress obstructed
11 Apr 2012Inspection
11 Apr 2012Inspection
The facility was found to have several deficiencies affecting resident safety, hygiene and care, including improper environmental conditions and gaps in medication management; multiple pages document ongoing findings.
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—Continued From page 28
21 Feb 2012Life Safety
21 Feb 2012Life Safety
Concluded compliance with NFPA 101 Life Safety Code after the Life Safety Code survey. No deficiencies were cited.
12 May 2011Inspection
12 May 2011Inspection
Investigated a complaint and found multiple deficiencies related to resident rights information, privacy during care, assessment documentation, medication management, infection control, and staff practices.
—Resident rights information
—Advance directives and related policies
—Resident assessment documentation
—Resident assessment documentation (continued) and related guidance
—Care planning and follow-up (PRN)
—Infection control / hand hygiene
—Pharmacy/medication management and related duties
24 Jan 2011Life Safety
24 Jan 2011Life Safety
Investigated deficiencies found regarding door hardware and latching: corridor doors lacked automatic latching, double self-closing doors did not secure the fixed panel, and roller latches were prohibited.
42 CFR 483.70(a); NFPA 101 Life Safety Code, 2000 editionCorridor doors must have automatic latching hardware and proper door closures; roller latches prohibited
22 Apr 2010Inspection
22 Apr 2010Inspection
An investigation identified multiple deficiencies involving privacy and confidentiality of resident information, resident rights in daily care, and infection control, along with related care processes and staff training.
Type A—Privacy and confidentiality of residents' records
Type A—Resident rights—privacy/dignity during care
Type A—Daily living and privacy during meals
Type A—Resident activities and engagement
Type A—Nursing/ADL care training and perineal care
Type A—Infection control program and practices
Type A—Resident activities and engagement (in-service follow-up)
Type A—Infection control program and practices (ongoing)
27 Jan 2010Life Safety
27 Jan 2010Life Safety
Found deficiencies in smoke detector testing/maintenance and sprinkler system upkeep, including spacing and obstructions.
NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD
NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD
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