Inspection Reports for Charity Care
10909 Brittany Dr N, Champlin, MN 55316, MN, 55316
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Inspection Report
Routine
Census: 4
Deficiencies: 8
Dec 6, 2023
Visit Reason
The Minnesota Department of Health conducted a survey to evaluate and assess compliance with state licensing statutes for an assisted living facility.
Findings
The facility was found to be in substantial compliance but had several deficiencies including infection control lapses, incomplete emergency preparedness plan, fire safety issues, incomplete resident contract information, incomplete resident assessments, and medication administration documentation errors.
Severity Breakdown
Level 2: 7
Level 1: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure infection control standards were followed for hand hygiene by one licensed practical nurse. | Level 2 |
| Failed to develop an emergency preparedness plan with all required content. | Level 2 |
| Failed to provide interconnected smoke alarms throughout the facility. | Level 2 |
| Failed to provide documentation of monthly inspections of all fire extinguishers. | Level 2 |
| Failed to develop and maintain fire safety and evacuation plans, provide required training and conduct evacuation drills. | Level 2 |
| Assisted living contract lacked required content including contact information for Ombudsman for Mental Health and Developmental Disabilities. | Level 1 |
| Failed to complete 90-day comprehensive assessments and change of condition assessment for one resident. | Level 2 |
| Failed to ensure medications were documented as administered for one resident receiving medication management services. | Level 2 |
Report Facts
Active residents: 4
Time period for correction: 7
Time period for correction: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Signed letter regarding survey and correction orders |
| Charity Ongeri | Certified Food Protection Manager | Operator and person in charge for food and beverage establishment inspection |
| Holly Sievers | Public Health Sanitarian 2 | Conducted food and beverage establishment inspection |
| LALD/CNS-A | Licensed Assisted Living Director/Clinical Nurse Supervisor | Interviewed and provided information on infection control, emergency preparedness, fire safety, resident assessments, and medication administration |
| LPN-C | Licensed Practical Nurse | Observed administering medications and hand hygiene deficiency |
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