Inspection Reports for Elderwood Of Hinckley
710 Spring Ln, Hinckley, MN 55037, MN, 55037
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Inspection Report
Annual Inspection
Census: 36
Capacity: 36
Deficiencies: 18
Aug 27, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for Elderwood of Hinckley.
Findings
The survey identified multiple deficiencies including staffing plan inadequacies, failure to post required information, lack of quality management program, tuberculosis prevention program deficiencies, emergency preparedness plan deficiencies, fire safety violations, missing designated representative notice in contracts, failure to provide emergency relocation notices, incomplete background studies for employees, delegation of assisted living services without proper documentation, insufficient dementia and mental illness training, incomplete resident assessments, and medication administration issues.
Severity Breakdown
Level 1: 2
Level 2: 12
Level 3: 2
Deficiencies (18)
| Description | Severity |
|---|---|
| Failed to ensure the clinical nurse supervisor developed and implemented a staffing plan including biannual review and posting of daily staffing schedule. | Level 2 |
| Failed to post contact information for the Office of Ombudsman for Mental Health and Developmental Disabilities. | Level 2 |
| Failed to implement and maintain a quality management program appropriate to the size and services of the facility. | Level 2 |
| Failed to establish and maintain a tuberculosis prevention program including current risk assessment and proper TB screening for employees. | Level 2 |
| Failed to develop a comprehensive emergency preparedness plan with all required content and failed to post it prominently. | Level 2 |
| Failed to comply with Minnesota State Fire Code including improper egress door locking, non-functioning emergency lights, relocated smoke detectors, use of space heaters in resident rooms, obstructed egress paths, fire door maintenance issues, missing carbon monoxide alarms, fire sprinkler system maintenance issues, electrical hazards, fire resistant wall damage, and improper smoking material disposal. | Level 3 |
| Failed to provide smoke alarms in all required locations including back sleeping areas divided by curtains. | Level 2 |
| Failed to maintain fire safety and evacuation plan with accurate resident room identification, site specific procedures, and provide required training and drills. | Level 2 |
| Failed to ensure cleared Department of Human Services background studies for eight employees prior to providing services. | Level 3 |
| Failed to ensure registered nurse specified in writing instructions for delegated tasks for one resident receiving catheter, colostomy, and gastrostomy tube cares. | Level 2 |
| Failed to ensure three employees received required mental illness and de-escalation training within required timeframe. | Level 2 |
| Failed to conduct a comprehensive nursing assessment following change in condition for one resident after hospital return. | Level 2 |
| Failed to ensure as needed medications included parameters for administration for one resident. | Level 2 |
| Failed to discard expired medication for one resident. | Level 2 |
| Failed to ensure unlicensed personnel followed proper medication administration process including pre-dishing medications. | Level 2 |
| Failed to post required signage at main entry disclosing electronic monitoring devices. | Level 1 |
| Failed to include required designated representative notice in assisted living contracts for three residents. | Level 1 |
| Failed to provide written emergency relocation notice with required content and failed to notify Office of Ombudsman for Long-Term Care when resident did not return within four days. | Level 2 |
Report Facts
Residents present: 36
Total licensed capacity: 36
Fines assessed: 2000
Employees without cleared background study: 8
Resident rooms: 24
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Signed cover letter and contact for survey |
| Bryan R Brown | Kitchen Manager | Named in food inspection report |
| Clifford LaVigne | Public Health Sanitarian 2 | Named in food inspection report |
| O/CNS-B | Owner/Clinical Nurse Supervisor | Named in multiple findings including staffing, training, assessments, and emergency preparedness |
| LPN-C | Licensed Practical Nurse | Named in medication administration and training findings |
| ULP-L | Unlicensed Personnel | Named in medication administration findings |
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