Inspection Reports for
Benedictine Living Community-Anoka

910 Western St, Anoka, MN 55303, United States, MN, 55303

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2 Reports

2023–2025

Inspection Report — May 7, 2025

Routine
Date: May 7, 2025

Visit Reason
MDH assisted living licensing survey

Findings
Survey identified multiple state correction orders addressing food service sanitation and facility physical/fire safety, emergency preparedness and relocation procedures, and medication management/medication disposal practices; MDH assessed a $500 fine. Four correction orders were issued for food, emergency preparedness, and fire/physical environment issues and four for medication-related requirements and emergency relocation.

Deficiencies (9)
0480 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services: The facility failed to ensure food was prepared and served according to the Minnesota Food Code, with kitchen ceiling/finish problems and other sanitation issues documented in the Food & Beverage Inspection Report.
0680 144G.42 Subd. 10 Disaster planning and emergency preparedness: The facility's emergency preparedness plan lacked required content and evidence of quarterly review of the missing resident policy.
0775 144G.45 Subd. 2. (a) Fire protection and physical environment: The facility failed to meet Minnesota State Fire Code requirements (carbon monoxide detection not installed outside resident sleeping rooms or tied into alarm system, removed hardwired smoke alarms with uncovered ceiling plates, and nonfunctional emergency lights in multiple areas).
0810 144G.45 Subd. 2 (b-f) Fire protection and physical environment: The facility failed to provide required evacuation drills with the required frequency (insufficient staff evacuation drills documented for 2024–2025).
01060 144G.52 Subd. 9 Emergency relocation: The facility failed to provide required written notice and notification to the Ombudsman for an emergency relocation for one resident (R4) following hospitalization.
01760 144G.71 Subd. 8 Documentation of administration of medication: The facility failed to transcribe and administer medications as prescribed for one resident (R3), resulting in missed and incorrect medications after hospital discharge (missing ascorbic acid; empagliflozin not discontinued and dapagliflozin propanediol not correctly started).
01770 144G.71 Subd. 9 Documentation of medication setup: The facility lacked required medication setup documentation for April and May 2025 for one resident (R3).
01890 144G.71 Subd. 20 Prescription drugs: Time-sensitive insulin pens were not dated when opened and expired medications remained in a resident's (R7) secure medication cabinet.
01910 144G.71 Subd. 22 Disposition of medications: The facility failed to document medication disposition details (prescription numbers and to whom medications were given) for two discharged residents (R1 and R2).
Report Facts
fine: 500 fine_total: 500 residents_on_survey_date: 75

Inspection Report — Apr 5, 2023

Routine
Date: Apr 5, 2023

Visit Reason
MDH assisted living licensing survey.

Findings
The survey resulted in 12 state correction orders addressing infection control, medication management (assessment, administration, storage, labeling, disposition), fire protection and evacuation planning, physical environment/egress, and food preparation / Food and Beverage violations. No immediate fines were assessed for this survey.

Deficiencies (12)
0480 144G.41 Subd 1 (13) (i) (B) Minimum requirements: The licensee failed to ensure food was prepared according to the Minnesota Food Code, which had the potential to affect all residents.
0510 144G.41 Subd. 3 Infection control program: The licensee failed to maintain an effective infection control program related to gloving and hand hygiene when staff repeatedly donned gloves without performing hand hygiene between tasks, risking cross-contamination.
0780 144G.45 Subd. 2 (a) (1) Fire protection and physical environment: Smoke alarms in sleeping units (rooms 10A and 10B) were not interconnected so activation of one alarm would not activate all alarms in the sleeping unit.
0800 144G.45 Subd. 2 (a) (4) Fire protection and physical environment: Fire-rated doors did not close and latch in exit stairways, carbon monoxide alarms were only installed and alarmed locally in the boiler room, and storage was observed in required means of egress corridors.
0810 144G.45 Subd. 2 (b)-(f) Fire protection and physical environment: The facility lacked required fire safety and evacuation documentation and evidence of required employee fire safety training and evacuation drills (twice per year per shift / every other month).
01420 144G.62 Subd. 2 Delegation of assisted living services: The RN failed to document instructions for delegated catheter maintenance tasks for R8 and unlicensed personnel reported not being trained on preparation of the required vinegar/water solution.
01710 144G.71 Subd. 3 Individualized medication monitoring and reas: The RN failed to conduct an accurate medication assessment for R9, resulting in unsecured medications in the apartment and inaccurate documentation about self-administration.
01730 144G.71 Subd. 5 Individualized medication management plan: Medication management records for R7, R8, and R9 were not current and lacked required elements (storage instructions, interventions to ensure safe self-administration, and related plan content).
01760 144G.71 Subd. 8 Documentation of administration of medication: Staff administered insulin to R8 without priming the insulin pen per manufacturer instructions, and R6's Miralax powder was not measured per the provider order (staff poured an unmeasured amount and documented administration before consumption).
01880 144G.71 Subd. 19 Storage of medications: Insulin pens for residents (R2, R8) were stored in resident/shared refrigerators without temperature monitoring (no thermometer or log) and R2's insulin was stored in a shared hallway refrigerator accessible to staff, visitors, and residents.
01890 144G.71 Subd. 20 Prescription drugs: Several insulin pens lacked resident prescription labels, an opened Lantus pen for R8 was not labeled with the date opened (time-sensitive), and expired medications were found in the nursing refrigerator.
01910 144G.71 Subd. 22 Disposition of medications: The facility did not document medication disposition (name, strength, prescription number as applicable, quantity, recipient, date of disposition, and names of staff/others) for discharged residents (examples R1 and R5).
Report Facts
fines_assessed: 0

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