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Inspection Reports for Essence Care Center

3249 19th Street Northwest, Rochester, MN 55901, MN, 55901

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Inspection Report Summary

The most recent inspection on August 5, 2025, found multiple deficiencies related to fire protection, physical environment, staffing, training, and documentation. Earlier inspections identified similar issues, and this follow-up survey noted that previous deficiencies had not been corrected. Inspectors cited problems with emergency exit door locking mechanisms, lack of interconnected smoke alarms, missing fire extinguisher inspections, incomplete emergency preparedness plans, and inadequate staff training and service plan documentation. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports, and no complaint investigations were noted. The facility’s deficiencies have persisted over time without clear improvement.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 14 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

259% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

16 12 8 4 0
2025
High (Actual Harm)
State average

Inspection Report

Follow-Up
Census: 1 Capacity: 4 Deficiencies: 14 Date: Aug 5, 2025
Visit Reason
Follow-up survey to determine correction of orders found on the survey completed on November 8, 2024.
Findings
The facility failed to correct previous deficiencies related to fire protection and physical environment, including a non-compliant locking mechanism on an emergency exit door, lack of interconnected smoke alarms, missing fire extinguisher inspections, and physical environment maintenance issues. The facility also failed to develop a staffing plan, post required grievance information, maintain an updated emergency preparedness plan, provide required fire safety training and drills, ensure competency training for unlicensed personnel, complete required annual training for staff, and include all required content in the resident service plan and medication disposition documentation.
Deficiencies (14)
Non-compliant locking mechanism on a designated emergency exit door from the egress side.
Failed to provide unobstructed egress to the exterior of the building.
Failed to comply with Minnesota State Fire Code by not having interconnected smoke alarms.
Failed to install and maintain portable fire extinguishers as required by statute.
Physical environment not maintained in a continuous state of good repair and operation with regard to health, safety, comfort, and well-being of residents.
Failed to develop and maintain a comprehensive emergency preparedness plan including required elements of Appendix Z.
Failed to develop and implement a staffing plan including biannual review.
Failed to post required grievance procedure information including contact information for grievance management.
Failed to provide required fire safety and evacuation training and drills for staff and residents.
Failed to ensure competency training and evaluations were completed by unlicensed personnel prior to providing direct care.
Failed to ensure annual training included all required topics for staff.
Failed to ensure service plan included all required content including fees and contingency plan.
Failed to document disposition of medications including required details for a discharged resident.
Failed to conduct a physical environment hazard vulnerability or safety risk assessment with mitigation factors.
Report Facts
Facility capacity: 4 Current census: 1 Fine amount: 1000 Fine amount: 500 Fine amount: 500
Employees mentioned
NameTitleContext
Benjamin J. ZwartSupervisor, State Engineering Services SectionContact person for questions regarding correction orders and fines.
Jodi JohnsonSupervisor, State Evaluation TeamContact person for questions regarding follow-up survey and correction orders.
LALD-ALicensed Assisted Living DirectorFacility representative involved in multiple findings including fire safety, staffing plan, emergency preparedness, and training.
CNS-BClinical Nurse SupervisorStaff member involved in training and competency findings.
ULP-CUnlicensed PersonnelStaff member involved in competency training deficiency.

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