Inspection Reports for Millennium Homes LLC
9307 59th Avenue, North New Hope, MN 55428, MN, 55428
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Inspection Report
Follow-Up
Census: 4
Deficiencies: 11
May 30, 2024
Visit Reason
The Minnesota Department of Health conducted a follow-up survey to determine if orders from the April 25, 2024 survey were corrected.
Findings
The follow-up survey verified that Millennium Homes LLC was found to be in substantial compliance with state regulations. The original survey identified multiple deficiencies including licensure category issues, tuberculosis prevention program gaps, fire protection and physical environment concerns, background study affiliation, staff competency training, dementia care training, resident reassessment, and service plan finalization.
Severity Breakdown
Level 2: 10
Level 3: 1
Deficiencies (11)
| Description | Severity |
|---|---|
| Failed to ensure an assisted living with dementia care license was in place to meet compliance with having a secured unit. | Level 2 |
| Failed to establish and maintain a tuberculosis prevention program including baseline TB testing for one employee. | Level 2 |
| Failed to install and maintain portable fire extinguishers as required by statute, including lack of annual and monthly inspection tags and one extinguisher not properly mounted. | Level 2 |
| Failed to provide the physical environment in a continuous state of good repair and operation, including locked front door with flip-style lock, exit door leading to garage, water leak and stain near smoke alarm. | Level 2 |
| Failed to conduct employee evacuation drills at required frequency of twice per year per shift with at least one drill every other month. | Level 2 |
| Failed to provide a resident bedroom with minimum window opening meeting state standard for egress (bedroom window width 18.5 inches, minimum required 20 inches). | Level 3 |
| Failed to ensure background study was affiliated with the assisted living license for two employees. | Level 2 |
| Failed to ensure required competency testing was completed for two employees including infection control, personal hygiene, medication reminders, communication skills, and other required elements. | Level 2 |
| Failed to ensure required dementia care training hours were completed for one employee (only 1.25 hours completed, 8 hours required). | Level 2 |
| Failed to ensure registered nurse conducted ongoing resident monitoring and reassessment within 90 days for one resident (96 days between assessments). | Level 2 |
| Failed to finalize a current written service plan within 14 days after services first provided and failed to obtain resident or representative signature on revised service plan for one resident. | Level 2 |
Report Facts
Residents present: 4
Egress window width: 18.5
Egress window height: 36
Egress window clear openable area: 666
Days between resident assessments: 96
Dementia care training hours completed: 1.25
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| M-A | Manager | Named in findings related to tuberculosis testing, background study, competency training, dementia care training, and service plan compliance |
| ULP-E | Unlicensed Personnel | Named in findings related to background study |
| ULP-D | Unlicensed Personnel | Named in findings related to competency training |
| LALD-B | Licensed Assisted Living Director | Interviewed regarding tuberculosis testing, background study, competency training, fire extinguisher maintenance, evacuation drills, and service plan compliance |
| CNS-C | Clinical Nurse Supervisor | Responsible for tuberculosis records and competency training |
| O-F | Owner | Interviewed regarding license change, dementia care training, and employee background studies |
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