Inspection Reports for Lilydale Senior Living

MN

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Inspection Report Follow-Up Census: 119 Deficiencies: 4 Jun 3, 2025
Visit Reason
Follow-up survey conducted on June 3, 2025, to determine correction of orders from the survey completed on March 12, 2025.
Findings
The follow-up survey verified that the facility is in substantial compliance. The initial survey on March 12, 2025, found multiple deficiencies including food service violations, incomplete background studies for staff, failure to conduct comprehensive resident reassessments, and medication administration errors.
Severity Breakdown
Level 2: 3 Level 3: 1
Deficiencies (4)
DescriptionSeverity
Failed to ensure food was prepared and served according to the Minnesota Food Code, including encrusted food debris in convection oven.Level 2
Failed to ensure a background study was current and eligible for one employee providing direct care without supervision.Level 3
Failed to conduct a comprehensive reassessment with a change of condition for one resident who started hospice services.Level 2
Failed to ensure nurse delegated procedures were followed by unlicensed personnel during medication administration, including failure to check medication labels against MAR.Level 2
Report Facts
Residents present: 119 Employees: 59 Fine amount: 3000 Certification expiration: 2025
Employees Mentioned
NameTitleContext
ULP-FUnlicensed PersonnelProvided direct care without completed background study and failed to follow medication administration procedures
Jodi JohnsonSupervisor, State Evaluation TeamSigned follow-up survey letter
LALD-ALicensed Assisted Living DirectorReviewed employee background study issues
RVPO-IRegional Vice President of OperationsReviewed employee background study issues
CNS-BClinical Nurse SupervisorInterviewed regarding resident reassessment and medication administration
Jonathan P. TormoenCertified Food Protection ManagerSigned Food and Beverage Establishment Inspection Report
Chris FosterPublic Health Sanitarian IIISigned Food and Beverage Establishment Inspection Report

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