Perham Living

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Jun 12, 2024

  Based on observation, interview and document review, the facility failed to implement appropriate donning/doffing of personal protective equipment (PPE) practices and to ensure PPE was readily available for use to prevent the spread of infection for 4 of 4 residents (R14, R3, R33, R58) observed for enhanced barrier precautions (an infection control intervention designed to reduce transmission of multidrug-resistant organisms that employs targeted gown and glove use during high contact resident care activities). In addition, the facility failed to ensure personal laundry was transported and delivered in a manner that prevented risk of contamination for 1 of 6 units observed for personal laundry transportation. […]

• No harm, potential for more than minimal, patternF809Apr 21, 2022

  Based on interview and document review, the facility failed to ensure all residents were consistently offered and provided a substantial evening snack for 5 of 5 residents (R38, R31, R36, R54, R3) who voiced a concern while attending the resident council group meeting. This deficient practice had the potential to affect all 64 residents residing in the facility who were provided oral meals and snacks. Findings Include: On 4/21/22, at 10:00 a.m. a resident council group meeting was held with 5 residents, R38, R31, R54, R36, and R3, who regularly attended the facility resident council meetings. At 10:21 a.m. […]

• No harm, potential for more than minimal, patternF812Apr 21, 2022

  Based on observation, interview and document review, the facility failed to maintain the water and ice machines and coffee machines in a sanitary manner to prevent potential food borne illness for 57 of 61 residents who currently received water, ice and coffee from the machines. In addition, the facility failed to maintain 1 of 2 bakers freezers in a sanitary manner to prevent potential food borne illness for 64 of 66 residents who currently received food from the baker freezer. Findings include: On 4/18/22, at 12:59 p.m. an initial tour was conducted with the dietary manager (DM). […]

• No harm, potential for more than minimal, isolatedF605Mar 24, 2026

  Based on observation, interview and document review, the facility failed to ensure clinical justification and behavior monitoring for the use of an antipsychotic medication for 1 of 1 resident (R2) reviewed who was on a psychotropic medication. Findings include:R2's significant change Minimum Data Set (MDS) dated [DATE], identified R2 had intact cognition and was dependent on staff for activities of daily living (ADLs). R2 had not exhibited any behavioral symptoms. Diagnoses included Parkinson's disease, paraplegia, dysfunction of bladder, cardiomyopathy, dysphagia, hallucinations, and unspecified mental disorder due to known physiological condition. […]

• No harm, potential for more than minimal, isolatedF689Mar 24, 2026

  Based on observation, interview and document review, the facility failed to comprehensively assess and develop interventions following a fall to reduce the risk of falls for 1 of 3 residents (R1) reviewed for accidents. Findings include: R1's Fall Assessment and Interview dated 3/5/36, identified R1 had falls during the last month, as well as in the last two-to-six-month period. R1 took diuretic, hypoglycemic, antiseizure, non-steroid anti-inflammatory and cathartic medications. R1 had good memory, and vision and was continent of bowel and bladder. No behavior was identified and R1 used an assistive device with ambulation. R1's risk score was six which represented a moderate risk for falls. […]