Inspection Reports for Loon Home Health Care LLC
8651 Queen Avenue, South Bloomington, MN 55431, MN, 55431
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Inspection Report
Follow-Up
Census: 5
Capacity: 5
Deficiencies: 18
Jan 22, 2025
Visit Reason
Follow-up survey to determine correction of orders found on the survey completed September 11, 2024.
Findings
The follow-up survey found the facility to be in substantial compliance, but some state correction orders from the initial survey were not corrected. A $500 fine was assessed for prescription drug violations. The facility had deficiencies related to staffing plans, food service compliance, emergency preparedness, fire safety plans and training, physical environment hazards, resident assessments, service plans, medication management, medication documentation, and assisted living bill of rights.
Severity Breakdown
Level 1: 1
Level 2: 15
Level 3: 1
Deficiencies (18)
| Description | Severity |
|---|---|
| Failed to have a daily work schedule posted and failed to develop and implement a written staffing plan with evaluation by a registered nurse at least twice a year. | Level 2 |
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to post 911 emergency number in common areas and near telephones. | Level 2 |
| Failed to maintain a written emergency preparedness plan with all required content. | Level 2 |
| Failed to maintain the physical environment in a continuous state of good repair and operation; smoking area hazards, extension cords, water leak stains, loose floor-mounted guards. | Level 2 |
| Failed to develop and maintain fire safety and evacuation plans with required content, training, and drills. | Level 2 |
| Failed to provide resident bedrooms with minimum window opening meeting state standard for egress. | Level 3 |
| Failed to provide written notice with required content for emergency relocation for one resident. | Level 2 |
| Failed to ensure unlicensed personnel completed training and competency evaluations in all required topics. | Level 2 |
| Failed to ensure unlicensed personnel received orientation including overview of statutes and types of assisted living services. | Level 2 |
| Failed to ensure registered nurse completed comprehensive assessments within required timeframes for residents and ongoing reassessments every 90 days. | Level 2 |
| Failed to ensure one resident had a service plan signed by resident or representative and facility. | Level 2 |
| Failed to ensure service plans included all required content including fees for services for two residents. | Level 2 |
| Failed to ensure registered nurse conducted face-to-face medication management reassessment including review of all medications for three residents. | Level 2 |
| Failed to ensure medications were administered as ordered and documented as administered or refused for three residents. | Level 2 |
| Failed to ensure current written or electronically recorded prescriptions for all prescribed medications for one resident. | Level 2 |
| Failed to ensure medications were stored at correct temperature, time sensitive medications labeled with open/expire dates, and over the counter medications labeled with resident's name. | Level 2 |
| Failed to provide all residents with the Minnesota Assisted Living Bill of Rights prior to initiation of services. | Level 1 |
Report Facts
Residents present: 5
Licensed capacity: 5
Fine amount: 500
Temperature: 30
Temperature: 81
Window opening: 10
Window opening: 20
Days: 16
Days: 128
Days: 101
Days: 91
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rick Michals | Executive Regional Operations Manager | Signed licensing and enforcement letters |
| Jodi Johnson | Contact person for questions regarding licensing | |
| Lencho H. Hassen | Certified Food Protection Manager | Named in Food and Beverage Establishment Inspection Report |
| Michael DeMars | Public Health Sanitarian III | Signed Food and Beverage Establishment Inspection Report |
| ALDIR-A | Assisted Living Director in Residency | Named in multiple findings related to staffing, medication, fire safety, and compliance |
| CNS-B | Clinical Nurse Supervisor | Named in findings related to medication management and assessments |
| ULP-C | Unlicensed Personnel | Named in findings related to training and orientation deficiencies |
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