Inspection Reports for Brookdale Inver Grove Heights
5891 Carmen Avenue, Inver Grove Heights, MN 55076, Inver Grove Heights, MN
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
15 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
285% worse than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Follow-Up
Census: 12
Deficiencies: 15
Date: 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.
Deficiencies (15)
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.
Failed to ensure food was prepared and served according to the Minnesota Food Code.
Failed to ensure employee records included all required content for two employees (unlicensed personnel and licensed practical nurse).
Failed to establish and maintain a tuberculosis infection control program including documentation of TB screening for two employees.
Failed to ensure resident record included a discharge summary for one discharged resident.
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.
Failed to provide minimum required employee evacuation drills, required training, and complete fire safety and evacuation plan contents.
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.
Failed to ensure training and competency evaluations were completed for one employee.
Failed to ensure direct supervision by a registered nurse of staff performing delegated nursing tasks within 30 days of providing services for one employee.
Failed to ensure direct-care employees completed required dementia care training within required time frames for two employees.
Failed to develop an individualized medication management plan with required content for one resident.
Failed to monitor medication refrigerator temperature according to manufacturer's directions; no thermometer or temperature log was available.
Failed to document disposition of medications in resident record for one discharged resident, including quantity and names of staff involved.
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.
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. |
Loading inspection reports...
