JPECC no Longer a "Special Focus Facility" - Corrects all Deficiencies

On Thursday, March 29, 2012, Jourdain-Perpich Extended Care Center held a little celebration and employee appreciation for passing the Minnesota State Survey from the Minnesota State Department of Health and Human Services conducted this month.

They are also no longer a "Special Focus Facility." A Special Focus facility (SFF) means the facility has had a poor past history of survey compliance resulting in special survey agency attention.

According to the Minnesota Department of Health and Human Services Website, at least every 15 months, the Minnesota Department of Health (MDH) conducts a health survey of health care and resident safety and the Minnesota Department of Public Safety conducts a lifesafety code survey of the physical plant at each nursing home in the State. If necessary, inspectors revisit facilities to ensure that any deficiencies cited during a survey are corrected. Facilities also may be inspected at any time if a resident or advocate makes a complaint, or if facility staff report suspected resident abuse or neglect as required by state law.

All deficiencies cited are issued with reference to a scope and severity. Severity ranges from no actual harm with a potential for minimal harm to situations of actual harm and immediate jeopardy to resident health or safety. (Immediate jeopardy means a situation in which the facility’s noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident.)

On November 11, 2011, a survey was conducted by the MDHHS at the Jourdain-Perpich Extended Care Center. The report stated: At the time of the standard survey completed on August 11, 2011, the facility was not in substantial compliance and the most serious deficiencies were widespread deficiencies that constituted no actual hard with potential for more than minimal harm that is not immediate jeopardy (Level F whereby corrections were required). The facility was given an opportunity to correct before remedies were imposed.

A health PCR was completed on September 29, 2011 and a LSC PCR was completed October 7, 2011. At the time of the health PCR, one deficiency was found uncorrected at a S/S level of D (all LSC deficiencies were corrected). As a result, MDHHS imposed State Monitoring effective October 16, 2011.

In addition, MDHHS recommended to the CMS RO imposition of the following remedies: A PI CMP in the amount of $1,000 for the deficiency cited at F425 (S/S=D) for a total amount of $1,000, and mandatory DOPNA effective November 11, 2011

A PCR was completed on Nov. 1, 2011 – the remaining deficiency was found corrected effective October 18, 2011. MDHHS therefore recommended the following action to the CMS RO: A PI CMP in the amount of $1,000 for the deficiency cited at F425 (S/S=D) for a total amount of $1,000 remain in effect, and mandatory DOPNA effective Nov. 1, 2011, as well as revisit. It was noted that JPECC was a Special Focus Facility.

Survey available here: http://www.health.state.mn.us/divs/fpc/directory/surveyapp/surveyfindings/uio211.pdf

At the time of the standard survey completed on January 26, 2012, the facility was not in substantial compliance and the most serious deficiencies were widespread deficiencies that constituted no actual harm with potential for more than minimal harm that is not immediate jeopardy (Level F) whereby corrections are required. The facility was given an opportunity to correct before remedies are imposed. Post Certification Revisit to follow.

Survey available here:

http://www.health.state.mn.us/divs/fpc/directory/surveyapp/surveyfindings/4gsv11.pdf

Although currently in full compliance with the MDHHS and no longer a Special Focus Facility, the complete survey information is not available online at this time.

Rob Blue is currently the acting JPECC Administrator, in charge of overseeing the facility, which was just recently taken over by Red Lake Comprehensive Health Services.