Cura of Le Sueur

In the surveyor’s words

From the most serious findings on record at Cura of Le Sueur, in the surveyor’s own words.

• Immediate jeopardy, isolatedF602Oct 3, 2024

  Based on interview and document review, the facility failed to ensure 12 of 25 residents (R1, R2, R3, R4, R5, R6, R7, R8, R9, R10, R11, and R12) reviewed for drug diversion were free from misappropriation of their property when their medications were taken by a staff member. This resulted in diversion of 121 oxycodone tablets, one tramadol tablet and two doses of liquid lorazepam. The immediate jeopardy (IJ) began on 9/27/24, when registered nurse (RN)-A notified the director of nursing (DON) with her concerns that trained medication aide (TMA-A) had been signing controlled medications out of the narcotic logbook. However, TMA-A was not documenting medication in the medication administration record (MAR) as given. […]

• Actual harm, isolatedF760Jun 24, 2026

  Based on interview and document review the facility failed to ensure medications were administered according to physician orders which resulted in a significant medication error for 1 of 3 residents (R1) reviewed for medication administration. This resulted in actual harm for R1 when an increased dose of a diuretic (water pill) had been ordered but was later discontinued without a physician order. R1 did not receive an increased dose, nor any doses of prescribed diuretic for two days and subsequently developed shortness of breath, had to be sent to the emergency department (ED) where he received intravenous diuretic and needed to be hospitalized . […]

• No harm, potential for more than minimal, widespreadF812Feb 24, 2026

  Based on observation and interview, the facility failed to maintain 1 of 1 ice machine to prevent potential contamination and to ensure food and drinks were served in a safe and sanitary manner. This had the potential to affect all 21 residents who resided in the facility.Findings Include:On 2/23/26 at 10:45 a.m., during the initial tour of the kitchen with the dietary director (DD-D), a Manitowoc brand ice machine located in a hallway adjacent to the kitchen was observed with white/grey chalky, powdery, hard, crusty, rock-like, lumpy deposits present on: the inside lid of the ice machine, the outside lid, the front exterior surface, and both side exterior surfaces. The buildup appeared consistent with lime scale and mineral deposits. […]

• No harm, potential for more than minimal, widespreadF725Jan 16, 2025

  Based on observation, interview, and document review, the facility failed to provide sufficient staffing to ensure residents received care and assistance as needed. These deficient practices had the potential to affect all residents who resided in the facility. Findings include: Refer to F676: Based on observation, interview and document review the facility failed to ensure residents received assistance with meals for 3 of 3 residents (R1, R2, and R10) reviewed for dining who required staff assistance and/or supervision with meals. Refer to F684: Based on interview and document review, the facility failed to monitor weights per physician order for 1 of 1 resident (R10) reviewed for edema and 2 of 2 residents reviewed for nutrition (R20 and R23). […]

• No harm, potential for more than minimal, widespreadF880Jan 16, 2025

  Based on observation, interview and document review, the facility failed to follow Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control (CDC) guidelines by appropriately implementing preventive measures to prevent the spread of influenza A, failed to post appropriate signage for 11 of 11 residents (R2, R9, R10, R79, R12, R4, R16, R1, R18, R22, R3) who exhibited symptoms of influenza A or had tested positive for influenza A, and further failed to ensure correct personal protective equipment (PPE) use. In addition; the facility failed to ensure correct use of gloves during wound care for 1 of 1 resident, (R16). […]