Inspection Reports for Brookdale Edina
3330 Edinborough Way, Minneapolis, MN 55435, MN, 55435
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Inspection Report
Follow-Up
Census: 132
Deficiencies: 10
Mar 3, 2025
Visit Reason
Follow-up survey conducted to determine if orders from the December 12, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance. The December 12, 2024 survey identified multiple deficiencies including food service violations, incomplete abuse prevention plans, missing staff records, tuberculosis screening deficiencies, emergency preparedness plan gaps, missing designated representative notices in contracts, emergency relocation notification failures, incomplete background studies for many employees, late resident reassessments, and lack of hazard vulnerability assessment.
Severity Breakdown
Level 1: 1
Level 2: 7
Level 3: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Food was not prepared and served according to the Minnesota Food Code, including issues documented in the Food and Beverage Establishment Inspection Report dated December 9, 2024. | Level 2 |
| Individual abuse prevention plan (IAPP) lacked required content for one resident, missing assessment of risk of abusing others. | Level 2 |
| Employee records lacked required documentation including annual performance reviews for one licensed practical nurse. | Level 2 |
| Failed to maintain tuberculosis prevention and control program including history and symptom screening for two employees. | Level 2 |
| Emergency disaster preparedness plan lacked required content such as annual updates, staff tracking procedures, volunteer policies, and communication methods. | Level 2 |
| Assisted living contract lacked designation of representative statutory language notice for one resident. | Level 1 |
| Failed to provide required written notice for emergency relocation to resident, legal representative, designated representative, and Office of Ombudsman for Long-Term Care for one resident. | Level 2 |
| Background studies were not completed or current for 36 employees prior to providing services. | Level 3 |
| Resident reassessments were not completed within 14 days of initiation of services and ongoing reassessments exceeded 90 days for two residents. | Level 2 |
| Hazard vulnerability assessment or safety risk assessment of the physical environment with mitigation factors was not performed. | Level 2 |
Report Facts
Residents present: 132
Employees with incomplete background studies: 36
Days late for 14-day assessment: 17
Days between assessments: 97
Fine amount: 3000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Thorson | Supervisor, State Evaluation Team | Named in follow-up survey letter and correspondence |
| Andrew Spaulding | Public Health Sanitarian 2 | Named in Food and Beverage Establishment Inspection Report |
| Sheila Brown | Certified Food Protection Manager | Named in Food and Beverage Establishment Inspection Report |
| Jess Schoenecker | State Evaluation Team | Named in correspondence |
| Susan Winkelmann | Contact for provider feedback questionnaire | |
| RCD-H | Regional Clinical Director | Interviewed regarding resident reassessments and emergency relocation |
| ED-A | Executive Director | Interviewed regarding multiple deficiencies including emergency preparedness, background studies, and contracts |
| RMD-G | Regional Manager Director | Interviewed regarding hazard vulnerability assessment |
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