Inspection Reports for Highland Path
1925 Norfolk Ave, St Paul, MN 55116, United States, MN, 55116
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Inspection Report
Follow-Up
Census: 78
Deficiencies: 10
Nov 10, 2025
Visit Reason
Follow-up survey conducted to determine correction of orders from the survey completed on August 28, 2025.
Findings
The follow-up survey verified that the facility is in substantial compliance. The original survey identified multiple deficiencies including food service violations, medication management documentation issues, fire safety code noncompliance, incomplete nursing assessments, missing service plan signatures, medication transcription errors, unawareness of resident-provided medications, lack of hazard vulnerability assessment, and improper use of bed rails.
Severity Breakdown
Level 2: 9
Level 3: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code, resulting in a level two violation at a widespread scope. | Level 2 |
| Failed to ensure records included documentation of medication management services provided as identified in the service plan for one resident (R4). | Level 2 |
| Failed to comply with Minnesota State Fire Code requirements related to controlled egress door locking system lacking a deactivation device at nurse station. | Level 2 |
| Failed to conduct nursing assessments by a registered nurse of the physical and cognitive needs of two residents (R3, R5) on or before admission date. | Level 2 |
| Failed to ensure resident reassessment and monitoring by a registered nurse no more than 14 calendar days after initiation of services for one resident (R3). | Level 2 |
| Failed to finalize a current written service plan within 14 calendar days after services were first provided and include signatures by facility and resident for two residents (R4, R7). | Level 2 |
| Failed to ensure prescriber orders for medications were correctly transcribed for one resident (R5). | Level 2 |
| Failed to have awareness of medications brought from home for one resident (R6). | Level 2 |
| Failed to provide hazard vulnerability assessment or safety risk assessment of the physical environment on and around the property. | Level 2 |
| Failed to provide care and services according to acceptable health care standards for one resident (R3) who utilized side rails without proper assessment and documentation. | Level 3 |
Report Facts
Residents present: 78
Residents receiving dementia care license services: 73
Fine amount: 1500
Priority 3 Orders: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Casey DeVries | Supervisor, State Evaluation Team | Signed follow-up survey letter |
| Renee L. Anderson | Supervisor, State Evaluation Team | Signed initial survey letter |
| Greg Nelson | Public Health Sanitarian 3 | Person in charge during Food & Beverage Inspection |
| CNS-B | Clinical Nurse Supervisor | Named in multiple findings related to nursing assessments, medication management, and service plans |
| CA-A | Campus Administrator | Named in findings related to medication documentation and service plans |
| ULP-D | Unlicensed Personnel | Observed assisting residents with care and medication |
| ULP-G | Unlicensed Personnel | Observed assisting residents with care and medication |
| ESD-H | Environmental Service Director | Interviewed regarding fire safety and hazard vulnerability assessment |
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