Inspection Report
Annual Inspection
Census: 90
Deficiencies: 7
Sep 11, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for an assisted living facility with dementia care license.
Findings
The survey identified multiple deficiencies including fire protection and physical environment violations, incomplete and inaccurate nursing assessments, improper delegation and administration of medications, lack of documentation and labeling of medications, incomplete treatment and therapy management plans, and missing or outdated treatment orders.
Severity Breakdown
Level 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Facility delayed egress system was not equipped with a separate de-activate system in the fire command center or other approved location to override the system. | Level 2 |
| Failed to ensure registered nurse completed timely and accurate assessments for changes in condition for several residents. | Level 2 |
| Unlicensed personnel administered insulin via prefilled insulin pen without following manufacturer instructions including priming the pen and wiping the rubber tip. | Level 2 |
| Failed to ensure medications were administered as ordered, including inaccurate dosing of topical diclofenac gel. | Level 2 |
| Failed to label time sensitive medications with an opened date for eye drops. | Level 2 |
| Failed to include treatment or therapy services in the service plan for residents receiving urinary catheter management and wound care. | Level 2 |
| Failed to maintain up-to-date written or electronically recorded orders for treatments and therapies, including compression stockings and blood sugar monitoring. | Level 2 |
Report Facts
Residents present: 90
Fine amount: 500
Catheter flush volume: 60
Insulin dose: 5
Insulin dose: 16
Diclofenac gel dose: 4
Diclofenac gel dose: 2
Compression stockings pressure: 15
Compression stockings pressure: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Johnson | Supervisor, State Evaluation Team | Named in letter regarding survey and correction orders |
| Rob Davis | Public Health Sanitarian 2 | Named in food inspection report |
| Kelly Talamantes | Licensee | Named as licensee contact |
Loading inspection reports...
