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Inspection Reports for Cottagewood Senior Community

MN, 55901

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Inspection Report Summary

The most recent inspection on September 11, 2025, identified multiple deficiencies related to fire protection, nursing assessments, medication administration, and treatment documentation. Earlier inspections were not provided for comparison, so broader patterns cannot be determined from the available data. The main issues involved incomplete nursing assessments, improper medication handling by unlicensed staff, and missing or outdated treatment orders and plans. There were no complaint investigations or enforcement actions listed in the available reports. Without prior inspection data, it is unclear whether these findings represent a new or ongoing trend.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

79% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025
High (Actual Harm)
State average

Inspection Report

Annual Inspection
Census: 90 Deficiencies: 7 Date: 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lack of documentation and labeling of medications, incomplete treatment and therapy management plans, and missing or outdated treatment orders.
Deficiencies (7)
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.
Failed to ensure registered nurse completed timely and accurate assessments for changes in condition for several residents.
Unlicensed personnel administered insulin via prefilled insulin pen without following manufacturer instructions including priming the pen and wiping the rubber tip.
Failed to ensure medications were administered as ordered, including inaccurate dosing of topical diclofenac gel.
Failed to label time sensitive medications with an opened date for eye drops.
Failed to include treatment or therapy services in the service plan for residents receiving urinary catheter management and wound care.
Failed to maintain up-to-date written or electronically recorded orders for treatments and therapies, including compression stockings and blood sugar monitoring.
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
NameTitleContext
Jodi JohnsonSupervisor, State Evaluation TeamNamed in letter regarding survey and correction orders
Rob DavisPublic Health Sanitarian 2Named in food inspection report
Kelly TalamantesLicenseeNamed as licensee contact

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