Inspection Reports for Arbor Lane Memory Care

13810 Community Dr, Burnsville, MN 55337, MN, 55337

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Inspection Report Summary

The most recent inspection on June 15, 2023, identified several deficiencies related to food preparation, infection control, resident documentation, facility maintenance, resident monitoring, medication transcription, and staff training. Earlier inspections were not provided, so broader inspection patterns cannot be assessed. Inspectors cited issues mainly in infection control practices and documentation, along with concerns about physical environment upkeep and staff competency evaluations. No complaint investigations or enforcement actions were listed in the available reports. Without prior data, it is unclear whether these findings represent an improvement or decline in compliance.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

79% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023

Inspection Report

Routine
Census: 40 Deficiencies: 7 Date: 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.

Deficiencies (7)
Failure to ensure food was prepared and served according to Minnesota Food Code.
Failure to establish and maintain an effective infection control program including improper cleaning of shared assistive devices and inadequate hand hygiene.
Failure to ensure resident record included documentation of all provided services for one resident.
Failure to maintain the facility's physical environment in a continuous state of good repair and operation.
Failure to ensure registered nurse conducted ongoing resident monitoring and reassessment within required timeframes.
Failure to ensure medications were transcribed as prescribed for one resident.
Failure to ensure training and competency evaluations were completed prior to providing direct care for two employees.
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
NameTitleContext
Jonathan HillSupervisor, State Evaluation TeamContact person for correction order reconsideration process.
Penny FlitschCertified Food Protection ManagerNamed in food and beverage establishment inspection report.
Jeff JohansonKitchen ManagerNamed in food and beverage establishment inspection report.
ULP-DUnlicensed PersonnelNamed in infection control and hand hygiene deficiencies.
ULP-IUnlicensed PersonnelNamed in infection control deficiency related to cleaning shared equipment.
CNS-BClinical Nurse SupervisorNamed in infection control, resident record, and assessment deficiencies.
ULP-JUnlicensed PersonnelNamed in medication administration and training deficiencies.
ULP-NUnlicensed PersonnelNamed in training and competency deficiencies.
LALD-ALicensed Assisted Living DirectorNamed in physical environment and training deficiencies.
RDF-RRegional Director of FacilitiesNamed in physical environment deficiency.
ESD-TEnvironmental Services DirectorNamed in physical environment deficiency.
ESD-SEnvironmental Services DirectorNamed in physical environment deficiency.

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