Inspection Reports for Brookdale North Oaks
300 Village Center Drive,North Oaks, MN, MN
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Inspection Report
Annual Inspection
Census: 37
Deficiencies: 14
May 6, 2022
Visit Reason
The Minnesota Department of Health conducted an evaluation to assess compliance with state licensing statutes for an assisted living facility with dementia care license.
Findings
The inspection identified multiple deficiencies including food safety violations, incomplete employee records, inadequate fire safety measures, missing employee training documentation, medication administration errors, incomplete resident service plans, and lack of required policies and procedures for dementia care.
Severity Breakdown
Level 2: 13
Level 1: 1
Deficiencies (14)
| Description | Severity |
|---|---|
| Food was not prepared and served according to the Minnesota Food Code, including issues noted in the Food and Beverage Establishment Inspection Report dated May 2, 2022. | Level 2 |
| Employee record lacked a Department of Human Services background study for one unlicensed personnel. | Level 2 |
| Smoke alarms were not provided in each resident room to sound locally as required by fire safety code. | Level 2 |
| Physical environment was not maintained in a continuous state of good repair, including non-working emergency lights and furnace room doors that did not latch. | Level 2 |
| Lack of documentation for employee training on fire safety and evacuation plans. | Level 2 |
| Assisted living contract included a waiver of liability for resident health, safety, or personal property. | Level 2 |
| Training and competency evaluations for two unlicensed personnel were incomplete and lacked required documentation. | Level 2 |
| Registered nurse supervision of delegated tasks was not documented within 30 days for one unlicensed personnel. | Level 2 |
| Resident service plan lacked signature or authentication by resident or representative. | Level 2 |
| Individualized medication management record was not developed for one resident. | Level 2 |
| Medication administration error occurred where incorrect medication was almost given and a medication was omitted despite supply being present. | Level 2 |
| Medications lacked expiration or beyond-use dates on opened multiuse containers. | Level 2 |
| Hazard vulnerability assessment (HVA) plan was not developed to identify and mitigate hazards on and around the property. | Level 2 |
| Required policies and procedures for assisted living with dementia care were not provided to residents or their representatives at move-in. | Level 1 |
Report Facts
Residents present: 37
Fine amounts: 5000
Correction order timeframes: 21
Correction order timeframe: 7
Correction order timeframe: 14
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jess Gallmeier | Supervisor, Health Regulation Division, State Evaluation Team | Contact person for the inspection report |
| Kimberly Currier | Certified Food Protection Manager | Named in Food and Beverage Establishment Inspection Report |
| Jerry Malloy | Public Health Sanitarian | Named in Food and Beverage Establishment Inspection Report |
| Administrator A-D | Administrator | Interviewed regarding employee records and contract issues |
| Director of Nursing DON-A | Director of Nursing | Interviewed regarding service plans, medication management, and training |
| Director of Nursing DON-B | Director of Nursing | Interviewed regarding medication labeling and supervision |
| Regional Maintenance Technician RMT-F | Regional Maintenance Technician | Interviewed regarding fire safety and hazard vulnerability assessment |
| Unlicensed Personnel ULP-B | Unlicensed Personnel | Named in employee record and medication administration deficiencies |
| Unlicensed Personnel ULP-C | Unlicensed Personnel | Named in employee record and supervision deficiencies |
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