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2450 RIVERSIDE AVENUE MINNEAPOLIS, MN 55454 | Voluntary non-profit - Private

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Health deficiencies are assigned during inspections that assess compliance with rules related to patient health and safety. Examples include violations of patients' rights and safety standards, as well as the administration of drugs and other treatments.

Life Safety deficiencies are assigned during inspections that assess a facility's compliance with National Fire Protection Association codes related to life safety in health care facilities. They are often conducted in tandem with health inspections. Examples include faulty or improperly maintained fire suppression and electrical systems.

Emergency Preparedness deficiencies can be cited during either a health or life safety inspection and relate to violations of CMS' Emergency Preparedness Rule. Examples include a lack of emergency plans, inadequate staff training and insufficient emergency supplies.

Complete reports and deficiency counts

Report date	Health Deficiencies	Life Safety	Emergency Preparedness	Total
Jan 2, 2025	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: RESTRAINT OR SECLUSION PATIENT RIGHTS: RESTRAINT OR SECLUSION
May 30, 2024	3	0	0	3	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT USE OF RESTRAINT OR SECLUSION
Dec 8, 2023	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING SERVICES ADMINISTRATION OF DRUGS
Oct 24, 2023	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
May 10, 2023	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Apr 21, 2023	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING SERVICES ADMINISTRATION OF DRUGS
Mar 10, 2023	4	0	0	4	Read full report
Deficiencies cited in this report: CONTRACTED SERVICES PATIENT RIGHTS: RESTRAINT OR SECLUSION LIFE SAFETY FROM FIRE OPERATING ROOM POLICIES
Mar 6, 2023	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: INFORMED CONSENT
Jul 12, 2022	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Dec 29, 2021	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS
Jul 16, 2021	2	0	0	2	Read full report
Deficiencies cited in this report: NURSING SERVICES ADMINISTRATION OF DRUGS
Feb 23, 2021	1	0	0	1	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: NOTICE OF RIGHTS
Oct 9, 2020	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Jul 9, 2020	1	0	0	1	Read full report
Deficiencies cited in this report: INFECTION CONTROL PROGRAM
Apr 16, 2020	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Nov 7, 2019	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PHYSICAL ENVIRONMENT FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE
Nov 6, 2018	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Aug 7, 2018	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Jul 17, 2018	12	0	0	12	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: INFORMED DECISION PATIENT RIGHTS: ADMISSION STATUS NOTIFICATION PATIENT RIGHTS: CARE IN SAFE SETTING QAPI PATIENT SAFETY QAPI EXECUTIVE RESPONSIBILITIES RN SUPERVISION OF NURSING CARE PHYSICAL ENVIRONMENT LIFE SAFETY FROM FIRE FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE INFECTION CONTROL PROGRAM OPERATING ROOM POLICIES
Jul 11, 2018	0	2	0	2	Read full report
Deficiencies cited in this report: Sprinkler System - Installation Sprinkler System - Maintenance and Testing
May 23, 2018	7	0	0	7	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS:PARTICIPATION IN CARE PLANNING PATIENT RIGHTS: PERSONAL PRIVACY PATIENT RIGHTS: CARE IN SAFE SETTING USE OF RESTRAINT OR SECLUSION QAPI QAPI GOVERNING BODY, STANDARD TAG
Sep 14, 2017	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Jun 1, 2017	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Dec 30, 2016	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Dec 15, 2016	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Jun 5, 2015	4	0	0	4	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING PATIENT RIGHTS PATIENT RIGHTS: CARE IN SAFE SETTING
Sep 22, 2014	6	0	0	6	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 EMERGENCY ROOM LOG MEDICAL SCREENING EXAM COMPLIANCE WITH 489.24 EMERGENCY ROOM LOG MEDICAL SCREENING EXAM
Aug 11, 2014	2	0	0	2	Read full report
Deficiencies cited in this report: ORGANIZATION OF MEDICAL STAFF ORGANIZATION OF MEDICAL STAFF
Oct 17, 2013	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
Jun 6, 2013	2	0	0	2	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS
Sep 28, 2012	0	15	0	15	Read full report
Deficiencies cited in this report: No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available No Description Available
Sep 27, 2012	6	0	0	6	Read full report
Deficiencies cited in this report: PHYSICAL ENVIRONMENT SURGICAL SERVICES OPERATING ROOM POLICIES PHYSICAL ENVIRONMENT SURGICAL SERVICES OPERATING ROOM POLICIES
May 30, 2012	6	0	0	6	Read full report
Deficiencies cited in this report: PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT PATIENT RIGHTS PATIENT RIGHTS: GRIEVANCES PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT
May 29, 2012	8	0	0	8	Read full report
Deficiencies cited in this report: COMPLIANCE WITH 489.24 POSTING OF SIGNS EMERGENCY ROOM LOG DELAY IN EXAMINATION OR TREATMENT COMPLIANCE WITH 489.24 POSTING OF SIGNS EMERGENCY ROOM LOG DELAY IN EXAMINATION OR TREATMENT

Some state health departments and regional offices of the Centers for Medicare and Medicaid Services sometimes did not upload their inspection reports into a central computer system that could then be shared by us. In such cases, CMS identified the dates of the missing inspections and the number of deficiencies identified. You can request the actual reports from CMS or your state health department.

* Deficiencies cited in follow-up inspections are not counted toward a facility's total deficiency count.

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Complete reports and deficiency counts