Inspection Reports for Hope Assisted Living LLC

3410 North Humboldt Avenue, Minneapolis, MN 55412, MN, 55412

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Inspection Report Follow-Up Census: 2 Deficiencies: 11 Feb 18, 2025
Visit Reason
Follow-up survey to determine the correction of orders from the survey completed on September 5, 2024, and a follow-up survey completed on November 26, 2024.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders. However, prior surveys identified deficiencies including staffing plan evaluation, food service compliance, emergency preparedness, fire safety egress window issues, background study submissions, medication reassessment, medication administration procedures, and contract language errors.
Severity Breakdown
Level 1: 3 Level 2: 6 Level 3: 1 Priority 2: 1
Deficiencies (11)
DescriptionSeverity
Failed to develop and implement a written staffing plan including biannual evaluation by the clinical nurse supervisor.Level 2
Failed to ensure food was prepared and served according to the Minnesota Food Code.Level 2
Assisted living contract required residents to include and pay for meals, contrary to regulations.Level 1
Failed to maintain a written emergency preparedness plan with all required content.Level 2
Failed to provide resident bedrooms with minimum window opening meeting state egress standards.Level 3
Failed to submit and receive background studies affiliated with the assisted living license for two employees.Level 2
Failed to complete annual medication reassessments for one resident.Level 2
Unlicensed personnel failed to verify medications prior to administration.Level 2
Failed to offer resident the opportunity to identify a designated representative with required statutory language.Level 1
Assisted living contract included a waiver of liability for health, safety, or personal property of a resident.Level 1
No temperature indicator to measure dishwasher utensil surface temperature was available on site.Priority 2
Report Facts
Residents present: 2 Window measurements: 32 Window measurements: 17.5 Window measurements: 560 Temperature: 39 Temperature: 41 Temperature: 37
Employees Mentioned
NameTitleContext
Jess SchoeneckerSupervisor, State Evaluation TeamNamed in follow-up survey letters dated January 3, 2025 and March 19, 2025.
Casey DeVriesSupervisor, State Evaluation TeamNamed in correction order letter dated October 9, 2024.
Hodo Faysal OsmanCertified Food Protection ManagerNamed in Food and Beverage Establishment Inspection Report dated September 4, 2024.
Saed DalmarOwnerNamed in Food and Beverage Establishment Inspection Report dated September 4, 2024.
Sarah ConboyPublic Health Sanitation SupervisorNamed in Food and Beverage Establishment Inspection Report dated September 4, 2024.
ULP-BUnlicensed PersonnelNamed in background study deficiency and observed providing care.
ULP-EUnlicensed PersonnelNamed in background study deficiency and observed administering medications.
ULP-FUnlicensed PersonnelNamed in medication administration observation deficiency.
CNS-CClinical Nurse SupervisorNamed in staffing plan and medication reassessment deficiencies.
LALD-DLicensed Assisted Living DirectorNamed in contract and emergency preparedness deficiencies.
O/M-AOwner/ManagerNamed in multiple deficiencies including window egress, contract language, and background studies.

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