Inspection Reports for Key Living LLC
842 102nd Lane, Northeast Blaine, MN 55434, MN, 55434
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
14 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
259% worse than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Follow-Up
Census: 4
Capacity: 5
Deficiencies: 14
Date: Jul 31, 2024
Visit Reason
Follow-up survey conducted on July 31, 2024, to determine if orders from the April 12, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is back in compliance with previous correction orders issued on April 12, 2024.
Deficiencies (14)
Failed to ensure licensed assisted living director was listed as Director of Record with the Board of Executives for Long Term Services and Supports.
Failed to develop and implement a staffing plan to determine staffing levels to meet residents' needs.
Failed to engage in and maintain documentation of quality management activity appropriate to the size and services of the facility.
Failed to establish and maintain a tuberculosis prevention and control program based on CDC guidelines.
Failed to have a written emergency preparedness plan with all required content and failed to post it prominently.
Failed to develop and maintain a fire safety and evacuation plan with required content, provide required training and drills.
Failed to execute a written contract with required content related to medical assistance waivers and housing support program for one resident.
Contract included a waiver of facility liability for health, safety, or personal property of a resident.
Failed to provide written notice with required content for emergency relocation for one resident.
Failed to complete 14-day and 90-day resident reassessments using the uniform assessment tool for one resident.
Service plan lacked required content including fees for services and contingency plan for one resident.
Failed to develop and maintain individualized medication management record including specific resident instructions and monitoring for one resident.
Failed to develop and maintain individualized treatment and therapy management record with required content for one resident.
Failed to obtain written or electronic orders for treatments and therapies for one resident.
Report Facts
Residents present: 4
Total licensed capacity: 5
Deficiency count: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Thorson | Supervisor, State Evaluation Team | Signed follow-up survey letter dated August 29, 2024 |
| LALD/CNS-A | Licensed Assisted Living Director/Clinical Nurse Supervisor | Named in multiple findings related to licensing, staffing, quality management, TB program, emergency preparedness, fire safety, contracts, assessments, medication and treatment management |
| Casey Kipping | Public Health Sanitarian III | Signed Food and Beverage Establishment Inspection Report dated April 8, 2024 |
| Kerriann Godwin | Certified Food Protection Manager | Named in Food and Beverage Establishment Inspection Report |
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