Inspection Report
Annual Inspection
Census: 26
Capacity: 26
Deficiencies: 5
Sep 11, 2025
Visit Reason
The Minnesota Department of Health conducted a survey on September 11, 2025, to evaluate and assess compliance with state licensing statutes for Diamond Willow Assisted Living.
Findings
The licensee was found to be in substantial compliance but had violations related to infection control, food service, fire safety, medication storage, and other regulatory requirements. Several level two violations were issued for infection control and fire safety, and a pattern level two violation was issued for failure to monitor medication refrigerator temperatures.
Severity Breakdown
Level 1: 1
Level 2: 4
Deficiencies (5)
| Description | Severity |
|---|---|
| Food was not prepared and served according to the Minnesota Food Code, resulting in a level two violation. | Level 2 |
| Failed to establish and maintain an infection control program consistent with accepted standards, including improper glove use during resident care. | Level 2 |
| Failed to comply with Minnesota State Fire Code including controlled exit door locking arrangements and fire sprinkler system maintenance. | Level 2 |
| Fire safety and evacuation plan lacked required content and resident training was not provided as required. | Level 1 |
| Failed to ensure refrigerated medications were maintained at manufacturer recommended temperatures due to missed monitoring and documentation. | Level 2 |
Report Facts
Residents present: 26
Licensed capacity: 26
Fines assessed: 1000
Missed refrigerator temperature recordings: 16
Missed refrigerator temperature recordings: 14
Missed refrigerator temperature recordings: 3
Missed refrigerator temperature recordings: 18
Missed refrigerator temperature recordings: 8
Missed refrigerator temperature recordings: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Signed the cover letter for the inspection report |
| Melissa Grams | Certified Food Protection Manager | Named in food service inspection reports |
| Deb Kosiak | Public Health Sanitarian 3 | Conducted food service inspections |
| LALD/CNS-A | Licensed Assisted Living Director/Clinical Nurse Supervisor | Interviewed regarding infection control and fire safety findings |
| ULP-D | Unlicensed Personnel | Observed providing feeding assistance with infection control violations |
| ULP-E | Unlicensed Personnel | Observed providing personal care with infection control violations |
| ULP-F | Unlicensed Personnel | Observed providing personal care with infection control violations |
| ULP-G | Unlicensed Personnel | Observed providing personal care with infection control violations |
| DM-C | Director of Maintenance | Interviewed regarding fire safety and sprinkler system |
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