Inspection Reports for CC Group Home Care
3633 Columbus Avenue, Minneapolis, MN 55404, MN, 55404
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Inspection Report
Follow-Up
Census: 3
Deficiencies: 17
Mar 12, 2025
Visit Reason
Follow-up survey to determine if orders from the September 12, 2024 survey were corrected.
Findings
The facility was found to be in substantial compliance with previous orders. However, prior surveys identified multiple deficiencies including failure to ensure staff access to an on-call registered nurse 24/7, incomplete tuberculosis screening for staff, failure to maintain current background checks, and medication administration issues.
Severity Breakdown
Level 1: 1
Level 2: 13
Level 3: 2
Deficiencies (17)
| Description | Severity |
|---|---|
| Failed to ensure staff were able to contact a registered nurse 24 hours per day, seven days per week. | Level 3 |
| Failed to establish and maintain a tuberculosis prevention program including baseline screening for employees. | Level 2 |
| Failed to ensure training and competency evaluations were completed for all required skill areas for unlicensed personnel prior to providing services. | Level 2 |
| Failed to ensure prior to delegating medication administration, the registered nurse trained and verified unlicensed personnel's competency. | Level 3 |
| Failed to maintain current medication orders for residents. | Level 2 |
| Failed to discard expired medications and store medications correctly. | Level 2 |
| Failed to comply with Minnesota Fire Code provisions including smoke alarms and fire extinguishers. | Level 2 |
| Failed to maintain a written emergency preparedness plan with all required content. | Level 2 |
| Failed to provide a means for residents to request assistance for health and safety needs 24/7. | Level 2 |
| Failed to develop and implement a written staffing plan including evaluation by clinical nurse supervisor at least twice a year. | Level 2 |
| Failed to maintain employee records with all required content including annual performance reviews and current background checks. | Level 2 |
| Assisted living contract included a waiver of liability for health, safety, or personal property of residents. | Level 1 |
| Posted signage indicating a curfew for residents, limiting resident rights. | Level 2 |
| Failed to ensure service plans included signature or other authentication by resident or representative. | Level 2 |
| Failed to establish and maintain an effective infection control program including hand hygiene and cleaning of shared medical equipment. | Level 2 |
| Failed to comply with reporting requirements for suspected maltreatment of vulnerable adults. | Level 2 |
| Failed to maintain current background study clearance affiliated with the assisted living license for an employee. | Level 3 |
Report Facts
Fine amount: 6000
Residents present: 3
Background study expiration: 2022
Temperature: 39
Temperature: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ULP-N | Unlicensed Personnel | Named in findings for failure to have tuberculosis screening, incomplete training and competency evaluations, and medication administration without RN competency verification. |
| HM-E | House Manager | Named in findings for incomplete employee records, failure to report suspected maltreatment timely, and medication administration. |
| ULP/M-H | Unlicensed Personnel/Manager | Named in findings for expired background study not affiliated with current license. |
| LALD-D | Licensed Assisted Living Director | Named in multiple interviews related to staffing, training, background checks, and policy implementation. |
| CNS-J | Clinical Nurse Supervisor | Named in interviews regarding training, medication orders, and infection control. |
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