Northstar Post Acute

In the surveyor’s words

From the most serious findings on record at Northstar Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF697Feb 20, 2024

  Based on observation, interview, clinical record review and document review, the facility failed to ensure a resident admitted for orthopedic aftercare following a surgical amputation had the severe pain managed according to the physician's order for 1 of 14 sampled residents (Resident #403) resulting in the resident experiencing actual severe pain. Findings include: Resident #403 Resident #403 was admitted to the facility on [DATE], and readmitted on [DATE], with a diagnosis of encounter for orthopedic aftercare following surgical amputation. Resident #403's discharge summary from acute care, dated 02/10/24, documented the resident reported significant pain after the surgery but the pain was adequately controlled with pain medications. […]

• No harm, potential for more than minimal, widespreadF835Feb 2, 2026

  Based on record review and interviews, the facility failed to effectively and efficiently manage operations to ensure the agency staff received training and orientation on facility policies, procedures, and resident care expectations prior to being assigned to provide care. This deficient practice resulted in agency staff delivering care without demonstrating competency or knowledge of critical safety policies (including infection control, abuse reporting, emergency procedures, and proper use of care equipment), placing residents at risk for compromised quality of care and safety. Findings included:On 01/28/2026 and 02/02/2026, during personnel record review, the State surveyor requested documentation of training provided to agency staff prior to assignment on the units. […]

• No harm, potential for more than minimal, widespreadF883Feb 2, 2026

  Based on interview, record review, and document review, the facility failed to ensure residents were offered and administered influenza (flu) or pneumococcal (PNA) vaccinations as required by facility policy for 12 of 12 residents reviewed for vaccination compliance (Residents #6, #19, #24, #5, #3, #7, #37, #8, #53, #9, #10, and #1). This deficient practice had the potential to result in residents contracting a preventable disease and resulting in prolonged illness and debilitation.Findings include:Resident #6Resident #6 was admitted to the facility on [DATE], with diagnoses including acute respiratory failure with hypoxia and chronic obstructive pulmonary disease, unspecified.Resident #19Resident #19 was admitted to the facility on [DATE], with diagnoses including unspecified asthma,… […]

• No harm, potential for more than minimal, widespreadF552Feb 20, 2024

  Based on observation, interview, clinical record review, and document review the facility failed to obtain informed consent for a psychoactive medication prior to the administration of the medication for 1 of 14 sampled residents (Resident #12) and obtain informed consent prior to placing resident beds against the wall for 37 of 49 residents in the facility (Resident #3, #12, #13, #20, #27, #40, #45, #354, #355, #19, #39, #47, #303, #305, #306, #307, #308, #37, #25, #42, #18, #7, #34, #28, #21, #38, #22, #1, #31, #32, #26, #2, #29, #153, #36, #403, and #404). […]

• No harm, potential for more than minimal, widespreadF656Feb 20, 2024

  Based on observation, interview, clinical record review and document review, the facility failed to develop care plans for 1) the placement of beds against the wall for 31 of 49 residents (Resident #37, #25, #42, #18, #7, #34, #28, #21, #38, #22, #1, #31, #32, #26, #2, #29, #153, #36, #3, #12, #13, #20, #27, #40, #45, #355, #19, #39, #47, #307, and #308), 2) the use of bed rails for 1 of 14 sampled residents (Resident #34), 3) the administration and monitoring of anticoagulant medications and diuretic medications for 1 of 14 sampled residents (Resident #39), and 4) the monitoring and care of a urinary catheter (catheter) and monitoring and treatment of lymphedema for 1 of 14 sampled residents (Resident #308). […]