Essentia Health Virginia Care Cent

In the surveyor’s words

From the most serious findings on record at Essentia Health Virginia Care Cent, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 29, 2021

  Based on interview, and document review, the facility failed to ensure the care plan was followed to prevent falls with injuries for 1 of 3 residents (R1) reviewed for accidents. This resulted in actual harm for R1 who sustained a scalp laceration and [MEDICAL CONDITION]. Finding include: R1's Face Sheet printed 1/29/21, included [DIAGNOSES REDACTED]. R1's quarterly Minimum Data Set ((MDS) dated [DATE], indicated R1 had moderately impaired cognition, required extensive assistance from staff for transfers, and had experienced one fall with injury. R1's care plan initiated 4/2/20, indicated R1 required extensive assistance for grooming, toileting, and transfers. R1's care plan further indicated R1 had several falls since admission, with a goal of not to be injured by avoidable falls. […]

• No harm, potential for more than minimal, widespreadF812Mar 26, 2026

  Based on observation and interview, the facility failed to date opened products, dispose of expired products, and failed to have a process to ensure stored food was labeled with an expiration date that staff could understand. This deficient practice had the potential to affect all 15 residents who received food from facility kitchen.Findings include:During the initial kitchen tour on 3/23/26 at 1:27 p.m., nutrition services manager (NSM) stated products were dated when opened. […]

• No harm, potential for more than minimal, patternF641Feb 28, 2024

  Based on observation, interview and document review the facility failed to ensure the completed Minimum Data Set (MDS) was accurately coded for 4 of 6 residents (R4, R13, R16 and R19) reviewed for resident assessment. Findings include: R4's quarterly MDS dated [DATE], did not identify the following diagnoses hyperlipidemia (excess fat in blood), idiopathic gout (recurrent attacks of [NAME] arthritis in joints), esophageal mass, or atherosclerotic heart disease (narrowing of heart arteries). R4's physician order report, identified R4 was diagnosed with and receiving treatment for hyperlipidemia starting on 4/10/2023, idiopathic gout starting on 6/23/2023, esophageal mass starting on 8/10/2023, and atherosclerotic heart disease starting on 1/6/2023. […]

• No harm, potential for more than minimal, patternF567May 23, 2023

  Based on observation, interview and record review, the facility failed to ensure residents had access to their personal funds upon request for 1 of 1 resident (R) 4. This had the potential to effect 7 residents who utilized a personal funds account. In addition, the facility failed to have a system in place to protect and manage personal funds for 5 of 5 residents (R8, R20, R17, R14 R16 ) who had given money to the facility to maintain. R4's Quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated cognitively intact and diagnoses included: Alzheimer's disease late onset, type II diabetes, atrial fibrillation, hypertension, and anxiety. R4 was a Minnesota Medicaid recipient. […]

• No harm, potential for more than minimal, patternF638Feb 16, 2022

  Based on interview and document review, the facility failed to complete required quarterly Minimum Data Sets (MDS) for 5 of 12 (R4, R2, R19, R6, and R13) reviewed for assessment accuracy. Findings include: The Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual dated 10/2019, identified the MDS as an assessment tool which facilities are required to use. The manual provided instructions to ensure accurate and complete coding for each section of the assessment as follows: Section C: Cognitive Patterns, with a written intent of determining the residents attention, orientation and ability to register and recall new information. These items were listed as crucial factors in many care planning decisions. […]