Cura of Paynesville

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600May 2, 2022

  Based on observation, interview and document review, the facility failed to protect 1 of 1 residents (R1) from alleged resident to resident sexual abuse when R2, who has a history of wandering into other resident rooms and a history of sexual behavior, entered R1's room unsupervised and was found in bed with her. Further, the facility failed to assess R1 for signs of injury/abuse after the incident and failed to immediately implement safety interventions for either R1 or R2 to help mitigate the likelihood abuse would occur again. These findings resulted in an immediate jeopardy (IJ) situation for R1 when she was allegedly sexually abused by R2. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2026

  Based on observation, interview, and document review, the facility failed to properly store and label individual portions of food to reduce the risk of foodborne illness. This had the potential to affect all 48 residents who resided at the facility. Findings include: During initial kitchen tour on 4/6/26, at 10:19 a.m., with dietary manager (DM): in the freezer part of walk-in cooler there was a gray plastic bin located on the second shelf on the left were multiple individual portions of meals in round cardboard containers with plastic covers. […]

• No harm, potential for more than minimal, widespreadF841May 2, 2022

  Based on interview and document review, the facility failed to develop a policy and procedure defining the responsibilities of the Medical Director (MD) and ensure the MD assisted in the implementation and guidance of resident care policies, and coordination of resident medical care in the facility. This had the potential to impact all 37 residents who resided in the nursing home at the time of the survey. Findings Include: During an extended survey, on 5/2/22, a Medical Director (MD) policy and the MD's job description and/or contract was requested; however, these items were not provided. Due to lack of requested information, the following interviews were conducted: During interview on 5/2/22, at 2:18 p.m. […]

• No harm, potential for more than minimal, isolatedF644Apr 8, 2026

  Based on interview and document review, the facility failed to ensure a Level II pre-admission screen (PASARR) had been completed prior to admission for 1 of 5 residents (R7) reviewed for Level II PASARR screening for mental illness. Findings include: R7's comprehensive Minimum Data Set (MDS) dated [DATE] Indicated R7 was severely cognitively challenged, and had the following diagnoses: Anxiety, Bi-Polar disorder, Post Traumatic Stress Disorder, Unspecified Dementia and Unspecified mental disorder. R7's Minnesota Senior Linkage line pre-admission screening results dated 7/1/24, indicated R7 met the requirements for a mental illness OBRA Level II assessment and was required to have an OBRA Level II assessment prior to being admitted to any nursing facility. […]

• No harm, potential for more than minimal, isolatedF880Mar 19, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper use of personal protective equipment (PPE) for 1 of 2 residents (R249) during high contact cares. In addition, the facility failed to ensure PPE use while providing wound care for 1 of 2 residents (R249) reviewed for enhanced barrier precautions (EBP). Findings include: R249's quarterly Minimum Data Set (MDS) dated [DATE], indicated R249 was cognitively intact and had acute osteomyelitis (bone infection) on the right ankle and foot and had recently undergone orthopedic surgery for right below the knee amputation, phantom limb syndrome with pain (real pain in a missing limb after amputation), peripheral vascular disease (PVD) (narrowed arteries reduce blood flow to the arms and/or legs), type II… […]