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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| ULP-C | Unlicensed Personnel | Named in training and competency evaluation deficiency and medication administration observation |
| CNS-A | Clinical Nurse Supervisor | Interviewed and verified multiple deficiencies including emergency preparedness plan, fire safety, and medication order renewal |
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