Inspection Reports for Mercy Caregivers Of Minnesota
2942 Oliver Avenue North, Minneapolis, MN 55411, MN, 55411
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Inspection Report
Routine
Census: 2
Deficiencies: 13
Sep 12, 2024
Visit Reason
The Minnesota Department of Health conducted a full survey of Mercy Caregivers of Minnesota on September 12, 2024, to evaluate and assess compliance with state licensing statutes for assisted living facilities.
Findings
The survey identified multiple deficiencies including failure to ensure food was prepared according to Minnesota Food Code, incomplete tuberculosis prevention and control program, fire safety code violations, contract issues limiting resident rights, inadequate supervision of delegated nursing tasks, incomplete annual and dementia-related staff training, incomplete service plans, lack of annual medication management reassessment, improper medication storage monitoring, failure to dispose of expired medications, and house rules limiting resident rights.
Severity Breakdown
Level 1: 1
Level 2: 11
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to Minnesota Food Code. | Level 2 |
| Failed to maintain a tuberculosis prevention and control program including incomplete TB testing, training, and health history screening for employees. | Level 2 |
| Failed to comply with Minnesota Fire Code due to unapproved locks on basement door. | Level 2 |
| Assisted living contract included language waiving facility liability for resident health, safety, or personal property. | Level 1 |
| Failed to ensure registered nurse conducted direct supervision of staff performing delegated tasks within 30 days of hire. | Level 2 |
| Failed to ensure all direct care staff completed required annual training including maltreatment reporting, infection control, dementia care, and provider policies. | Level 2 |
| Failed to provide required dementia care training to direct care staff and supervisors within required timeframes. | Level 2 |
| Failed to execute signed service plans that accurately reflected services provided to residents. | Level 2 |
| Failed to monitor and reassess resident medication management services at least annually. | Level 2 |
| Failed to be aware of over-the-counter medications in possession of resident. | Level 2 |
| Failed to monitor medication refrigerator temperature and maintain temperature logs. | Level 2 |
| Failed to dispose of expired medications remaining with the facility upon resident discharge. | Level 2 |
| Established house rules that limited resident rights including guest visitation, use of common areas, and privacy. | Level 2 |
Report Facts
Residents present: 2
Deficiency count: 12
TB testing overdue employees: 5
Days late for supervision documentation: 21
Temperature violation compliance date: 7
Fire code correction period: 7
Plan of correction period: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| O/LALD-C | Owner / Licensed Assisted Living Director | Named in findings related to TB program deficiencies, annual training, service plan inaccuracies, dementia training, and contract issues |
| CNS-A | Clinical Nurse Supervisor | Named in findings related to TB program deficiencies, medication management, and service plan inaccuracies |
| ULP-B | Unlicensed Personnel | Named in findings related to lack of supervision documentation, incomplete training, and medication administration |
| ULP-D | Unlicensed Personnel | Named in findings related to lack of supervision documentation, incomplete training, and medication administration |
| ULP-E | Unlicensed Personnel | Named in findings related to lack of supervision documentation, incomplete training, and medication administration |
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