Mcintosh Senior Living

In the surveyor’s words

From the most serious findings on record at Mcintosh Senior Living, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 19, 2025

  Based on interview and document review the facility failed to ensure residents were free from accidents for 1 of 3 residents (R1) when R1, who was care planned for the use of a mechanical lift, was transferred on multiple occasions using a pivot transfer by staff and the facility beautician. This resulted in actual harm for R1 who sustained a fracture related to improper transfers from staff. R1's admission Record indicated she admitted to the facility on [DATE]. Diagnosis included Stroke, weakness and joint stiffness. Diagnosis added 8/15/25, included osteoporosis and fracture.R1's quarterly Minimum Data Set (MDS) dated [DATE], identified severe cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF880Jan 29, 2025

  Based on observation, interview and document review, the facility failed to report an outbreak of nausea, vomiting and/or diarrhea for 6 of 6 residents (R38, R9, R36, R13, R35, R33) to the Minnesota Department of Health (MDH). This had the potential to affect all residents residing in the facility. Findings include: The facility provided undated and untitled symptom tracker identified the following: - 1/23/25, R38 developed symptoms of upset stomach and emesis and was immediately placed on contact precautions and attempted to keep the resident in her room. R38 was tested and negative for Influenza A and B, RSV, and COVID-19 (respiratory panel). - 1/25/25, R9 developed upset stomach, diarrhea and low grade temperature. […]

• No harm, potential for more than minimal, isolatedF842Jun 24, 2021

  Based on interview and document review the facility failed to ensure advance directives were readily available and included in the medical record for 1 of 18 (R18) residents reviewed for advance directives. Findings include: R18's Admission Record Printed [DATE], indicated she admitted to the facility [DATE]. R18's Admission Record did not identify a code status to indicated if she wanted cardio pulmonary resuscitation in the event she stopped breathing. R18's care plan identified impaired cognition and indicated she had a guardian to assist with decision making. R18's medical records lacked evidence of a resuscitation order. During interview on [DATE], at 1:08 p.m. licensed practical nurse (LPN)-A stated residents code status' were in the computer. […]

• No harm, potential for minimal, patternF641Jun 7, 2023

  Based on observation, interview and document review, the facility failed to ensure the restraint section of the Minimum Data Set (MDS) was accurately coded for 5 of 6 residents (R26, R37, R9, R25, R34) reviewed for MDS accuracy. Findings include: R26's quarterly Minimum Data Set (MDS) dated [DATE], identified R26 was cognitively intact and required supervision with bed mobility. The bilateral bed rails/grab bars were identified to be used daily as a restraint. R26 Restraint/Assist Rail Evaluation dated 5/23/23, identified R26 used bilateral bed rails/grab bars for bed mobility and transfers. The bed rails/grab bars were not a restraint. On 6/6/23 at 9:10 a.m., R26's bed was observed to have bilateral bed rails/grab bars attached to their bed. […]