Anoka Rehabilitation and Living Center

In the surveyor’s words

From the most serious findings on record at Anoka Rehabilitation and Living Center, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 26, 2024

  Based on observation, interview, and record review the facility failed to ensure comprehensive assessments were consistently completed, provide and implement interventions to prevent recurrent pressure ulcers (PU) for 1 of 1 residents (R13) who had a history of facility acquired stage 3 pressure ulcers. The facility's failures resulted in actual harm when R13 developed a recurrent pressure ulcer to the right heel. Findings include: R13's significant change Minimum Data Set (MDS) dated [DATE], indicated R13 was admitted to the facility on [DATE] with diagnoses including aphasia following intracranial hemorrhage (difficulty understanding or expressing speech following a brain bleed), morbid obesity, muscle weakness, heart failure, diabetes mellitus, non-Alzheimer's dementia, and arthritis. […]

• Actual harm, isolatedF689Jan 12, 2023

  Based on interview and document review the facility failed to perform root cause analysis to determine patterns for falls and failed to develop and implement person centered interventions to reduce the risk for falls for 1 of 3 residents (R5) reviewed for falls. This resulted in actual harm for R5 who fell and sustained a fractured finger and a laceration to her eye that required sutures and hospitalization to monitor for a concussion. Findings include: R5's quarterly Minimum Data Set (MDS) dated [DATE], identified moderate cognitive impairment and indicated she required extensive assistance for transfers and toileting, was always incontinent of bladder and always continent of bowel. The MDS indicated R5 had one fall since the prior assessment with no injury. […]

• No harm, potential for more than minimal, widespreadF880Jan 22, 2025

  Based on observation, interview and document review, the facility failed to ensure appropriate personal protective equipment (PPE) was worn to prevent the spread of infection for for 2 of 2 residents (R8, R9) observed for COVID-19 transmission based precautions (TBP) and for 1 of 2 residents (R10) observed for enhanced barrier precautions (EBP), (an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities). […]

• No harm, potential for more than minimal, widespreadF812Jul 18, 2024

  Based on observation, interview, and document review the facility failed to ensure food was properly stored, labeled, dated, and failed to maintain a clean and sanitary kitchen to reduce and/or prevent the risk of food borne illness this practice had the potential to affect all 112 residents, staff and guests who consumed foods from the facility kitchen. Findings include: During initial kitchen tour on 7/15/24 at 11:26 a.m., with certified dietary manager (CDM) the following concerns were observed: - Three dietary staff were observed without hairnets as they placed plastic wrap over plates of cooked food. […]

• No harm, potential for more than minimal, widespreadF812May 18, 2023

  Based on observation, interview, and document review, the facility failed to ensure foods stored in the refrigerator were labeled and dated when opened. These failures had the potential to affect all 109 residents in the facility who consumed food from the kitchen. Findings include: Observation of the walk-in refrigerator on 05/15/23 at 11:00 a.m., with the Assistant Dietary Manger in the main first floor kitchen revealed the following: -an open bag of onions that had been tied closed but sliced open, lacked a label with contents and opened on date. -an open bag of cheese, lacked a label with opened on date or use by date. -bag of sliced cucumbers, lacked a label with opened on date or use by date. -an open bag of cube ham, lacked a label with contents, opened on date or use by date. […]