Inspection Reports for Heritage of Edina
3434 Heritage Dr, Edina, MN 55435, United States, MN, 55435
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Inspection Report
Follow-Up
Census: 83
Capacity: 89
Deficiencies: 8
Jul 17, 2024
Visit Reason
Follow-up survey conducted to determine if orders from the April 4, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Severity Breakdown
Level 2: 8
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to develop and implement a staffing plan to determine staffing levels to meet residents' needs. | Level 2 |
| Failed to have a written emergency preparedness plan with all required content. | Level 2 |
| Resident records lacked required content including individualized initial review and ongoing assessments. | Level 2 |
| Failed to provide smoke alarms that functioned and were interconnected as required. | Level 2 |
| Failed to maintain physical environment in good repair including trash chute doors, broken exit doors, damaged window frame, missing ashtray in smoking area, damaged ceiling tiles, lifting carpet, and damaged bathroom tiles. | Level 2 |
| Failed to develop fire safety and evacuation plan with required content and provide required training and drills. | Level 2 |
| Failed to ensure physical facility elements did not constitute a distinct hazard to life, including malfunctioning exit doors, obstructed egress paths, and locked balcony doors. | Level 2 |
| Failed to provide written notice with required content for emergency relocation to resident, legal representative, designated representative, and Office of Ombudsman for Long-Term Care within required timeframe. | Level 2 |
Report Facts
Residents present during survey: 83
Total licensed capacity: 89
Correction order time period: 21
Fire safety correction time period: 7
Emergency relocation notification delay: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tim Hanna | Supervisor, State Engineering Services Section | Signed follow-up survey letter |
| Jodi Johnson | Supervisor, State Evaluation Team | Signed correction order reconsideration letter |
| CNS-B | Clinical Nurse Supervisor | Interviewed regarding staffing plan and resident records |
| LALD-A | Licensed Assisted Living Director | Interviewed regarding emergency preparedness plan, fire safety, and emergency relocation |
| M-E | Maintenance Staff | Accompanied surveyor on facility tour and verified physical deficiencies |
| M-D | Maintenance Staff | Accompanied surveyor on facility tour and verified physical deficiencies |
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