Inspection Reports for Aspen Grove Assisted Living
504 Iron Dr, Chisholm, MN 55719, MN, 55719
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Inspection Report
Routine
Census: 29
Deficiencies: 20
Jun 25, 2025
Visit Reason
The Minnesota Department of Health completed a survey on June 25, 2025, to evaluate and assess compliance with state licensing statutes for Aspen Grove Assisted Living.
Findings
The survey identified multiple deficiencies including food service violations, infection control issues, missing grievance procedure postings, lack of emergency contact postings, incomplete employee records, fire safety code violations, incomplete resident assessments and service plans, medication management and administration issues, and physical environment maintenance problems.
Severity Breakdown
Level 1: 1
Level 2: 18
Deficiencies (20)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to ensure weekly menus were made available to residents in all three houses. | Level 1 |
| Failed to ensure infection control standards were followed by unlicensed personnel while providing care. | Level 2 |
| Failed to post required grievance procedure information in one of three houses. | Level 2 |
| Failed to post required emergency contact information including 911 in common areas and near telephones in all three houses. | Level 2 |
| Failed to maintain complete employee records including background studies for some employees. | Level 2 |
| Failed to comply with Minnesota State Fire Code including delayed egress door locking systems without proper release switches, improper carbon monoxide alarm placement, exit door operation issues, exterior exit gate not openable from inside, smoke alarm maintenance, exit sign/emergency light maintenance, fire extinguisher signage, and ceiling light fixture maintenance. | Level 2 |
| Failed to provide smoke alarms outside the immediate vicinity of all sleeping rooms and failed to interconnect smoke alarms in each building. | Level 2 |
| Failed to maintain physical environment in good repair including missing light bulbs, non-functioning bathroom exhaust fan, and other maintenance issues. | Level 2 |
| Failed to provide fire safety and evacuation training to residents at least once per year. | Level 2 |
| Failed to provide required written notice and notification to Ombudsman for Long-Term Care for a resident relocated for more than four days. | Level 2 |
| Failed to submit background studies and receive clearance for some employees affiliated with the facility license. | Level 2 |
| Failed to ensure registered nurse prepared and documented specific medication administration instructions for a resident. | Level 2 |
| Failed to ensure medication setup documentation was completed correctly at the time of setup for a resident. | Level 2 |
| Failed to securely store medications and permit only authorized personnel to have access for two residents. | Level 2 |
| Failed to maintain prescription drugs with original pharmacy label including legible expiration or beyond-use date for two residents. | Level 2 |
| Failed to develop and implement a treatment or therapy management plan including all required content for a resident receiving treatments. | Level 2 |
| Failed to ensure treatments or therapies were administered as prescribed and documented correctly for a resident. | Level 2 |
| Failed to provide care and services according to accepted health care standards for a resident using hospital-style bed rails. | Level 2 |
| Failed to ensure medication administration process was completed as instructed by staff for a resident receiving nebulizer treatment. | Level 2 |
Report Facts
census: 29
fine amount: 1000
priority 3 orders: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Signed the amended inspection letter |
| Ayva Terzich | Certified Food Protection Manager | Named in Food & Beverage Inspection Report |
| Charles Gargano | Public Health Sanitarian 3 | Signed Food & Beverage Inspection Report |
| Gary Collyard | Public Health Sanitarian 3 | Signed Food & Beverage Inspection Report |
| RN-C | Registered Nurse | Named in multiple findings related to medication administration, infection control, and treatment plans |
| LALD/CNS-A | Licensed Assisted Living Director/Clinical Nurse Supervisor | Named in multiple findings related to assessments, background studies, and service plans |
| ULP-B | Unlicensed Personnel | Named in medication administration and infection control findings |
| ULP-F | Unlicensed Personnel | Named in infection control and resident assistance findings |
| ULP-E | Unlicensed Personnel | Named in treatment and resident assistance findings |
| ULP-H | Unlicensed Personnel | Named in treatment and medication administration findings |
| ULP-J | Unlicensed Personnel | Named in background study findings |
| ULP-K | Unlicensed Personnel | Named in background study findings |
| ULP-L | Unlicensed Personnel | Named in background study findings |
| ULP-M | Unlicensed Personnel | Named in medication preparation and feeding findings |
| ULP-N | Unlicensed Personnel | Named in medication storage and administration findings |
| DM-D | Director of Maintenance | Named in fire safety and physical environment maintenance findings |
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