Inspection Reports for Maplewood Homes Of Faribault
428 Northwest 5Th Street, Faribault, MN 55021, MN, 55021
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
17 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
336% worse than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Follow-Up
Census: 8
Capacity: 10
Deficiencies: 17
Date: Oct 1, 2024
Visit Reason
Follow-up survey to determine if orders from the April 4, 2024 survey and the July 16, 2024 follow-up survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Deficiencies (17)
Failed to develop and implement a staffing plan for determining staffing levels that ensures sufficient staffing at all times to meet residents' needs and emergencies.
Food was not prepared and served according to the Minnesota Food Code; menu lacked inclusion of breakfast, lunch, and snacks.
Failed to maintain a comprehensive tuberculosis infection control program including documentation of completed health history and symptom screen for employees.
Failed to have a written emergency preparedness plan with all required content including hazard assessment, training, and exercises.
Failed to provide interconnected smoke alarms so that actuation of one alarm causes all alarms to sound.
Failed to maintain physical environment in good repair; resident bedroom obstructed egress window and contained electrical hazards; fire alarm system lacked required annual inspection.
Resident bedrooms did not have windows meeting minimum egress size requirements.
Failed to include required content related to medical assistance waivers and housing support program in resident contract.
Failed to offer resident the opportunity to identify a designated representative with required statutory language in contract.
Failed to provide required training and competency evaluations for unlicensed personnel including infection control, personal hygiene, fall prevention, communication skills, and emergency procedures.
Failed to provide required orientation to new unlicensed personnel including consumer advocacy and person-centered planning.
Failed to provide required annual training including maltreatment reporting, infection control, and person-centered planning.
Resident service plan lacked required content including schedule and methods of monitoring staff and contingency plans.
Failed to conduct face-to-face medication management assessment including review of all medications and interventions to prevent diversion.
Unlicensed personnel failed to prime insulin pens prior to administration as required.
Medications were not maintained in original containers with legible prescription labels and date opened for time-dated drugs.
Treatment or therapy management plan lacked required content including procedures for notifying nurse when problems arise.
Report Facts
Residents present: 8
Total licensed capacity: 10
Fine amount: 3000
Insulin dosage: 65
Insulin pen open area: 475
Insulin pen open area: 462.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Casey DeVries | Supervisor | Named as contact for follow-up survey and correction orders |
| Jodi Johnson | Supervisor | Named as contact for initial licensing survey and correction orders |
| Margaret Leigh Clendenin | Certified Food Protection Manager | Signed food establishment inspection report |
| Isaiah Armendariz | Environmental Health Specialist | Signed food establishment inspection report |
| ULP-C | Unlicensed Personnel | Named in medication administration and training deficiencies |
| ULP-D | Unlicensed Personnel | Named in training and orientation deficiencies |
| LALD-A | Licensed Assisted Living Director | Named in multiple findings including staffing plan, TB screening, emergency preparedness, fire safety, and contract deficiencies |
| MS-E | Maintenance Supervisor | Named in physical environment and fire safety deficiencies |
| MP-F | Maintenance Personnel | Named in physical environment and fire safety deficiencies |
| CNS-B | Clinical Nurse Supervisor | Named in medication management and training deficiencies |
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