Inspection Reports for Brookdale West St. Paul
305 East Thompson Avenue,West Saint Paul, MN, MN
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
High
Inspection Report
Annual Inspection
Census: 11
Deficiencies: 8
Jul 30, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for the assisted living facility.
Findings
The inspection identified multiple deficiencies including failure to comply with Minnesota Food Code, lack of tuberculosis prevention program, incomplete resident records and service plans, fire safety code violations, and background study issues for staff. Food safety violations were also noted in the food and beverage establishment inspection.
Severity Breakdown
Level 2: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to Minnesota Food Code resulting in a level two violation. | Level 2 |
| Failed to establish and maintain a tuberculosis prevention program including annual risk assessment and TB screening for employees. | Level 2 |
| Failed to ensure resident records included required documentation of all services and discharge summary. | Level 2 |
| Failed to keep facility in compliance with Minnesota Fire Code including carbon monoxide protection, fire/smoke door functionality, kitchen hood system, dryer vent, combustible storage, and electrical safety. | Level 2 |
| Failed to submit and receive background study affiliation for one employee. | Level 2 |
| Failed to complete comprehensive nursing reassessments within required 90-day timeframe for residents. | Level 2 |
| Service plan lacked required details including frequency of services for one resident. | Level 2 |
| Failed to document medication disposition including prescription numbers for discharged resident. | Level 2 |
Report Facts
Residents present: 11
Total fines assessed: 500
Days late for reassessment R1: 37
Days late for reassessment R2: 46
Priority 1 orders: 4
Priority 2 orders: 1
Priority 3 orders: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNS-C | Clinical Nurse Supervisor | Named in tuberculosis prevention and background study deficiencies |
| LALD/LPN-A | Licensed Assisted Living Director/Licensed Practical Nurse | Named in tuberculosis prevention, background study, and resident record deficiencies |
| DCS-F | Director of Clinical Services | Named in tuberculosis prevention and background study deficiencies |
| Jodi Johnson | Supervisor, State Evaluation Team | Author of the inspection letter |
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