Inspection Reports for Great Health Care LLC
4501 Winchester Lane, Brooklyn Center, MN 55429, MN, 55429
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Inspection Report
Follow-Up
Census: 1
Capacity: 5
Deficiencies: 16
May 28, 2025
Visit Reason
Follow-up survey conducted on May 28, 2025, to determine correction of orders found on the survey completed on March 5, 2025.
Findings
The licensee was found in substantial compliance but had not corrected all state correction orders from the March 5, 2025 survey. Several deficiencies were noted including failure to employ a licensed assisted living director, insufficient management and control of housing and services, lack of a developed staffing plan, failure to comply with Minnesota Food Code, incomplete grievance posting, missing tuberculosis prevention program elements, incomplete emergency preparedness plan, inadequate fire safety and evacuation plans and training, missing health facility identification number on resident contract, failure to provide designated representative notice, inclusion of waiver of liability language in contract, incomplete training and competency evaluations for unlicensed personnel, lack of required dementia training, and missing electronic monitoring signage.
Severity Breakdown
Level 1: 4
Level 2: 11
Deficiencies (16)
| Description | Severity |
|---|---|
| Failed to employ a licensed assisted living director as required by the Board of Executives for Long Term Services and Supports. | Level 2 |
| Failed to provide sufficient management, control, and operation of housing and services. | Level 2 |
| Failed to develop and implement a staffing plan including biannual evaluation and ensuring sufficient staffing to meet resident needs. | Level 2 |
| Failed to ensure food was prepared and served according to Minnesota Food Code. | Level 2 |
| Failed to post required grievance procedure information including contact info for grievance handlers, Ombudsman offices, and maltreatment reporting. | Level 2 |
| Failed to post information and phone numbers for reporting suspected maltreatment to Minnesota Adult Abuse Reporting Center. | Level 2 |
| Failed to maintain a tuberculosis prevention program including Facility TB Risk Assessment and baseline TB screening for employees. | Level 2 |
| Failed to maintain portable fire extinguishers with monthly inspections documented. | Level 2 |
| Failed to maintain physical environment in good repair including exposed nails on fence, gate catching on sidewalk, chipped sidewalk, and rope securing gate. | Level 2 |
| Failed to develop fire safety and evacuation plan with required content specific to facility and provide required training. | Level 2 |
| Failed to execute resident contract with required health facility identification number. | Level 1 |
| Failed to provide verbatim notice and opportunity to designate a representative separate from the contract. | Level 1 |
| Resident contract included waiver of liability language for health, safety, or personal property. | Level 1 |
| Failed to provide required training and competency evaluations for unlicensed personnel including orientation, infection control, personal hygiene, reporting changes, and other required topics. | Level 2 |
| Failed to provide required dementia care training within 160 hours of employment for direct care employee. | Level 2 |
| Failed to post required electronic monitoring signage at facility entrance. | Level 1 |
Report Facts
Fine amount: 500
Facility licensed capacity: 5
Current census: 1
Inspection date: May 28, 2025
Inspection date: Mar 5, 2025
Food inspection date: Mar 3, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Taiwo Odeniyi | Certified Food Protection Manager | Named in food protection manager certification and food inspection report |
| Jess Schoenecker | Supervisor, State Evaluation Team | Named as contact and signatory on state inspection report |
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