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Inspection Reports for Lakeland Health Services LLC

11840 Foley Boulevard Nw, Coon Rapids, MN 55448, MN, 55448

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Inspection Report Summary

The most recent inspection on September 10, 2025, found deficiencies in several areas including food service compliance, infection control, tuberculosis prevention, fire safety, training for unlicensed personnel, and medication management documentation. Earlier inspections were not provided, so broader inspection patterns cannot be determined from the available data. Inspectors cited issues mainly related to regulatory compliance in safety protocols, staff training, and medication handling. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports, and no complaint investigations were noted. Without prior reports for comparison, a clear trend in performance cannot be established.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 11 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

182% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

12 9 6 3 0
2025
High (Actual Harm)
State average

Inspection Report

Annual Inspection
Census: 2 Capacity: 10 Deficiencies: 11 Date: Sep 10, 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.
Findings
The facility was found to be in substantial compliance but had multiple violations including food service not fully compliant with Minnesota Food Code, infection control program deficiencies, tuberculosis prevention program gaps, fire safety code violations, incomplete fire safety and evacuation plans, incomplete training and competency evaluations for unlicensed personnel, and medication management documentation issues.
Deficiencies (11)
Failed to ensure food was prepared and served according to Minnesota Food Code resulting in a level two violation.
Failed to establish and maintain an effective infection control program consistent with CDC guidelines, including hand hygiene and injection administration.
Failed to maintain a tuberculosis prevention and control program including two-step TB screening for one employee.
Failed to comply with Minnesota State Fire Code including holes in garage wall fire barrier.
Failed to provide interconnected smoke alarms in dwelling units.
Failed to develop and maintain a complete fire safety and evacuation plan with required content, training, and drills.
Failed to obtain building permits and submit plan review applications for construction projects including ramp and door modifications.
Failed to ensure required training and competency evaluations were completed for unlicensed personnel including documentation, fall prevention, boundaries, resident needs, and medication administration.
Failed to ensure documentation of medication setup included all required content such as dates and person completing setup.
Failed to ensure registered nurse developed training and competencies for unlicensed personnel providing medications for unplanned time away.
Failed to label time sensitive medications with opened or expiration dates.
Report Facts
Residents present: 2 Licensed capacity: 10 Fines assessed: 500 Priority 1 orders: 1 Priority 2 orders: 1 Priority 3 orders: 2
Employees mentioned
NameTitleContext
ULP-CUnlicensed PersonnelNamed in findings related to incomplete training, tuberculosis screening, hand hygiene, medication administration, and competency evaluations
CNS-BClinical Nurse SupervisorObserved administering medication and provided statements regarding medication documentation and training
LALD-ALicensed Assisted Living DirectorProvided facility tour, verified deficiencies, and discussed training and documentation issues

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