Inspection Reports for Mercy Care Home

5005 Woodland Road, Minnetonka, MN 55345, MN, 55345

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Inspection Report Follow-Up Census: 4 Deficiencies: 8 Sep 10, 2024
Visit Reason
Follow-up survey conducted to determine correction of orders found on the survey completed March 20, 2024.
Findings
The follow-up survey found the facility to be in substantial compliance. The conditional license was removed effective October 11, 2024.
Severity Breakdown
Level 2: 7 Level 3: 1
Deficiencies (8)
DescriptionSeverity
Fire Protection And Physical Environment - windows not replaced as previously cited, exit door locking issues, garage/assisted living separation door not fire rated.Level 2
Food must be prepared and served according to the Minnesota Food Code.Level 2
Disaster planning and emergency preparedness plan lacked required content.Level 2
Fire protection and physical environment - smoke alarms missing in sleeping rooms and not interconnected.Level 2
Fire protection and physical environment - physical environment not maintained in good repair including missing access panel, broken doors, exposed wiring, disconnected dryer vent, broken windows.Level 2
Fire protection and physical environment - emergency escape and rescue openings not compliant in resident rooms 1, 2, and 3.Level 3
Training and competency evaluations for unlicensed personnel lacked required content.Level 2
Renewal of prescriptions not done at least every 12 months for one resident.Level 2
Report Facts
Fine amount: 3000 Residents present: 4 Medication count: 11 Window opening measurements: 849
Employees Mentioned
NameTitleContext
ULP-CUnlicensed PersonnelNamed in training and competency evaluation deficiency and medication administration observation
CNS-AClinical Nurse SupervisorInterviewed and verified multiple deficiencies including emergency preparedness plan, fire safety, and medication order renewal

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