SMP Health - Maryhill

In the surveyor’s words

From the most serious findings on record at SMP Health - Maryhill, in the surveyor’s own words.

• Immediate jeopardy, isolatedF726Oct 5, 2023

  Based on observation, review of facility policy, record review, and staff interview, the facility failed to ensure the competency of nursing staff for 1 of 1 nursing staff (#7) observed during insulin administration (#143) . Failure to provide a meal or juice with in 5-10 minutes after administering short acting insulin, administering insulin to a nonarousable resident, and failure to notify a nurse of a resident's altered status may result in harm to facility residents. During the standard survey, the team determined an Immediate Jeopardy (IJ) situation existed on 10/03/23 at 2:00 p.m. The IJ resulted from a medication aide administering short acting insulin to a resident not alert enough to consume food thus, putting the resident at risk for a reaction from low blood sugar. […]

• No harm, potential for more than minimal, patternF812Sep 12, 2024

  Based on observation, review of facility policy, review of manufacturer's instructions, and staff interview, the facility failed to sanitize surfaces in 1 of 1 facility dining room. Failure to ensure the concentration of quaternary (quat) sanitizing solution is within manufacturer's guidelines may result in an incorrect solution concentration, inadequate sanitization of dining room surfaces, and places residents at risk for foodborne illness. Findings include: Review of the facility policy titled Cleaning Tables and Counters occurred on 09/11/24. This policy, revised February 2023, stated, . (counters, tables), apply a 200-400 ppm [parts per million] quaternary solution with a cloth . […]

• No harm, potential for more than minimal, patternF836Apr 3, 2024

  Based on record review and staff interview, the facility failed to comply with the North Dakota Administrative Code (NDAC), Chapter 33-43-01-20 Medication assistant I and II initial registration and renewal for 1 of 1 staff member (#4) administering medications to residents as a medication assistant (MA). Failure to ensure qualified staff administered medication increases the risk for adverse consequences. Findings include: NDAC, Section 33-43-01-20 Individuals may not be employed as a medication assistant I or medication assistant II or hold themselves out to be a medication assistant I or medication assistant II unless the individual holds a registration as a medication assistant I or medication assistant II on the department's nurse aide registry. […]

• No harm, potential for more than minimal, patternF657Sep 15, 2022

  THIS IS A REPEAT DEFICIENCY FROM THE SURVEY CONDUCTED ON 07/22/21 Based on observation, record review, review of facility policy, and staff interview, the facility failed to review and revise comprehensive care plans to reflect the status for 6 of 15 sampled residents (Residents #9, #11, #20, #21, #24, and #28). Failure to review and revise the care plan limited staffs' ability to communicate needs and ensure continuity of care. Findings include: Review of the facility policy titled Comprehensive Care Plans occurred on 09/14/22. This policy, revised September 2022, stated, . The care planning process will begin upon admission and ongoing with changes . […]

• No harm, potential for more than minimal, patternF803Sep 15, 2022

  Based on observation, policy review, review of menus, and staff interview, the facility failed to serve food according to prepared menus during 1 of 1 observation of tray line (noon meal on 09/14/22). Failure to serve food according to menus may result in inadequate nutrition and weight loss. Findings include: Review of the facility policy titled Altered Portions occurred on 09/15/22. This undated policy stated, . Altered portion sizes will be served upon request however, small or double portions require a physician's order. Small portions are planned on the menu to meet nutritional needs. Observation of the noon meal tray-line on 09/14/22 showed the following portion sizes served to residents and what the menu required: * Regular diet - Wax beans: 3 ounce (3/8 cup). […]