Inspection Reports for Arbor Lane Memory Care
13810 Community Dr, Burnsville, MN 55337, MN, 55337
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Inspection Report
Routine
Census: 40
Deficiencies: 7
Jun 15, 2023
Visit Reason
The Minnesota Department of Health conducted a survey to evaluate and assess compliance with state licensing statutes for an assisted living facility with dementia care.
Findings
The survey identified multiple deficiencies including failure to ensure food was prepared and served according to Minnesota Food Code, inadequate infection control practices including improper cleaning of shared assistive devices and hand hygiene, incomplete resident record documentation, failure to maintain the physical environment in good repair, delinquent resident assessments, medication transcription errors, and incomplete training and competency evaluations for staff.
Severity Breakdown
Level 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failure to ensure food was prepared and served according to Minnesota Food Code. | Level 2 |
| Failure to establish and maintain an effective infection control program including improper cleaning of shared assistive devices and inadequate hand hygiene. | Level 2 |
| Failure to ensure resident record included documentation of all provided services for one resident. | Level 2 |
| Failure to maintain the facility's physical environment in a continuous state of good repair and operation. | Level 2 |
| Failure to ensure registered nurse conducted ongoing resident monitoring and reassessment within required timeframes. | Level 2 |
| Failure to ensure medications were transcribed as prescribed for one resident. | Level 2 |
| Failure to ensure training and competency evaluations were completed prior to providing direct care for two employees. | Level 2 |
Report Facts
Residents present: 40
Deficiency correction time period: 21
Deficiency correction time period: 7
Deficiency correction time period: 90
Medication administration error duration: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jonathan Hill | Supervisor, State Evaluation Team | Contact person for correction order reconsideration process. |
| Penny Flitsch | Certified Food Protection Manager | Named in food and beverage establishment inspection report. |
| Jeff Johanson | Kitchen Manager | Named in food and beverage establishment inspection report. |
| ULP-D | Unlicensed Personnel | Named in infection control and hand hygiene deficiencies. |
| ULP-I | Unlicensed Personnel | Named in infection control deficiency related to cleaning shared equipment. |
| CNS-B | Clinical Nurse Supervisor | Named in infection control, resident record, and assessment deficiencies. |
| ULP-J | Unlicensed Personnel | Named in medication administration and training deficiencies. |
| ULP-N | Unlicensed Personnel | Named in training and competency deficiencies. |
| LALD-A | Licensed Assisted Living Director | Named in physical environment and training deficiencies. |
| RDF-R | Regional Director of Facilities | Named in physical environment deficiency. |
| ESD-T | Environmental Services Director | Named in physical environment deficiency. |
| ESD-S | Environmental Services Director | Named in physical environment deficiency. |
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