Inspection Reports for Long Lake Loon Lodge
7747 Loon Lodge Lane NE, Bemidji, MN 56601, MN, 56601
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Inspection Report
Annual Inspection
Census: 10
Capacity: 10
Deficiencies: 13
Nov 19, 2024
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for the Assisted Living Facility license.
Findings
The licensee was found to be in substantial compliance but had multiple deficiencies including failure to provide sufficient documentation of correction orders, failure to provide a means for residents to request assistance 24/7, issues with meal contract requirements, infection control lapses during medication administration, fire safety code violations including smoke alarms, fire extinguisher maintenance and fire safety plans, failure to provide required emergency relocation notices, incomplete service plans and treatment management records, and unsafe oxygen storage.
Severity Breakdown
Level 1: 1
Level 2: 12
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to have sufficient documentation with actions taken to comply with correction order tag identification 0460 from a prior survey. | Level 2 |
| Failed to provide a means for residents to request assistance for health and safety needs 24 hours per day, seven days per week. | Level 2 |
| Assisted living contract required residents to pay for meals even if they refused them. | Level 1 |
| Failed to ensure infection control standards during medication administration when spilled medications were given to resident without replacement or error reporting. | Level 2 |
| Failed to comply with Minnesota State Fire Code including improper storage of smoking materials and lack of fire sprinkler system maintenance documentation. | Level 2 |
| Failed to provide or maintain fire extinguishers with required rating and proper mounting and signage. | Level 2 |
| Failed to develop fire safety and evacuation plan with required content and failed to provide required training and drills. | Level 2 |
| Failed to provide required written notice for emergency relocation of a resident and failed to notify Ombudsman when resident did not return within four days. | Level 2 |
| Failed to revise service plans to reflect current oxygen management services for two residents. | Level 2 |
| Failed to develop and maintain individualized treatment and therapy management records with all required content for two residents receiving oxygen therapy. | Level 2 |
| Failed to specify in writing specific instructions for unlicensed personnel regarding oxygen management for two residents. | Level 2 |
| Failed to document administration of oxygen treatment or reasons for non-administration for two residents. | Level 2 |
| Failed to ensure safe storage of oxygen cylinders; five oxygen cylinders were stored unsecured in a hallway. | Level 2 |
Report Facts
Residents present: 10
Licensed capacity: 10
Correction order time period: 7
Correction order time period: 21
Correction order time period: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Named in letter as contact for the survey |
| Amy DeLap | Certified Food Protection Manager | Named in food establishment inspection report |
| Dave Kaufman | Environmental Health Specialist | Signed food establishment inspection report |
| LALD-A | Licensed Assisted Living Director | Interviewed and provided information during survey |
| CNS-B | Clinical Nurse Supervisor | Interviewed and provided information during survey |
| ULP-C | Unlicensed Personnel | Observed providing medication and oxygen management |
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