Inspection Reports for Brookdale Inver Grove Heights
5891 Carmen Avenue,Inver Grove Heights, MN, MN
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Inspection Report
Follow-Up
Census: 12
Deficiencies: 15
Oct 13, 2023
Visit Reason
The Minnesota Department of Health conducted a follow-up survey to determine if orders from the August 18, 2023 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous orders.
Severity Breakdown
Level 1: 1
Level 2: 12
Level 3: 2
Deficiencies (15)
| Description | Severity |
|---|---|
| Failed to ensure the licensed assisted living director was listed as the Director of Record with the Board of Executives for Long Term Services and Supports. | Level 1 |
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to ensure employee records included all required content for two employees (unlicensed personnel and licensed practical nurse). | Level 2 |
| Failed to establish and maintain a tuberculosis infection control program including documentation of TB screening for two employees. | Level 2 |
| Failed to ensure resident record included a discharge summary for one discharged resident. | Level 2 |
| Failed to maintain the physical environment in a continuous state of good repair and operation, including fire suppression system leak, detached shower spray handle, and incorrect backflow devices on boilers. | Level 2 |
| Failed to provide minimum required employee evacuation drills, required training, and complete fire safety and evacuation plan contents. | Level 2 |
| Failed to conduct required background studies prior to staff providing services for one employee and failed to affiliate background study to licensee's HFID for another employee. | Level 3 |
| Failed to ensure training and competency evaluations were completed for one employee. | Level 2 |
| Failed to ensure direct supervision by a registered nurse of staff performing delegated nursing tasks within 30 days of providing services for one employee. | Level 2 |
| Failed to ensure direct-care employees completed required dementia care training within required time frames for two employees. | Level 2 |
| Failed to develop an individualized medication management plan with required content for one resident. | Level 2 |
| Failed to monitor medication refrigerator temperature according to manufacturer's directions; no thermometer or temperature log was available. | Level 2 |
| Failed to document disposition of medications in resident record for one discharged resident, including quantity and names of staff involved. | Level 2 |
| Failed to provide care and services according to acceptable health care standards for one resident who utilized bedrails without assessment, measurements, or education of risks and benefits. | Level 3 |
Report Facts
Active residents at time of survey: 12
Fine amount: 6000
Dishwasher rinse cycle temperature: 153
Quaternary Ammonia sanitizer concentration: 300
Tomato sauce temperature: 36
Sour cream temperature: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ULP-B | Unlicensed Personnel | Named in findings related to missing employee records content, lack of TB screening documentation, lack of training and competency evaluations, lack of direct supervision documentation, and incomplete dementia care training. |
| LPN-C | Licensed Practical Nurse | Named in findings related to missing employee records content, lack of TB screening documentation, incomplete dementia care training, and background study not affiliated with licensee. |
| LALD-D | Licensed Assisted Living Director | Interviewed regarding multiple deficiencies including employee records, TB screening, training, supervision, and fire safety. |
| DON-A | Director of Nursing | Interviewed regarding missing discharge summary and medication management plan for residents. |
| Lisa Sanders | Certified Food Protection Manager | Named in food service inspection report on page 49. |
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