Inspection Reports for HMN Home Healthcare LLC
3817 6th Street Northwest, Rochester, MN 55901, MN, 55901
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Inspection Report
Original Licensing
Census: 1
Deficiencies: 21
Apr 2, 2025
Visit Reason
The Minnesota Department of Health conducted an initial survey to assess compliance with state licensing statutes and determine issuance of an initial license to HMN Home Healthcare LLC.
Findings
The licensee was found not in substantial compliance with Minnesota Statutes Chapter 144G, resulting in denial of the assisted living facility license. Multiple deficiencies were identified including failure to provide sufficient housing and service-related management, failure to comply with Minnesota Food Code, failure to post required grievance and maltreatment reporting information, lack of quality management program, incomplete individual abuse prevention plan, inadequate tuberculosis prevention program, incomplete emergency preparedness plan, incomplete resident record documentation, lack of required fire safety and evacuation plans and training, incomplete resident contract, insufficient training and competency evaluations for unlicensed personnel, lack of direct supervision of delegated nursing tasks, incomplete orientation for staff, incomplete nursing assessments and service plans, incomplete medication management assessment and plan, and failure to post required electronic monitoring signage.
Severity Breakdown
Level 1: 2
Level 2: 18
Deficiencies (21)
| Description | Severity |
|---|---|
| Failed to provide sufficient housing and service-related management, control, and operation of the facility. | Level 2 |
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to post required grievance procedure and maltreatment reporting information. | Level 2 |
| Failed to implement and maintain a quality management program appropriate to the size of the facility. | Level 2 |
| Failed to develop an individual abuse prevention plan with required content for the resident. | Level 2 |
| Failed to maintain a tuberculosis prevention program including risk assessment, TB testing, and symptom screening. | Level 2 |
| Failed to develop an all-hazards risk assessment emergency preparedness program and plan including required elements and training. | Level 2 |
| Failed to ensure resident record entries were authenticated with the title of the person making the entry. | Level 1 |
| Failed to ensure resident record included all required content. | Level 2 |
| Failed to develop and execute an assisted living written contract with required content and signatures. | Level 2 |
| Failed to ensure training and competency evaluations for unlicensed personnel were completed prior to providing direct care. | Level 2 |
| Failed to ensure direct supervision of unlicensed personnel performing delegated tasks within 30 days of hire. | Level 2 |
| Failed to ensure orientation training included all required topics for unlicensed personnel and registered nurse. | Level 2 |
| Failed to ensure registered nurse conducted initial nursing assessment prior to initiation of services. | Level 2 |
| Failed to ensure resident reassessment was conducted within 90 days. | Level 2 |
| Failed to ensure service plan included all required content including medication administration. | Level 2 |
| Failed to conduct a face-to-face medication management assessment including all required elements. | Level 2 |
| Failed to develop an individualized medication management plan including all required content. | Level 2 |
| Limited resident rights by requiring residents to follow certain house rules restricting social interactions and visitation. | Level 2 |
| Failed to ensure delegated medication administration procedures were followed, including proper dosing measurement. | Level 2 |
| Failed to post electronic monitoring signage at the main entrance as required by statute. | Level 1 |
Report Facts
Resident census: 1
Deficiency count: 20
Food code violation count: 6
Food code Priority 1 violations: 2
Food code Priority 2 violations: 1
Food code Priority 3 violations: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ALDIR/HM-A | Assistant Living Director in Residency/House Manager | Named in multiple findings including medication administration, training, supervision, and service plan deficiencies |
| ULP-D | Unlicensed Personnel | Named in training and competency evaluation deficiencies |
| CNS-C | Clinical Nurse Supervisor | Named in training, supervision, orientation, and medication management deficiencies |
| CNS-B | Clinical Nurse Supervisor | Named in nursing assessment and medication management assessment deficiencies |
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