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Inspection visit

Inspection

Hope Springs at MinnetonkaCMS #24560612 citations on this visit
12 citations recorded

Citations

12 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0026GeneralS&S Cno actual harm

    Establish roles under a Waiver declared by secretary.

  • 0037GeneralS&S Cno actual harm

    Establish staff and initial training requirements.

  • 0039GeneralS&S Cno actual harm

    Conduct testing and exercise requirements.

  • 0041GeneralS&S Cno actual harm

    Implement emergency and standby power systems.

  • 0918GeneralS&S Fpotential for harm

    F918 - Bathroom Facilities

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0553GeneralS&S Dpotential for harm

    F553 - The right to participate in the development and implementation of his or her

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  • 0655GeneralS&S Dpotential for harm

    F655 - Comprehensive Person-Centered Care Planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • 0656GeneralS&S Dpotential for harm

    F656 - Comprehensive Care Plans

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0700GeneralS&S Dpotential for harm

    F700 - Bed Rails

    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.

  • 0756GeneralS&S Epotential for harm

    F756 - Drug Regimen Review

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0880GeneralS&S Fpotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

  • 0885GeneralS&S Cno actual harm

    Report COVID19 data to residents and families.

FAQ · About this visit

Common questions about this visit

What happened during the April 27, 2023 survey of Hope Springs at Minnetonka?

This was a inspection survey of Hope Springs at Minnetonka on April 27, 2023. The surveyor cited 12 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Hope Springs at Minnetonka on April 27, 2023?

Yes, 12 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Establish roles under a Waiver declared by secretary."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.