Dove Healthcare - Osseo

In the surveyor’s words

From the most serious findings on record at Dove Healthcare - Osseo, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761Feb 25, 2026

  Based on observations and record review, the facility did not ensure drugs and biologicals were stored in accordance with currently accepted professional practice. This had the potential to affect stock medication that could be used for all residents. Currently there are 15 out of 31 residents (R) needing medication requiring temperature control for proper storage. (R3, R4, R5, R11, R12, R13, R19, R20, R21, R24, R27, R28, R33, R40, R41)Routine monitoring of temperature levels of medication refrigerators in both medication rooms is not consistently being done. There were 3 narcotics, 39 insulin pens, 5 other injectable types, 161 vaccines, 10 suppositories, and 3 ophthalmic suspensions that are temperature sensitive found in medication storage. […]

• No harm, potential for more than minimal, widespreadF880Feb 25, 2026

  Based on observation, interview and record review, the facility has not established an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections Laundry Aide failed to follow infection prevention procedures while handling clean linen. This has the potential to affect all 31 residents (R) in the facility.Registered Nurse (RN) failed to clean tip of insulin pen prior to attaching a needle and administering insulin to 1 out of 3 residents observed for insulin administration. (R4)RN failed to clean the glucometer after use, prior to putting away, during 2 out of 3 resident observations of diabetic care. […]

• No harm, potential for more than minimal, patternF688Feb 25, 2026

  Based on interviews and record review, the facility did not ensure residents with limited range of motion (ROM) received services to maintain or prevent further reduction in ROM for 6 out of 6 residents (R) receiving restorative services. R3, R4, R5, R8, R15, and R23Facility has only one trained restorative aide and no back up aide if the restorative aide does not work. Residents do not receive consistent restorative services.This is evidenced by:The facility policy, titled Restorative Nursing Program, dated 2/2026 states:Policy: It is the policy of this facility to provide maintenance and restorative services designed to maintain or improve a resident's abilities to the highest practicable level.3. […]

• No harm, potential for more than minimal, patternF688Oct 18, 2023

  Based on observations, interviews and record reviews, the facility did not ensure residents received appropriate treatment and services to maintain or prevent further reduction in range of motion (ROM) and mobility for 5 of 5 residents (R) (R11, R13, R16, R3, R17). The facility did not consistently provide services or treatment for residents (R11, R13, R16, R3, R17) identified with having a restorative program. This is evidenced by: Example 1 R11 was admitted on [DATE] and has diagnoses that includes a stroke, Alzheimer's disease, and hemiplegia. R11's most recent annual Minimum Data Set (MDS), dated [DATE], indicates is severely impaired - never/rarely makes decision and has an activated Power of Attorney (POA) 5/16/23. […]

• No harm, potential for more than minimal, patternF700Oct 18, 2023

  Based on observation, interview and record review, the facility did not ensure prior to the installation or use of bed rails, attempted to use alternative devices, assess the resident for risk of entrapment from bed rails, obtain consent with the resident or resident representative for review of risks and benefits of bed rails for 8 of 8 residents (R) R12, R13, R16, R27, R3, R4, R14, R22) observed with side rails/enabler bars during the survey process. The facility failed to attempt alternatives prior to installation of grab bars and failed to obtain informed signed consent of risk and benefit for grab bars with the resident or resident representative for R12, R13, R16, R27, R3, R4, R14, and R22. […]