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March 15, 2023 Blake Elliott, Authorized Agent Bridges 507 1932 University Avenue West Saint Paul, MN 55104 License Number 1105613 (Home and Community Based Services) Report Number 202208321 CORRECTION ORDER Dear Blake Elliott: On March 10, 2023, and March 14, 2023, a Department of Human Services (DHS) licensor conducted a licensing investigation. As a result of this visit, DHS determined that you are in violation of one of the 245D-Home and Community Based Services rules and statutes. As a result, DHS is issuing this order which requires you to take the correction action as described below. Details of our findings are provided below. Our next steps and your options are also detailed. LICENSING VIOLATIONS DHS determined that your program failed to follow licensing rules and statutes, as described below. Service Recipient Health Needs 1. Violation: For one of one person whose record was reviewed (P1), the license holder did not provide medication administration as required. · P1’s “Coordinated Services and Support Plan Addendum” assigned responsibility of medication administration to the program. P1’s support plan shows, “P1 will be 100% dependent on staff to get their medications ready and administer at the appropriate times.” · On October 5, 2022, program staff accompanied P1 to a medical appointment. At this appointment P1’s prescriber discontinued, Benztropine and Haloperidol effective immediately. · Benztropine and Haloperidol were administered to P1 at 8PM on October 5, 2023; 1PM on October 6, 2023; 8PM on October 6, 2023 and at 1PM on October 7, 2023. Statute Violated: 245D.05, Subdivision 2, paragraph (b), clause (1). Corrective Action Required: On an ongoing basis, you must ensure medications or treatments are administrated as prescribed. 2. Violation: For P1, the license holder did not maintain medication administration records as required. On October 5, 2023, P1’s prescriber discontinued Benztropine and Haloperidol. Program staff failed to update the medication administration record to indicate this discontinuation. Statute Violated: 245D.05, Subdivision 2, paragraph (c), clause (6). Corrective Action Required: On an ongoing basis, you must ensure medications or treatments are administrated as prescribed. YOUR RIGHT TO REQUEST RECONSIDERATION You have the right to request reconsideration of this order and the cited violations. Your request must: · Be in writing · List each violation you are challenging and identify what is inaccurate or incomplete about the information in the order · Supply information that is accurate or more complete · Be made before the deadlines provided below If you are mailing your request, it must be received by DHS within 20 calendar days from when you received this order. If you do not meet this deadline, you lose your right to request reconsideration. The timeline to appeal began when you received this order. Please send it to: Commissioner, Department of Human Services Office of Inspector General Licensing Division Attention: Licensing Legal Unit PO Box 64953 St. Paul, MN 55164-0242 If your request is being personally delivered, it must be received by DHS within 20 calendar days from when you received this order. Please bring it to: Commissioner, Department of Human Services Office of Inspector General Licensing Division Attention: Legal Unit 444 Lafayette Road North St. Paul, MN 55155 Legal authority for this licensing action · This action is taken under Minnesota Statutes, section 245A.06, subdivision 1. · The timeline to request reconsideration of the order is provided in Minnesota Statutes, section 245A.06, subdivision 2. Questions If you have any further questions regarding this matter, you may contact Nichole Dawson, at 651-431-6646. Sincerely, Nichole Dawson, Senior Licensor Licensing Division Office of Inspector General
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