Inspection Reports for
Annandale Care Center
600 Park Street East, Annandale, MN, 55302
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
49% better than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Deficiencies: 1
Date: Aug 13, 2025
Visit Reason
The inspection was conducted to evaluate compliance with medication storage and labeling regulations in the facility.
Findings
The facility failed to label and properly dispose of expired medications in one of two medication carts, potentially affecting 17 of 34 residents whose medications were stored in the cart. Six bottles lacked open dates, and two bottles of Tylenol were expired.
Deficiencies (1)
F 0761: The facility failed to label and properly dispose of expired medications in one of two medication carts. Six bottles lacked open dates, and two bottles of Tylenol were expired, posing a risk to residents.
Report Facts
Residents potentially affected: 17
Total residents with medications in cart: 34
Expired medication bottles: 2
Unlabeled medication bottles: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN)-A | Discovered expired and unlabeled medications during medication cart review | |
| Director of Nursing (DON) | Confirmed expired medications and discussed labeling expectations |
Inspection Report
Deficiencies: 1
Date: Aug 12, 2025
Visit Reason
The inspection was conducted to evaluate compliance with medication storage and labeling regulations in the facility.
Findings
The facility failed to label and properly dispose of expired medications in one of two medication carts, potentially affecting 17 of 34 residents whose medications were stored in the cart. Six bottles lacked open dates, and two bottles of Tylenol were expired.
Deficiencies (1)
F 0761: The facility failed to label and properly dispose of expired medications in one medication cart. Six bottles lacked open dates, and two Tylenol bottles were expired, posing a risk to residents.
Report Facts
Residents potentially affected: 17
Total residents in facility: 34
Expired medication bottles: 2
Unlabeled medication bottles: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN)-A | Discovered unlabeled and expired medications during medication cart review | |
| Director of Nursing (DON) | Confirmed expired medications and discussed facility expectations for medication labeling |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 17, 2025
Visit Reason
The inspection was conducted following a complaint investigation related to a resident fall incident involving environmental hazards and supervision failures at the nursing home.
Complaint Details
The investigation was triggered by a complaint regarding a resident fall caused by environmental hazards. The fall was substantiated with actual harm to the resident. Staff interviews and observations confirmed lack of designated parking for mechanical lifts and insufficient environmental safety hazard education.
Findings
The facility failed to ensure a nursing home area was free from accident hazards and did not provide adequate supervision to prevent accidents, resulting in a resident (R1) tripping on a mechanical lift and sustaining multiple serious injuries. Staff interviews revealed lack of specific education and procedures regarding safe parking of mechanical lifts, and the facility did not address the mechanical lift as a fall hazard after the incident.
Deficiencies (1)
F 0689: The facility failed to comprehensively assess environmental hazards and ensure the environment was free from accident hazards for 1 of 3 residents reviewed for falls. This failure caused actual harm when R1 tripped on a mechanical lift and sustained multiple rib fractures, hemothorax, an unstable spinal fracture, and a large laceration.
Report Facts
Residents affected: 1
Date of fall incident: May 20, 2025
Date of survey completion: Jun 17, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN-B | Registered Nurse and Safety Committee Member | Responsible for training nursing assistants and provided training on mechanical lift use but not on environmental safety hazards |
| LPN-A | Licensed Practical Nurse | Witnessed the fall and stated no education was received about environmental safety hazards after the incident |
| DON | Director of Nursing | Acknowledged resident was high risk for falls but did not address mechanical lift as a hazard or provide related education |
| Administrator | Facility Administrator | Discussed fall incident with IDT but did not consider mechanical lift a contributing factor; described facility procedure for parking lifts |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Oct 23, 2024
Visit Reason
The inspection was conducted following complaints regarding falls involving residents R1 and R2, to determine if the facility ensured residents were free from falls and if proper care protocols were followed.
Complaint Details
The investigation was complaint-driven based on falls involving residents R1 and R2. The falls were witnessed, and the facility was found not to have followed care plans. The complaint was substantiated with findings of inadequate staff assistance and supervision.
Findings
The facility failed to ensure adequate supervision and assistance to prevent falls for two residents. Nursing staff did not consistently follow care plans requiring two staff for bed mobility and use of mechanical lifts, resulting in witnessed falls without injuries.
Deficiencies (1)
F 0689: The facility failed to ensure a nursing home area was free from accident hazards and provided adequate supervision to prevent falls for residents R1 and R2. Nursing staff did not follow care plans requiring two staff assistance and mechanical lifts during transfers and bed mobility.
Report Facts
Residents affected: 2
Date of falls: Oct 18, 2024
Date of falls: Oct 5, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Assistant (NA)-A | Provided care alone to R1 on 10/18/24 despite care plan requiring two staff. | |
| Licensed Practical Nurse (LPN)-A | Confirmed NA-A provided care alone to R1 on 10/18/24. | |
| Registered Nurse (RN)-A | Stated Nursing Assistant Assignment sheets were updated daily and two staff should have been present for R1. | |
| Physical Therapist (PT)-A | Assessed R1 and R2 and recommended two staff assistance for R1 and mechanical lift for R2. | |
| Nursing Assistant (NA)-B | Transferred R2 without mechanical lift on 10/5/24 and did not read assignment sheet. | |
| Licensed Practical Nurse (LPN)-B | Reported NA-B transferred R2 without mechanical lift on 10/5/24. | |
| Director of Nursing (DON) | Stated NA-A did not follow care plan when attempting to get R1 up alone. |
Inspection Report
Deficiencies: 0
Date: May 15, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction for Annandale Care Center Inc, related to a regulatory survey completed on May 15, 2024.
Findings
No health deficiencies were found during the survey.
Inspection Report
Routine
Deficiencies: 2
Date: Jul 26, 2023
Visit Reason
The inspection was conducted to evaluate compliance with healthcare regulations related to dental care follow-up and vaccination policies in a nursing home facility.
Findings
The facility failed to follow up on dental treatment recommendations for one resident and did not ensure two residents were offered or received the pneumococcal vaccine according to CDC guidelines. The facility policies lacked clear procedures for tracking consultation follow-ups and vaccination recommendations.
Deficiencies (2)
F 0790: The facility failed to follow up with the dental provider after a dental evaluation identified treatment needs for one resident. The policy lacked clear processes for obtaining progress notes and coordinating recommended dental treatment.
F 0883: The facility failed to ensure two of five residents were offered or received the pneumococcal vaccine (PCV20) in accordance with CDC recommendations. The vaccination policy lacked identification of how recommendations were determined or what processes were used.
Report Facts
Residents affected: 1
Residents affected: 2
Residents reviewed for vaccination: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN)-B | Provided documentation of dental consult and stated importance of follow-up | |
| Director of Nursing (DON) | Stated follow-up should have been in place to track consultation notes | |
| Infection Preventionist, Registered Nurse (RN)-A | Interviewed regarding vaccination policy awareness and audit plans |
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