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Health Inspection Summary

New Brighton Care Center

805 Sixth Avenue Northwest

New Brighton, MN 55112

(651) 403-5241

Deficiency Category	Inspection Date: 10/17/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 11/22/23 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 11/3/22 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	0	0	0
Quality of Life and Care Deficiencies	1	4	3
Infection Control Deficiencies	3	2	2
Resident Assessment and Care Planning Deficiencies	0	0	2
Nursing and Physician Services Deficiencies	1	1	1
Resident Rights Deficiencies	3	1	0
Nutrition and Dietary Deficiencies	0	1	0
Pharmacy Service Deficiencies	1	1	0
Environmental Deficiencies	0	1	0
Administration Deficiencies	1	1	1

Detailed result for inspection on 10/17/24

Date of last standard health inspection:	10/17/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	No complaint inspections
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	10
Average number of Health Deficiencies in Minnesota:	7.5
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement policies and procedures for flu and pneumonia vaccinations.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Few
Provide and implement an infection prevention and control program.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Few
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Many

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Post nurse staffing information every day.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Many

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Few
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Few
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Some

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	10/17/24	12/1/24	2 - Minimal harm or potential for actual harm	Many

Detailed result for inspection on 11/22/23

Date of last standard health inspection:	11/22/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	8/23/23Read the full report (PDF) 7/26/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	12
Average number of Health Deficiencies in Minnesota:	7.6
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	11/22/23	1/3/24	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	8/23/23	10/16/23	2 - Minimal harm or potential for actual harm	Some
Provide safe, appropriate dialysis care/services for a resident who requires such services.	11/22/23	1/3/24	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	11/22/23	1/3/24	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement policies and procedures for flu and pneumonia vaccinations.	11/22/23	1/3/24	2 - Minimal harm or potential for actual harm	Some
Provide and implement an infection prevention and control program.	11/22/23	1/3/24	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
No Resident Assessment and Care Planning Deficiencies were found during this inspection period.

Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	7/26/23	8/11/23	2 - Minimal harm or potential for actual harm	Few

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Allow residents to self-administer drugs if determined clinically appropriate.	11/22/23	1/3/24	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	11/22/23	1/12/24	2 - Minimal harm or potential for actual harm	Many

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	11/22/23	1/3/24	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	11/22/23	1/12/24	2 - Minimal harm or potential for actual harm	Many

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop, implement, and/or maintain an effective training program for all new and existing staff members.	8/23/23	10/16/23	2 - Minimal harm or potential for actual harm	Few

Detailed result for inspection on 11/3/22

Date of last standard health inspection:	11/3/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	2/7/23Read the full report (PDF) 4/18/22Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	9
Average number of Health Deficiencies in Minnesota:	7
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	2/7/23	3/31/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	11/3/22	12/23/22	2 - Minimal harm or potential for actual harm	Few
Provide safe and appropriate respiratory care for a resident when needed.	11/3/22	12/23/22	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	4/18/22	5/5/22	2 - Minimal harm or potential for actual harm	Some
Provide and implement an infection prevention and control program.	11/3/22	12/16/22	2 - Minimal harm or potential for actual harm	Many

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	11/3/22	12/23/22	2 - Minimal harm or potential for actual harm	Few
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	11/3/22	11/4/22	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Post nurse staffing information every day.	11/3/22	11/4/22	1 - Potential for minimal harm	Many

Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.

Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.

Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	11/3/22	12/16/22	1 - Potential for minimal harm	Many

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	8/23/23	10/16/23	2 - Minimal harm or potential for actual harm	Some
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	7/26/23	8/11/23	2 - Minimal harm or potential for actual harm	Few
Develop, implement, and/or maintain an effective training program for all new and existing staff members.	8/23/23	10/16/23	2 - Minimal harm or potential for actual harm	Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	2/7/23	3/31/23	2 - Minimal harm or potential for actual harm	Few
Provide and implement an infection prevention and control program.	4/18/22	5/5/22	2 - Minimal harm or potential for actual harm	Some

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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