Inspection Reports for Amira Choice Champlin
119 E Hayden Lake Rd, Champlin, MN 55316, United States, MN
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Inspection Report
Follow-Up
Census: 80
Deficiencies: 3
Dec 11, 2024
Visit Reason
The Minnesota Department of Health conducted a follow-up survey on December 11, 2024, to determine if orders from the October 17, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance. The original October 17, 2024 survey found multiple deficiencies including infection control program issues, inadequate activity evaluations, and improper use and documentation of bed rails.
Severity Breakdown
Level 2: 2
Level 3: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to establish and maintain an infection control program consistent with accepted health care, medical, and nursing standards, including failure to wear gloves during medication administration and failure to disinfect surfaces. | Level 2 |
| Failed to ensure each resident was evaluated for activities and an individualized activity plan contained all required content for one resident. | Level 2 |
| Failed to provide appropriate care and services according to accepted health care standards for one resident who utilized bed rails without proper assessment, documentation, or risk mitigation. | Level 3 |
Report Facts
Residents present during survey: 80
Residents receiving dementia care services: 60
Fine amount: 3000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Casey DeVries | Supervisor, State Evaluation Team | Signed follow-up survey letter dated January 10, 2025 |
| Jess Schoenecker | Supervisor, State Evaluation Team | Signed letter dated November 15, 2024 regarding survey and fines |
| DHS-D | Director of Health Services | Provided statements regarding infection control and bed rail assessments |
| ADHS-H | Assistant Director of Health Services | Observed medication administration and involved in bed rail list |
| ULP-B | Unlicensed Personnel | Observed administering medications without gloves |
| ULP-F | Unlicensed Personnel | Observed administering insulin and bed rail use |
| LALD-A | Licensed Assisted Living Director | Provided information on activity evaluations and plans |
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