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December 30, 2024 Curt Bossert 1400 Madison Ave #326 Mankato, MN 56001 RE: Report No. 202403333 REM Heartland, Inc. - Orient License No. 1071461/1071456 Dear Curt Bossert: CORRECTION ORDER An investigation of REM Heartland, Inc. - Orient was completed regarding report number 202403333 which alleged violation of Minnesota Statutes, section 626.557, and Minnesota Statutes, Chapter 245D. This maltreatment allegation concerned emotional abuse and 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 laws and rules 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 Statutes, section 245D.05, subdivision 2, paragraphs (b) and (c). Violation: The license holder was responsible for medication administration of a client (C) and failed to ensure the C’s medications were given as prescribed and failed to ensure the C’s medication administration was documented accurately. Information showed on January 9, 2024, the C’s Saphris order was changed by the C’s provider from as needed (PRN) to twice daily at 7 a.m. and 3 p.m. If the C did not need a dose of Saphris as outlined in the C’s Saphris Protocol, staff persons were to not administer Saphris and document “hold” in the C’s medication administration record. From January to May 2024, staff persons did not consistently document when Saphris was not administered to the C as “hold” and Saphris was not given twice daily to the C as specified on the order. Corrective Action Ordered: Immediately and on an ongoing basis, ensure compliance with the licensing requirements within this statute. If you believe this citation is 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, Diana Arnzen. Sincerely,
Emily Kearns, Investigator Office of Inspector General Licensing Division emily.kearns.2@state.mn.us 651-431-6513 Enclosure
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