Inspection Reports for Friendship House LLC
15872 Eastchester Road, Apple Valley, MN 55124, MN, 55124
Back to Facility ProfileDeficiencies per Year
8
6
4
2
0
Severe
High
Inspection Report
Original Licensing
Census: 1
Deficiencies: 8
Apr 7, 2023
Visit Reason
The Minnesota Department of Health conducted an initial survey to assess compliance with state licensing statutes for assisted living facility licensing.
Findings
The survey identified multiple violations including failure to employ a licensed assisted living director, lack of comprehensive tuberculosis infection control program, incomplete emergency disaster plan, outdated smoke alarms, incomplete background study for an employee, incomplete dementia care training documentation, and deficiencies in medication management assessments and plans.
Severity Breakdown
Level 2: 7
Level 1: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to employ a licensed assisted living director (LALD). | Level 2 |
| Failed to maintain a comprehensive tuberculosis infection control program including baseline TB testing for employees. | Level 2 |
| Failed to develop a written emergency disaster plan with all required content. | Level 2 |
| Failed to provide new smoke alarms and ensure smoke alarms are interconnected as required. | Level 2 |
| Unlicensed personnel without a completed background study. | Level 2 |
| Failed to provide evidence of required dementia care training hours for one unlicensed personnel. | Level 1 |
| Failed to ensure a registered nurse conducted an individualized medication management assessment for one resident. | Level 2 |
| Failed to have an updated individualized medication management plan for self-administration of vitamin supplements for one resident. | Level 2 |
Report Facts
Fine amount: 500
Resident census: 1
Correction time period: 2
Correction time period: 21
Correction time period: 7
Correction time period: 21
Correction time period: 21
Correction time period: 21
Correction time period: 7
Correction time period: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| RN-B | Registered Nurse and Licensed Assisted Living Director | Named in finding for failure to employ a licensed assisted living director and medication management assessment deficiencies. |
| ULP-A | Unlicensed Personnel and Manager | Named in findings related to assisted living director licensing, tuberculosis testing, emergency plan, background study, and dementia training. |
| RN-C | Registered Nurse | Named in medication assessment completion process. |
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