Inspection Reports for Loyalty Home Health Care LLC
1712 84Th Ct N., Brooklyn Park, MN 55444, MN, 55444
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Inspection Report
Annual Inspection
Census: 3
Capacity: 4
Deficiencies: 7
Jul 31, 2024
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for Loyalty Home Health Care LLC, a provisional Assisted Living Facility licensee.
Findings
The licensee was found in substantial compliance but had several deficiencies including prohibited waiver of liability language in contracts, failure to provide required emergency relocation notices, incomplete training for unlicensed personnel, medication management issues, and restrictions on resident rights through house rules.
Severity Breakdown
Level 1: 1
Level 2: 6
Deficiencies (7)
| Description | Severity |
|---|---|
| Assisted living contracts included prohibited waiver of liability language for resident health, safety, or personal property for three residents. | Level 1 |
| Failure to provide written notice of emergency relocation and notify Ombudsman for a resident hospitalized longer than four days. | Level 2 |
| Unlicensed personnel (ULP-C) lacked required training on standby assistance techniques and safe transfer techniques. | Level 2 |
| Unlicensed personnel (ULP-B and ULP-C) were not trained or demonstrated competency to prepare and give medications for residents during unplanned time away. | Level 2 |
| Medications for one resident (R2) were not maintained in original containers with prescription labels. | Level 2 |
| Failure to document disposition of medications upon discharge for one resident (R1). | Level 2 |
| Residents were required to sign and follow House Rules that restricted individual autonomy and choices for three residents (R2, R3, R4). | Level 2 |
Report Facts
Residents present: 3
Total licensed capacity: 4
Correction order timeframes: 21
Correction order timeframes: 21
Correction order timeframes: 7
Correction order timeframes: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Signed cover letter and contact for survey questions |
| Charles Agu | Licensed Assisted Living Director (LALD) | Named in food service inspection and interview regarding deficiencies |
| Melissa Ramos | Environmental Health Specialist | Signed food service inspection report |
| LALD/CNS-A | Licensed Assisted Living Director/Clinical Nurse Supervisor | Interviewed regarding contract language, emergency relocation notices, unlicensed personnel training, medication management, and resident rights |
| ULP-B | Unlicensed Personnel | Observed administering medications; lacked required training and competency documentation |
| ULP-C | Unlicensed Personnel | Observed administering medications; lacked required training and competency documentation |
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