Inspection Reports for
Loving Care Cottage

7740 Hadley Ave S, Cottage Grove, MN 55016, United States, MN, 55016

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Deficiencies (last 1 years)

Deficiencies (over 1 years) 31 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

695% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

32 24 16 8 0
2025

Inspection Report

Follow-Up
Census: 6 Capacity: 6 Deficiencies: 31 Date: May 6, 2025

Visit Reason
Follow-up survey to determine correction of orders found on the survey completed on December 19, 2024.

Findings
The facility was found not to have corrected all state correction orders from the prior survey. Deficiencies included failure to obtain dementia care license while providing dementia care services with secured door lock, insufficient documentation of correction actions, lack of individual abuse prevention plans, incomplete employee records, inadequate tuberculosis prevention program, incomplete emergency preparedness plan, incomplete resident records and service documentation, incomplete fire safety compliance, insufficient dementia care training, incomplete resident assessments and service plans, and unsafe medication management practices.

Deficiencies (31)
Failed to obtain an assisted living facility with dementia care license when providing dementia care services and secured door lock.
Failed to provide sufficient documentation with actions taken to comply with correction orders from prior survey.
Failed to develop and implement individual abuse prevention plans with required content for residents.
Failed to maintain current employee records with required content for two employees.
Failed to establish and maintain a tuberculosis infection control program consistent with CDC guidelines including baseline testing and training for volunteer and employees.
Failed to have a written emergency preparedness plan with all required content including training and testing.
Failed to ensure resident records included documentation that services were provided as identified in the service plan.
Failed to comply with Minnesota Food Code requirements including employee illness log, sanitizer test kits, and temperature indicators.
Failed to establish and maintain an effective infection control program including proper hand hygiene by staff.
Failed to post required grievance procedure and contact information for grievance handling and maltreatment reporting.
Failed to develop and implement individual abuse prevention plans with required content for residents.
Failed to maintain current employee records with required content for two employees.
Failed to establish and maintain a tuberculosis infection control program consistent with CDC guidelines including baseline testing and training for volunteer and employees.
Failed to have a written emergency preparedness plan with all required content including training and testing.
Failed to develop fire safety and evacuation plans with required content, provide required training and drills, and maintain fire extinguishers properly.
Failed to maintain fire extinguishers properly mounted and inspected.
Failed to maintain fire extinguishers properly mounted and inspected.
Failed to develop fire safety and evacuation plans with required content, provide required training and drills, and maintain fire extinguishers properly.
Failed to obtain cleared DHS background study for volunteer prior to providing services.
Failed to ensure training and competency evaluations were completed with all required content for two employees.
Failed to ensure registered nurse conducted direct supervision of staff performing delegated nursing or therapy tasks within 30 days of first providing those services for two employees.
Failed to ensure registered nurse conducted direct supervision of staff performing delegated nursing or therapy tasks within 30 days of first providing those services for two employees.
Failed to ensure required dementia care training was completed in the required time frame for two employees.
Failed to ensure registered nurse conducted ongoing resident monitoring and reassessment within required timeframes for two residents.
Failed to ensure service plan included required signatures and agreement by resident and facility for two residents.
Failed to ensure resident service plan included required content including staff identification, monitoring schedules, and contingency plans for three residents.
Failed to develop individualized medication management plan with required content for two residents.
Failed to document medication setup with required content for two residents.
Failed to store all prescription medications in securely locked and substantially constructed compartments according to manufacturer's directions for two residents.
Failed to provide care and services according to acceptable health care standards for four residents who utilized hospital style bed rails including lack of side rail assessments, measurements, and risk/benefit discussions.
Failed to provide means for residents to request assistance for health and safety needs 24/7 for two residents.
Report Facts
Residents present: 6 Total licensed capacity: 6 Fines assessed: 6500 Fines assessed: 3500 Fines assessed: 500 Fines assessed: 3000 Fines assessed: 3000 Fines assessed: 3000 Fines assessed: 500 Fines assessed: 500 Fines assessed: 500 Fines assessed: 500

Employees mentioned
NameTitleContext
LALD/CNS-ALicensed Assisted Living Director/Clinical Nurse SupervisorNamed in multiple findings including failure to maintain employee records, incomplete abuse prevention plans, incomplete tuberculosis screening, incomplete emergency preparedness, incomplete resident service documentation, incomplete dementia care training, incomplete resident assessments, incomplete medication management, and failure to supervise delegated nursing tasks.
ULP-CUnlicensed PersonnelNamed in findings related to failure to complete required training and competency evaluations, failure to perform proper hand hygiene, and medication administration.
ULP-DUnlicensed PersonnelNamed in findings related to failure to complete required training and competency evaluations, failure to perform proper hand hygiene, and medication administration.
V-FVolunteerNamed in findings related to lack of background study clearance and tuberculosis screening.

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