Facility profile · CCN 245606
Hope Springs At Minnetonka
39 federal citations on record , and 4 federal enforcement actions totaling $9,496.
Record summary
Federal record · Q1 202639
Total citations
39
Last 3 years
0
Actual harm+
4
Federal penalties
$9,496
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
39 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Feb 14, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Feb 14, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Feb 14, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Feb 14, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Feb 14, 2025 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Feb 14, 2025 | F758 | 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. | D | Standard |
| Feb 14, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Feb 14, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Feb 14, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Feb 14, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 14, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 14, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Feb 14, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Feb 14, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Feb 14, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Feb 14, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| May 16, 2024 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | Standard |
| May 16, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| May 16, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| May 16, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| May 16, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard |
| May 16, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 16, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| May 16, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| May 16, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| May 16, 2024 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| May 16, 2024 | F696 | Provide appropriate care/assistance for a resident with a prosthesis. | D | Standard |
| May 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| May 16, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| May 16, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Standard |
| May 16, 2024 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Standard |
| May 16, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Apr 27, 2023 | F885 | Report COVID19 data to residents and families. | C | Standard |
| Apr 27, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Apr 27, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Apr 27, 2023 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Apr 27, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Apr 27, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Apr 27, 2023 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $9,496 and 1 payment-denial actions spanning 35 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 20, 2024 | Fine | $2,659 | — |
| Feb 12, 2024 | Fine | $2,279 | — |
| Jan 22, 2024 | Fine | $4,558 | — |
| Apr 27, 2023 | Payment Denial | — | Jul 27, 2023 · 35 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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