Inspection Reports for Heritage House Elder Care
1415 7th Street NW, Faribault, MN 55021, MN, 55021
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Inspection Report
Follow-Up
Census: 7
Capacity: 10
Deficiencies: 20
Oct 8, 2024
Visit Reason
Follow-up survey to determine if orders from the July 16, 2024 survey were corrected.
Findings
The facility was found to be in substantial compliance during the follow-up survey. The original survey on July 16, 2024, identified multiple deficiencies including staffing plan issues, food code violations, employee record deficiencies, tuberculosis prevention program gaps, emergency preparedness plan deficiencies, fire safety and physical environment issues, contract information omissions, incomplete resident assessments, medication disposition documentation gaps, and care and service provision issues related to bed rail use.
Severity Breakdown
Level 1: 5
Level 2: 9
Level 3: 1
Priority 1: 2
Priority 2: 3
Priority 3: 1
Deficiencies (20)
| Description | Severity |
|---|---|
| Failed to develop and implement a written staffing plan including biannual evaluation by a registered nurse. | Level 2 |
| Food not obtained from approved sources; ground beef labeled 'NOT FOR SALE' from unapproved source. | Priority 1 |
| Utensils and food contact surfaces not sanitized after washing. | Priority 1 |
| No thermometer for checking food temperatures. | Priority 2 |
| No irreversible registering temperature indicator for dishwasher. | Priority 2 |
| No chlorine test kit to measure sanitizing solutions. | Priority 2 |
| No certified food protection manager on staff. | Priority 3 |
| Food stored less than six inches off floor. | — |
| No handwashing signs posted at kitchen or bathrooms. | — |
| Failed to maintain tuberculosis prevention program per CDC guidelines including facility risk assessment and baseline TB screening for employee. | Level 2 |
| Failed to develop an all-hazards emergency preparedness plan including required Appendix Z content. | Level 2 |
| Failed to provide functioning, interconnected smoke alarms compliant with State Fire Code; smoke alarms over 10 years old. | Level 2 |
| Failed to maintain physical environment in good repair including unsafe electrical wiring, escape window blocked, and non-functioning emergency exit lights. | Level 2 |
| Escape window in unoccupied resident room blocked by storage, not unobstructed. | Level 2 |
| Failed to include required contract information such as health facility ID, authorized agent, terms and conditions, fees, billing, complaint resolution, and resident rights in resident contracts. | Level 1 |
| Failed to provide required notice of right to designate a representative on a separate document from the contract. | Level 1 |
| Failed to complete and document comprehensive resident assessments including required Uniform Assessment Tool components for three residents. | Level 2 |
| Failed to document disposition of medications upon discharge including prescription number and quantity for one discharged resident. | Level 2 |
| Failed to ensure care and services were provided according to accepted health care standards for three residents with bed rails, including lack of assessment, risk/benefit discussion, manufacturer instructions, and recall checks. | Level 3 |
| Failed to post required notice at facility entrances disclosing electronic monitoring devices may be present. | Level 1 |
Report Facts
Residents present: 7
Total licensed capacity: 10
Fines assessed: 3000
Correction order timeframe: 21
Correction order timeframe: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Thorson | Supervisor, State Evaluation Team | Signed follow-up survey letter |
| Jodi Johnson | Supervisor, State Evaluation Team | Signed original survey letter |
| Michael DeMars | Public Health Sanitarian III | Food and Beverage Establishment inspection |
| LALD-B | Licensed Assisted Living Director | Interviewed regarding contract and assessment deficiencies |
| CNS-B | Clinical Nurse Supervisor | Interviewed regarding resident assessments and medication disposition |
| CNS-C | Clinical Nurse Supervisor | Interviewed regarding medication disposition |
| O-E | Owner | Interviewed regarding fire safety and emergency preparedness |
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