Inspection Reports for Amira Choice Plymouth
18405 Old Rockford Rd, Plymouth, MN 55446, United States, MN, 55446
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Inspection Report
Annual Inspection
Census: 106
Deficiencies: 10
Aug 19, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for the assisted living facility.
Findings
The facility was found to be in substantial compliance with state statutes but had several deficiencies including fire safety violations, lack of interconnected smoke alarms, missing resident contracts, service plan signature issues, medication labeling problems, incomplete treatment plans, and improper oxygen tank storage.
Severity Breakdown
Level 1: 2
Level 2: 8
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to maintain facility in compliance with Minnesota State Fire Code; sprinkler head obstructed by stacked items. | Level 2 |
| Emergency exit sign in stairwell did not illuminate and function properly. | Level 2 |
| Failed to provide interconnected smoke alarms throughout the facility. | Level 1 |
| Failed to develop and execute a written contract with required content for one resident. | Level 2 |
| Assisted living contract included language waiving facility liability for resident health, safety, or personal property. | Level 1 |
| Failed to ensure current service plan included signatures documenting agreement for two residents. | Level 2 |
| Failed to ensure time sensitive medications were dated when opened for one resident. | Level 2 |
| Failed to develop and implement a treatment or therapy management plan including all required content for one resident. | Level 2 |
| Failed to specify in writing instructions for treatment and document those instructions in the resident's record for one resident. | Level 2 |
| Failed to ensure oxygen tanks were properly stored; two tanks unsecured in resident's room. | Level 2 |
Report Facts
Residents present: 106
Residents receiving dementia care: 64
Time period for correction: 7
Time period for correction: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Thorson | Supervisor, State Evaluation Team | Signed cover letter for the survey report |
| John Boettcher | Public Health Sanitarian 3 | Signed food and beverage inspection report |
| Jen Ensign | Executive Director | Present during food and beverage inspection |
| Licensed Assisted Living Director C | Acknowledged deficiencies and provided explanations during survey | |
| Environmental Services Director E | Acknowledged fire safety deficiencies and smoke alarm issues | |
| Regional Manager F | Accompanied surveyor during facility tour | |
| Clinical Nurse Supervisor D | Provided information on service plans, medication policies, and oxygen treatment | |
| Unlicensed Personnel G | Opened insulin pen without dating it and assisted resident with oxygen tanks |
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