ESSENTIA HEALTH VIRGINIA CARE CENT

VIRGINIA, MN · 40 beds · Non profit - Corporation

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 5-star health inspection rating
  • 5-star staffing rating
  • Below-average deficiency count (1 vs 8 state avg)
  • No fines or penalties on record
  • Above-average RN staffing (2.17 hrs vs 1.18 state avg)

Quick Facts

★★★★★
CMS Overall
★★★★★
Health Inspection
1
0.1x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

January 8, 2025

2 deficiencyies
F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

February 27, 2024

10 deficiencyies
F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F0641 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F0641 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

Ensure each resident receives an accurate assessment.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

May 22, 2023

8 deficiencyies
F0567 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to manage his or her financial affairs.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0811 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0567 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

Show details

Honor the resident's right to manage his or her financial affairs.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0811 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

See full violation history →

Staffing

2.17
RN hrs/res/day
0.76
LPN hrs/res/day
3.95
CNA hrs/res/day
5.83
Weekend hrs/res/day
35%
Total nurse turnover
14%
RN turnover

A nurse checks on each resident roughly every 3.5 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Independent (not part of a chain)
  • SMDC MEDICAL CENTER

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 08/28/2012

    100% Organization
  • ST MARYS DULUTH CLINIC HEALTH SYSTEM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/28/2012

    Organization
  • BALDWIN, JAN

    CORPORATE DIRECTOR

    Since since 10/01/2018

    Individual
  • BERGSTROM, AMY

    CORPORATE DIRECTOR

    Since since 01/01/2024

    Individual
  • CARSON, THERESE

    CORPORATE DIRECTOR

    Since since 10/01/2018

    Individual
  • DUININCK, TROY

    CORPORATE DIRECTOR

    Since since 01/01/2023

    Individual
  • JAMAR, THOMAS

    CORPORATE DIRECTOR

    Since since 01/01/2023

    Individual
  • LOBAN, GEORGE

    CORPORATE DIRECTOR

    Since since 01/01/2024

    Individual
  • MIHALEK, JOSEPH

    CORPORATE DIRECTOR

    Since since 10/01/2018

    Individual
  • OMAN, MICHELLE

    CORPORATE DIRECTOR

    Since since 01/01/2024

    Individual
  • RAWAY, BEVERLY

    CORPORATE DIRECTOR

    Since since 10/01/2018

    Individual
  • ROCK, ALAN

    CORPORATE DIRECTOR

    Since since 10/01/2018

    Individual
  • WEBER, JEANNE

    CORPORATE DIRECTOR

    Since since 02/15/2019

    Individual
  • YUNG, ANTHONY

    CORPORATE DIRECTOR

    Since since 01/01/2023

    Individual
  • BEARD, BRADLEY

    CORPORATE OFFICER

    Since since 07/01/2023

    Individual
  • BOREN, KEVIN

    CORPORATE OFFICER

    Since since 07/01/2023

    Individual
  • MORRIS, TRACI

    CORPORATE OFFICER

    Since since 07/01/2023

    Individual
  • SERTICH, ANTHONY

    CORPORATE OFFICER

    Since since 01/01/2021

    Individual
  • SKORUPA, KRISTA

    CORPORATE OFFICER

    Since since 05/06/2024

    Individual
  • WATTERS, MICHAEL

    CORPORATE OFFICER

    Since since 07/01/2023

    Individual
  • BEARD, BRADLEY

    W-2 MANAGING EMPLOYEE

    Since since 07/01/2023

    Individual
  • BOREN, KEVIN

    W-2 MANAGING EMPLOYEE

    Since since 07/01/2023

    Individual
  • MEYER, DEBORAH

    W-2 MANAGING EMPLOYEE

    Since since 09/09/2023

    Individual

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