Inspection Reports for Kind Heart Care Home Inc
1049 Glen Paul Court, Shoreview, MN 55126, MN, 55126
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Inspection Report
Follow-Up
Census: 4
Deficiencies: 12
Apr 11, 2024
Visit Reason
Follow-up survey to determine if orders from the February 7, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Severity Breakdown
Level 1: 1
Level 2: 9
Level 3: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to have daily programs of social and recreational activities based on individual and group interests, physical, mental, and psychosocial needs. | Level 2 |
| Failed to ensure a registered nurse was available on-call 24 hours a day, seven days per week. | Level 2 |
| Failed to develop a written emergency preparedness plan with all required content. | Level 2 |
| Failed to provide a smoke alarm in a resident's sleeping room and failed to provide interconnected smoke alarms throughout the facility. | Level 2 |
| Failed to provide a fire safety and evacuation plan and failed to provide documentation for employee and resident training and drills. | Level 2 |
| Assisted living contract included language waiving the facility's liability for health, safety, or personal property of a resident. | Level 1 |
| Failed to ensure the registered nurse completed a comprehensive reassessment including assessment for self-administration of medications for one resident. | Level 2 |
| Failed to ensure medications were securely stored and only authorized personnel had access. | Level 2 |
| Failed to ensure medications were maintained bearing the original prescription label and failed to include opened or expiration date for time sensitive medications. | Level 2 |
| Failed to provide care and services according to acceptable health care standards for one resident who utilized consumer bed rails that were not properly secured or assessed for safety. | Level 3 |
| Failed to provide care and services according to acceptable health care standards for medication administration by unlicensed personnel, including improper administration and documentation of inhalers. | Level 2 |
Report Facts
Residents present: 4
Fine amount: 3000
Correction order receipt date: 15
Correction order documentation timeframe: 21
Time period for correction: 21
Time period for correction: 7
Time period for correction: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Named in follow-up survey letter and correspondence. |
| Casey Kipping | Public Health Sanitarian III | Signed food establishment inspection report. |
| Mohamed D Subane | Certified Food Protection Manager | Named in food establishment inspection report. |
| LALD-A | Licensed Assisted Living Director | Named in multiple findings related to medication administration, emergency preparedness, and bed rail safety. |
| CNS-B | Clinical Nurse Supervisor | Named in findings related to medication reassessment, bed rail safety, and medication administration. |
| ULP-E | Unlicensed Personnel | Named in medication administration deficiency. |
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