Deficiencies (over last year)
Deficiencies (over last year)
3 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
23% better than Minnesota average
Minnesota average: 3.9 deficiencies/year
Deficiencies per year
4
3
2
1
0
Inspection Report
Follow-Up
Deficiencies: 3
Date: Nov 24, 2025
Visit Reason
The Minnesota Department of Health completed a follow-up survey on November 24, 2025, to determine correction of orders from the survey completed on October 1, 2025.
Findings
The follow-up survey verified that the facility is in substantial compliance. The original survey on October 1, 2025, identified multiple deficiencies including fire safety violations, delayed nursing assessments, and inappropriate use of bed rails. The facility took action to mitigate imminent risks, but some noncompliance remained at the time of the original survey.
Deficiencies (3)
Fire rated doors were not maintained to automatically close and latch as designed, including trash room doors and laundry room doors held open with wedges or bungee cords.
Failure to ensure registered nurse conducted ongoing resident monitoring and reassessment within required timeframes for two residents.
Failure to provide care and services according to acceptable health care standards for residents using hospital style bed rails and consumer-style grab bars without proper assessment and documentation.
Report Facts
Residents present: 128
Residents under Dementia Care license: 70
Fine amount: 1500
Time period for correction: 7
Time period for correction: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Casey DeVries | Supervisor, State Evaluation Team | Signed follow-up survey letter |
| Renee L. Anderson | Supervisor, State Evaluation Team | Signed survey letter dated October 31, 2025 |
| Alees Gleason | Director | Acknowledged food and beverage inspection report |
| Peggy Spadafore | Public Health Sanitarian Supervisor | Signed food and beverage inspection report |
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