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Inspection Reports for Brookdale Edina

3330 Edinborough Way, Minneapolis, MN 55435, MN, 55435

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Inspection Report Summary

The most recent inspection on March 3, 2025, was a follow-up survey that confirmed the facility had addressed prior deficiencies and was in substantial compliance. Earlier inspections, including one on December 12, 2024, cited multiple issues related to food service, abuse prevention plans, staff records, tuberculosis screening, emergency preparedness, contract notices, background studies, resident reassessments, and hazard vulnerability assessments. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not noted in these reports. The follow-up survey indicates improvement since the December inspection, showing the facility took steps to correct previously cited deficiencies.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 10 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

156% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

12 9 6 3 0
2025
Severe (Immediate Jeopardy) High (Actual Harm) Moderate (Potential Harm)
State average

Inspection Report

Follow-Up
Census: 132 Deficiencies: 10 Date: 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.
Deficiencies (10)
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.
Individual abuse prevention plan (IAPP) lacked required content for one resident, missing assessment of risk of abusing others.
Employee records lacked required documentation including annual performance reviews for one licensed practical nurse.
Failed to maintain tuberculosis prevention and control program including history and symptom screening for two employees.
Emergency disaster preparedness plan lacked required content such as annual updates, staff tracking procedures, volunteer policies, and communication methods.
Assisted living contract lacked designation of representative statutory language notice for one resident.
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.
Background studies were not completed or current for 36 employees prior to providing services.
Resident reassessments were not completed within 14 days of initiation of services and ongoing reassessments exceeded 90 days for two residents.
Hazard vulnerability assessment or safety risk assessment of the physical environment with mitigation factors was not performed.
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
NameTitleContext
Kelly ThorsonSupervisor, State Evaluation TeamNamed in follow-up survey letter and correspondence
Andrew SpauldingPublic Health Sanitarian 2Named in Food and Beverage Establishment Inspection Report
Sheila BrownCertified Food Protection ManagerNamed in Food and Beverage Establishment Inspection Report
Jess SchoeneckerState Evaluation TeamNamed in correspondence
Susan WinkelmannContact for provider feedback questionnaire
RCD-HRegional Clinical DirectorInterviewed regarding resident reassessments and emergency relocation
ED-AExecutive DirectorInterviewed regarding multiple deficiencies including emergency preparedness, background studies, and contracts
RMD-GRegional Manager DirectorInterviewed regarding hazard vulnerability assessment

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