Inspection Reports for Hawthorne House Inc
1100 Idaho Avenue, Golden Valley, MN 55427, MN, 55427
Back to Facility Profile
Inspection Report
Follow-Up
Census: 2
Deficiencies: 15
Jan 29, 2025
Visit Reason
Follow-up survey to determine correction of orders from the survey completed on November 6, 2024.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders related to emergency preparedness, fire safety, medication management, service plans, and other regulatory requirements.
Severity Breakdown
Level 1: 2
Level 2: 11
Level 3: 1
Deficiencies (15)
| Description | Severity |
|---|---|
| Failed to have a written emergency preparedness plan with all required content and failed to post the emergency disaster plan prominently. | Level 2 |
| Failed to provide resident sleeping rooms with egress windows meeting Minnesota State Fire Code requirements. | Level 3 |
| Failed to keep the physical environment in a continuous state of good repair affecting health, safety, and well-being of residents. | Level 2 |
| Failed to develop and maintain fire safety and evacuation plans with required content and failed to provide adequate training and drills. | Level 2 |
| Assisted living contract included language waiving licensee's liability for health, safety, or personal property of a resident. | Level 1 |
| Failed to submit and affiliate background studies for three employees. | Level 2 |
| Failed to provide a description of the dementia care training program to residents, families, or others who request it. | Level 1 |
| Failed to execute signed service plans including agreement on services to be provided for residents. | Level 2 |
| Failed to include required content in service plan such as fees, staff identification, monitoring methods, and contingency plans. | Level 2 |
| Failed to develop an individualized medication management record with required content for a resident. | Level 2 |
| Failed to document medication administration as prescribed for a resident, including transcription errors. | Level 2 |
| Failed to develop comprehensive written procedures for unlicensed personnel providing medications during unplanned time away when licensed nurse was unavailable. | Level 2 |
| Failed to ensure over-the-counter drugs were stored appropriately for a resident. | Level 2 |
| Prescription drug supply for a resident was saved and used by another resident. | Level 2 |
| Failed to dispose of expired medications for a resident. | Level 2 |
Report Facts
Residents present during survey: 2
Egress window measurements: 27
Egress window measurements: 20
Egress window measurements: 548
Egress window measurements: 29.5
Egress window measurements: 19.5
Egress window measurements: 575.25
Egress window measurements: 29.5
Egress window measurements: 19
Egress window measurements: 560.5
Expired medication quantities: 30
Expired medication quantities: 54
Expired medication quantities: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tim Hanna | Supervisor, State Engineering Services Section | Signed follow-up survey letter dated January 29, 2025 |
| Jess Schoenecker | Supervisor, State Evaluation Team | Signed correction order reconsideration letter dated December 17, 2024 |
| Anna Bohnen | HRD Inspector | Food and Beverage Establishment inspection on November 4, 2024 |
| CNS-A | Clinical Nurse Supervisor | Named in multiple findings related to medication management and service plans |
| ULP-B | Unlicensed Personnel | Named in medication administration and emergency preparedness findings |
| O/LALD-D | Owner/Licensed Assisted Living Director | Named in multiple findings related to emergency preparedness, service plans, and medication management |
| LPN-C | Licensed Practical Nurse | Named in medication management and expired medication findings |
Loading inspection reports...
