Inspection Reports for
Golden Nest Assisted Living
1918 19th Ave NE, Minneapolis, MN 55418, United States, MN, 55418
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
30 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
669% worse than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
32
24
16
8
0
Inspection Report
Annual Inspection
Census: 22
Capacity: 24
Deficiencies: 30
Date: Aug 15, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey of Golden Nest LLC assisted living facility to evaluate compliance with state licensing statutes and assess facility operations.
Findings
The survey identified multiple deficiencies including failure to obtain appropriate assisted living with dementia care license, insufficient staffing, inadequate training and competency evaluations for unlicensed personnel, failure to maintain proper documentation and service plans, medication management issues, fire safety violations, and privacy concerns among others.
Deficiencies (30)
Failure to obtain assisted living facility with dementia care license when providing dementia care services and securing area with lock.
Failure to provide sufficient management, control, and operation of housing and services.
Insufficient staffing to meet needs of residents requiring two-person transfers with mechanical lift.
Failure to ensure food prepared and served according to Minnesota Food Code.
Failure to ensure registered nurse available on-call 24/7.
Failure to post required grievance procedure and reporting contact information.
Failure to display original current license at main entrance.
Incomplete employee records lacking required content including training and competency evaluations.
Failure to maintain tuberculosis prevention and control program per CDC guidelines.
Incomplete emergency preparedness plan lacking required content.
Failure to comply with State Fire Code including sprinkler system maintenance, fire alarm issues, fire door malfunctions, improper locking and hardware height on egress doors.
Failure to develop fire safety and evacuation plan with required content and conduct required evacuation drills.
Failure to ensure physical facility elements did not constitute distinct hazard to life including unsafe electrical wiring.
Failure to comply with state and local laws for fire safety, building, and zoning including plumbing issues.
Failure to execute written contracts with required content including Health Facility Identification number for residents.
Assisted living contracts included waiver of liability language.
Failure to ensure background study submitted and received for employee.
Failure to ensure registered nurse provided training and competency evaluations for unlicensed personnel.
Failure to establish system to communicate up-to-date staff competency information to registered nurse.
Failure to ensure unlicensed personnel trained and competency evaluated by registered nurse prior to delegation of tasks.
Failure to ensure direct supervision of staff performing delegated nursing tasks within 30 days of employment.
Failure to complete required dementia and mental illness/de-escalation training for staff.
Failure to ensure current written service plan included resident or representative signature documenting agreement on services.
Failure to ensure registered nurse trained unlicensed personnel and evaluated competency for medication administration.
Failure to ensure medications including dietary supplements and OTC drugs were stored appropriately and documented in medication assessment.
Failure to ensure current written or electronic prescriptions for medications including renewals at least every 12 months.
Failure to ensure registered nurse trained unlicensed personnel and evaluated competency for delegated treatments and therapies.
Failure to ensure treatments and therapies were documented accurately in the resident record.
Failure to maintain resident privacy during personal cares and confidentiality of service plans and treatments.
Failure to post required electronic monitoring notice at facility entrances.
Report Facts
Residents present: 22
Licensed capacity: 24
Total fines: 13000
Weight loss: 12.5
Medication counts: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kyung S. Min | Certified Food Protection Manager | Named as CFPM in food inspection |
| Molly Dougherty | Public Health Sanitarian 3 | Conducted food inspection |
| Casey DeVries | Supervisor, State Evaluation Team | Signed regulatory letter |
| Susan Winkelmann | Contact for provider feedback | Mentioned in letter for survey feedback |
| LALD-D | Licensed Assisted Living Director | Named in multiple findings related to management and training |
| CNS-C | Clinical Nurse Supervisor | Named in findings related to nursing supervision and training |
| P/CNS-G | Previous Clinical Nurse Supervisor | Named in findings related to nursing supervision |
| ULP-B | Unlicensed Personnel | Named in findings related to staffing and care |
| ULP-F | Unlicensed Personnel | Named in findings related to staffing and care |
| ULP-K | Unlicensed Personnel | Named in findings related to staffing and care |
| ULP-A | Unlicensed Personnel | Named in findings related to staffing and care |
| ULP-J | Unlicensed Personnel | Named in findings related to staffing and care |
| ULP-L | Unlicensed Personnel | Named in findings related to staffing and care |
| M-H | Manager | Named in findings related to training and supervision |
| H/RN-N | Hospice Nurse | Named in medication administration findings |
| DFV-P | Dietitian at Fairview Infusion | Named in feeding tube order findings |
| CA-O | Primary Care Physician Office Clinical Assistant | Named in wound care findings |
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