Inspection Reports for Always Amazing Home Care LLC
8225 Halifax Court, North Brooklyn Park, MN 55443, MN, 55443
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Inspection Report
Annual Inspection
Census: 5
Deficiencies: 9
Jul 17, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for Always Amazing Home Care LLC.
Findings
The survey identified multiple deficiencies including failure to obtain accurate licensure due to lack of a two-hour fire barrier, food service violations, incomplete nursing assessments, missing grievance posting information, incomplete staff records, inadequate emergency preparedness plan, incomplete fire safety and evacuation plan, and lack of required mental illness and de-escalation training for direct care staff.
Severity Breakdown
Level 2: 9
Deficiencies (9)
| Description | Severity |
|---|---|
| Failed to obtain accurate licensure due to lack of approved two-hour fire barrier between side-by-side residences. | Level 2 |
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to develop and implement current policies and procedures as required for nursing assessments. | Level 2 |
| Failed to post information directing individuals to the Office of Health Facility Complaints at the Minnesota Department of Health. | Level 2 |
| Failed to maintain complete staff records including RN 30-day supervision documentation of delegated tasks for employees. | Level 2 |
| Failed to develop a written emergency preparedness plan with all required content and failed to keep the plan available at the facility. | Level 2 |
| Failed to develop fire safety and evacuation plan with required content including resident-specific evacuation procedures. | Level 2 |
| Failed to ensure two hours of initial mental illness and de-escalation training were conducted within 160 hours of providing direct care for two direct care staff. | Level 2 |
| Failed to ensure RN conducted comprehensive nursing assessments 14 days after admission and no longer than 90 days thereafter for one resident. | Level 2 |
Report Facts
Residents present: 5
Priority 2 Orders: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ULP-B | Unlicensed Personnel | Named in findings related to lack of RN 30-day supervision documentation and missing mental illness and de-escalation training. |
| ULP-C | Unlicensed Personnel | Named in findings related to lack of RN 30-day supervision documentation and missing mental illness and de-escalation training. |
| DO-D | Director of Operations | Interviewed regarding fire barrier, emergency preparedness, nursing assessments, and mental illness training. |
| LALD/CNS-A | Licensed Assisted Living Director/Clinical Nurse Supervisor | Interviewed regarding nursing assessments and RN supervision. |
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