Inspection Reports for Golden Path Home Care Services
2094 151st Lane Northwest, Andover, MN 55304, MN, 55304
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Inspection Report
Original Licensing
Census: 2
Deficiencies: 7
Feb 14, 2024
Visit Reason
The Minnesota Department of Health conducted an initial survey to assess compliance with state licensing statutes for an assisted living facility license.
Findings
The survey identified multiple deficiencies including failure to maintain an effective infection control program, incomplete employee records, lack of tuberculosis prevention program compliance, missing fire extinguisher inspections, inadequate physical environment maintenance, incomplete fire safety and evacuation plans, and improper care related to hospital bed side rails for a resident.
Severity Breakdown
Level 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to establish and maintain an effective infection control program related to glove use and surface cleaning by unlicensed personnel. | Level 2 |
| Employee records lacked required content including competency evaluations and tuberculosis screening documentation for one unlicensed personnel. | Level 2 |
| Failed to establish and maintain a tuberculosis prevention program consistent with CDC guidelines, lacking documentation of two-step TB skin test or IGRA for one employee. | Level 2 |
| Failed to provide current tags and documentation of annual inspections for all fire extinguishers. | Level 2 |
| Failed to maintain the physical environment in a continuous state of good repair; an emergency exit door led into a garage instead of directly outside. | Level 2 |
| Failed to develop a complete fire safety and evacuation plan including employee actions and resident evacuation procedures. | Level 2 |
| Failed to provide care and services according to accepted health care standards for one resident using hospital bed side rails without proper measurement and assessment documentation. | Level 2 |
Report Facts
Residents present: 2
Deficiency correction time period: 7
Deficiency correction time period: 21
Deficiency correction time period: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jess Schoenecker | Supervisor, State Evaluation Team | Signed letter regarding licensing and survey |
| Linda Mongare | Certified Food Protection Manager | Food service manager present during food establishment inspection |
| Sarah Conboy | Public Health Sanitation Supervisor | Signed food establishment inspection report |
| ULP-E | Unlicensed Personnel | Named in infection control deficiency related to glove use and cleaning |
| ULP-B | Unlicensed Personnel | Named in employee record and tuberculosis prevention deficiencies |
| CNS/LALD-D | Clinical Nurse Supervisor / Licensed Assisted Living Director | Provided statements and documentation related to infection control, employee records, tuberculosis prevention, fire extinguisher inspections, physical environment, fire safety plan, and resident care |
| Administrator A-C | Administrator | Interviewed regarding tuberculosis prevention documentation |
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