Inspection Reports for Ingleside Inc
2811 Roland Ave, Fairmont, MN 56031, United States, MN, 56031
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
High
Inspection Report
Routine
Census: 49
Deficiencies: 16
Apr 23, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for an assisted living facility with dementia care license.
Findings
The facility was found in substantial compliance but had multiple level two violations including failure to prepare and serve food according to Minnesota Food Code, failure to post emergency numbers, failure to maintain fire extinguishers, incomplete fire safety and evacuation plans, failure to provide required written notices for emergency relocations, incomplete training and competency evaluations for unlicensed personnel, incomplete dementia care training, failure to revise service plans to reflect current services, medication administration errors, failure to date insulin pens, incomplete documentation of medication disposition, and incomplete treatment and therapy management plans and documentation.
Severity Breakdown
Level 2: 15
Deficiencies (16)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to Minnesota Food Code resulting in a level two violation. | Level 2 |
| Failed to post 911 emergency number in common areas and near telephones as required. | Level 2 |
| Failed to maintain portable fire extinguishers with required annual service and monthly inspections. | Level 2 |
| Fire extinguisher cabinets were locked, preventing ready access during a fire. | Level 2 |
| Fire safety and evacuation plan lacked required content including individualized evacuation procedures and staff instructions. | Level 2 |
| Failed to provide written notice with required content for emergency relocation of a resident. | Level 2 |
| Failed to ensure training and competency evaluations were completed as required prior to providing direct care for two unlicensed personnel. | Level 2 |
| Training and competency evaluations for two unlicensed personnel lacked required topics including body functioning and vital signs. | Level 2 |
| Failed to ensure dementia care training was completed within required timeframe for one unlicensed personnel. | Level 2 |
| Failed to revise service plan to reflect current services including pureed diet for one resident. | Level 2 |
| Failed to document medication administration as prescribed; unlicensed personnel administered two sprays of nasal medication instead of one. | Level 2 |
| Failed to date insulin pens when opened for one resident. | Level 2 |
| Failed to document prescription numbers on medication disposition form for discharged resident. | Level 2 |
| Failed to develop and maintain individualized treatment or therapy management plan with all required content for two residents. | Level 2 |
| Failed to specify in writing and document specific instructions for treatment administration for one resident. | Level 2 |
| Failed to document treatments administered for one resident. | Level 2 |
Report Facts
Residents present: 49
Deficiency count: 15
Dishwasher sanitizer concentration: 10
Dishwasher sanitizer concentration: 50
Quaternary Ammonia concentration: 400
Quaternary Ammonia concentration: 200
Food temperatures: 175
Food temperatures: 180
Food temperatures: 39.1
Food temperatures: 39.4
Food temperatures: 200
Food temperatures: 172
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Johnson | Supervisor, State Evaluation Team | Contact person for the inspection report letter |
| Rachel D Ragan | Certified Food Protection Manager | Named in Food and Beverage Establishment Inspection Report |
| McKenna Mathews | Public Health Sanitarian 2 | Conducted Food and Beverage Establishment Inspection |
| ULP-E | Unlicensed Personnel | Named in findings for incomplete training, medication administration, and blood sugar monitoring |
| ULP-H | Unlicensed Personnel | Named in findings for incomplete training |
| ULP-B | Unlicensed Personnel | Named in medication administration finding |
| ULP-G | Unlicensed Personnel | Named in insulin pen dating finding |
| LALD-A | Licensed Assisted Living Director | Interviewed regarding training and plan of correction |
| CNS-B | Clinical Nurse Supervisor | Interviewed regarding medication and treatment documentation |
| DM-D | Director of Maintenance | Interviewed regarding fire extinguisher maintenance |
| HD-C | Housing Director | Interviewed regarding fire extinguisher maintenance and emergency number posting |
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