Inspection Reports for
Amira Choice Champlin

01690 144G.71 Subdivision 1 Medication management services: The evaluator found the licensee failed to ensure secure storage, tracking, and disposition of controlled substances and did not maintain accurate narcotic counts or a monitored disposal process.

01760 144G.71 Subd. 8 Documentation of administration of medication: The evaluator found one resident received incorrect morphine doses (three times the ordered dose on four occasions) and additional PRN doses were given too frequently, resulting in lethargy and unresponsiveness.

0510 144G.41 Subd. 3 Infection control program: Staff failed to establish and maintain an infection control program as evidenced by medication/eye drop administration without gloves and lack of disinfection after blood sugar/insulin checks.

02170 144G.84 SERVICES FOR RESIDENTS WITH DEMENTIA: The licensee failed to evaluate residents for activities and did not have an individualized activity evaluation/plan completed for resident R5.

02310 144G.91 Subd. 4 (a) Appropriate care and services: The licensee failed to document assessment and safe use of a bed rail for resident R4, lacking purpose, measurements, entrapment inspection, risk/benefit discussion, and related mitigation/education.

01070 144G.52 Subd. 10 Right to return: The licensee refused to allow one resident (R2) to return after transfer to the emergency room, requested the hospital send the resident to a skilled nursing facility, and did not issue a notice of termination or offer options for return.

0250 144G.20 Subdivision 1 Conditions: The licensee did not demonstrate managerial officials understood applicable statutes and failed to develop/implement required policies and procedures, leaving systemic gaps that could affect all residents.

0510 144G.41 Subd. 3 Infection control program: The facility failed to establish and maintain infection control practices (hand hygiene, equipment disinfection, nebulizer supervision) as evidenced by staff not performing hand hygiene, not disinfecting shared devices, and residents receiving treatments unsupervised.

0780 144G.45 Subd. 2 (a)(1) Fire protection and physical environment: The facility lacked required interconnected/working smoke alarms in some resident rooms (alarms removed or beeping) and related safety issues.

0800 144G.45 Subd. 2 (a)(4) Fire protection and physical environment: The facility failed to keep the physical environment in continuous good repair (damaged doors, oven drawer, baseboard heat shields, dryer vent lint, leaking fixtures, paint storage in a resident area).

0810 144G.45 Subd. 2 (b)-(f) Fire protection and physical environment: The facility lacked documentation/training/drill records and required elements of fire safety and evacuation planning and staff training.

02040 144G.81 Subdivision 1 Fire protection and physical environment: The dementia-care-specific hazard/vulnerability assessment and mitigation for the property were not provided or documented.

01330 144G.60 Subd. 4 (b) Unlicensed personnel: Employee records for multiple unlicensed personnel lacked documentation of required training and competency evaluations for delegated nursing tasks.

01420 144G.62 Subd. 2 Delegation of assisted living services: The RN had not documented training/competency evaluations for unlicensed personnel performing delegated tasks (no RN-supervised competency records).

01440 144G.62 Subd. 4 Supervision of staff providing delegated nurs: The RN did not document required direct supervision of staff performing delegated tasks within 30 days of first performance for multiple employees.

01460 144G.63 Subdivision 1 Orientation of staff and supervisors: Employee records lacked documentation of orientation to assisted living licensure requirements for direct-care staff.

01480 144G.63 Subd. 3 Orientation to resident: Staff records lacked documentation that staff were oriented specifically to individual residents and residents' needs prior to providing services.

01500 144G.63 Subd. 5 Required annual training: Employee records lacked documentation that direct-care staff completed the required eight hours of annual training in required topics (maltreatment reporting, infection control, dementia care topics, etc.).

01700 144G.71 Subd. 2 Provision of medication management services: A registered nurse did not complete the medication management assessment for at least one resident (assessment completed by LPN rather than RN).

01750 144G.71 Subd. 7 Delegation of medication administration: The facility lacked documented evidence that unlicensed personnel demonstrated competency for medication administration (observed staff administering medications without documented competency records).

01890 144G.71 Subd. 20 Prescription drugs: Time-sensitive multi-use medication containers (ophthalmic drops) were not labeled with open/expiration dates for several residents.

01950 144G.72 Subd. 4 Administration of treatments and therapy: Unlicensed personnel were observed providing treatments (pulse oximetry, inhaler/nebulizer, ACE wraps) without documented RN training/competency and without required infection prevention (device sanitation/hand hygiene).

02170 144G.84 Services for residents with dementia: Activity evaluations and individualized activity plans were not developed for several memory-care residents (evaluations existed but individualized plans were missing).

01610 144G.70 Subd. 2 (a-b) Initial reviews, assessments, and monitoring: The licensee failed to provide documented initial nursing assessments for multiple residents as required prior to or at the start of services.

01620 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring: The licensee failed to provide documented 14-day and 90-day reassessments/monitoring records for multiple residents.

01640 144G.70 Subd. 4 (a-e) Service plan, implementation and revisions to: The facility did not have finalized, signed service plans (no resident signature or signed acknowledgment) for many residents within required timeframe.

01650 144G.70 Subd. 4 (f) Service plan, implementation and revisions to: Service plans lacked required content (fees, frequency, monitoring schedules, contingency plans, emergency contacts/authority, and circumstances for not summoning EMS) for many residents.

01730 144G.71 Subd. 5 Individualized medication management plan: Individualized medication management records/plans did not include required elements (instructions, storage, monitoring, delegations, refill responsibility) for multiple residents receiving medication management.

01770 144G.71 Subd. 9 Documentation of medication setup: Staff were observed pre-setting medications in cups (unlicensed staff handling pre-set multi-dose cups) rather than RN/pharmacy setup and proper documentation.

01830 144G.71 Subd. 14 Renewal of prescriptions: Signed, current prescriber orders were not on file for multiple residents (orders unsigned or not renewed on record).

01910 144G.71 Subd. 22 Disposition of medications: The facility did not document medication disposition for discharged residents (no disposition records for discharged residents).

01920 144G.71 Subd. 23 Loss or spillage: The facility lacked documented procedures addressing loss or spillage of controlled substances and related disposition/investigation documentation.

02110 144G.82 Subd. 3 Policies: The assisted-living-with-dementia unit lacked required dementia-specific policies (philosophy/person-centered approach, behavioral evaluation/interventions, wandering/egress response, medication assessment for psychotropics, dementia-specific staff training, life-enrichment and family-support descriptions, transportation, safekeeping of possessions, limited PA/intercom use).

02120 144G.83 Subd. 1 General: Staff assigned to the dementia unit did not have documented dementia-specific/person-centered training before assignment (direct-care staff in dementia unit lacked required dementia training documentation).

02260 144G.90 Subd. 3 Notice of dementia training: The facility did not provide the required written/electronic notice describing the dementia training program (topics, staff categories, frequency) for residents/families on request.

02280 144G.90 Subd. 5 Notice to residents; change in ownership or manager: The facility could not demonstrate written notice of change(s) in ownership/contacts was provided to residents or representatives within seven days for numerous residents.

02290 144G.91 Subd. 2 Legislative intent: Facility contract language included provisions limiting resident rights (e.g., language implying residents must remain within staffing capability), contrary to statutory protections and not permitted as a waiver of rights.