The Villas at St Louis Park

In the surveyor’s words

From the most serious findings on record at The Villas at St Louis Park, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jan 26, 2024

  Based on interview and record review, the facility failed to provide ongoing monitoring, comprehensive assessment, and care planning, and needed care consistent with professional standards of practice, facility policy, and provider orders resulting in risk of serious illness or death related to complications of coronavirus disease 2019 (COVID-19) infections to 1 of 5 residents (R1) identified in Immediate Jeopardy. In addition to the resident in immediate jeopardy, the facility failed to update policies and procedures for comprehensive assessment, monitoring, developing, and revising person-centered care plans, and implement consistent interventions in accordance with professional standards of practice for all respiratory illnesses resulting in no actual harm with potential for more than… […]

• Immediate jeopardy, isolatedF689Aug 24, 2023

  Based on interview and document review, the facility failed to ensure R1's safety when a mechanical lift was not used in accordance with the manufacturer's instructions resulting in life threatening injury for 1 of 3 residents (R1) reviewed who used mechanical lifts. This resulted in an Immediate Jeopardy (IJ) when R1 fell from the mechanical lift sling during a transfer, landing with his head on the mechanical lift legs, and his legs partially suspended in the air. The IJ began on [DATE] at 7:42 a.m. when staff were transferring R1 from his bed to his wheelchair using the mechanical lift. While transferring R1, staff did not ensure the sling loops were properly secured to the mechanical lift prior to removing him from his bed. […]

• Immediate jeopardy, isolatedF689Dec 29, 2022

  Based on interview and document review, the facility failed to ensure R1's safety when the mechanical lift was not used in accordance with the manufacturer's instructions resulting in risk of potential serious harm, injury, impairment, or death for 1 of 3 residents (R1) reviewed who use mechanical lifts. As a result, the lift tilted and fell to one side while the resident was suspended. R1 was held against the side of the bed until lowered to the floor and placed in a sitting position. The IJ began on 12/6/22, at 2:15 p.m. when staff were transferring R1 and moving R1 in the lift from chair to bed. While moving R1, staff did not open the legs of the Invacare mechanical lift. R1 was suspended in the air, the Invacare mechanical lift tilted and fell to one side. […]

• Immediate jeopardy, isolatedF600Oct 12, 2022

  Based on interview and document review, the facility failed to prevent 2 incidences of physical and mental abuse for 1 of 1 resident (R1) reviewed for abuse. Further, the facility failed to ensure all staff were appropriately trained to the abuse policy and procedures for reporting suspected or known abuse immediately and complete a thorough investigation and protect 8 other residents, to include R1 who resided on that wing, for potential further abuse. This deficient practice resulted in an immediate jeopardy (IJ) when nursing assistant (NA)-A, NA-B, and the social worker (SW)-A failed to report abuse allegations immediately to the facility administration and/or to the State Agency (SA). […]

• Immediate jeopardy, isolatedF684May 10, 2021

  Based on interview and document review, the facility failed to provide emergency medical interventions for choking for 1 of 3 residents (R2) who was reviewed and was at risk for choking. The immediate jeopardy began on [DATE], at 1:00 p.m. when it was identified the facility failed to provide emergency intervention of finger sweep and abdominal thrusts to R2, when R2 wheeled herself to the nurse's station, was unable to talk (an indication of choking) and went unresponsive. The director of nursing (DON), regional director, and administrator were notified of the immediate jeopardy at 2:41 p.m. on [DATE]. […]