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October 2, 2024 Aaron Fisk Catholic Charities In Home Program 157 Roosevelt Rd. Suite 200 St. Cloud, MN 56304 RE: Report No. 202404213 Catholic Charities St. Margaret's Home License No. 1070424/1070417 Dear Aaron Fisk: CORRECTION ORDER An investigation of Catholic Charities St. Margaret's Home was completed regarding report number 202404213 which alleged violation of Minnesota Statutes, section 626.557, and Minnesota Statutes, Chapter 245D. This maltreatment allegation concerned neglect. The disposition of the investigation report is inconclusive. One violation was noted. VIOLATION AND CORRECTION ORDER The following violation of state and (or) federal law was observed. Corrective action for the violation is required by Minnesota Statutes, section 245A.06, and is hereby ordered by the Commissioner of Human Services. Failure to correct the violation within the prescribed amount of time may result in fines and/or action against your license, as provided for in Minnesota Statutes, sections 245A.06 and 245A.07. Citation: Minnesota Statute 245D.05, subdivision 2 Violation: For one client (C), whose record was reviewed, the license holder did not implement medication administration procedures as required. The license holder was assigned the responsibility of administering the C’s medications. The license holder failed to document a notation of when a medication was administered or the reason for not administering the medication in the C’s medication administration record (MAR). Corrective Action Ordered: · Within 30 days of receiving this order, you must: conduct a review of the C’s MAR to ensure that the information maintained in the C’s MAR is current and to identify any medication errors for the previous three months; · report to the C’s support team any medications that were not administered as prescribed, whether by error by the staff or the person or by refusal by the person, or of adverse reactions, if applicable; and; · submit copies of the medication administration reviews to your assigned licensor. On an ongoing basis, the license holder must ensure compliance related to documentation of medications. If you believe any of the citations are in error, you may ask the Commissioner of Human Services to reconsider the parts of the correction order that you believe to be in error. If you choose to exercise this right, your request for reconsideration must be in writing and received by the Commissioner within 20 calendar days after receipt of this letter. Your request for reconsideration must be sent to: Commissioner Minnesota Department of Human Services c/o Licensing Division PO Box 64242 St. Paul, MN 55164-0242 You must include any and all information, documentation, or other evidence you have to support your request for reconsideration. Please note that a request for reconsideration does not stay any provisions of the correction order. If you have any questions regarding the investigation, contact me immediately. If you have any questions regarding compliance with this Correction Order or applicable rules, contact your licensor Amber Nielsen at 651-431-3661. Sincerely,
Scott Brandt, Investigator Office of Inspector General Licensing Division scott.j.brandt@state.mn.us 651-431-6556 Enclosure
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