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Inspection Reports for Mina Safe House LLC

3008 Quarles Road, Brooklyn Center, MN 55429, MN, 55429

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Inspection Report Summary

The most recent inspection on June 17, 2025, found the facility to be in substantial compliance, resulting in removal of provisional license conditions and granting of the assisted living facility license, although prior inspections identified multiple deficiencies. Earlier reports noted issues with food service practices, individual abuse prevention planning, emergency preparedness, fire safety and evacuation plans, resident assessments, and treatment management documentation. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not mentioned in the reports. The facility showed improvement by addressing earlier deficiencies to meet licensing requirements at the time of the latest follow-up survey.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

79% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025
High (Actual Harm)
State average

Inspection Report

Follow-Up
Census: 3 Capacity: 10 Deficiencies: 7 Date: Jun 17, 2025
Visit Reason
Follow-up survey conducted to determine correction of orders found on the survey completed April 23, 2025, related to provisional conditional license compliance.
Findings
The follow-up survey found the facility to be in substantial compliance, resulting in removal of provisional license conditions and granting of the assisted living facility license. The prior survey identified multiple deficiencies including food service violations, individual abuse prevention plan deficiencies, emergency preparedness plan gaps, fire safety and evacuation plan issues, resident assessment delays, and incomplete treatment management plans.
Deficiencies (7)
Failed to ensure food was prepared and served according to the Minnesota Food Code, including sanitizing dishes properly and posting original certified food protection manager certificate.
Failed to develop an individual abuse prevention plan including assessment of resident's risk of abusing others and measures to minimize abuse.
Failed to maintain a written emergency preparedness plan with all required content including subsistence needs, tracking procedures, information sharing, and family notifications.
Failed to comply with State Fire Code by not having an egress ladder in a lower-level bedroom egress window well deeper than 44 inches.
Failed to develop a fire safety and evacuation plan with required content and provide required training to staff and residents.
Failed to conduct ongoing resident assessment and reassessment within 90 days for one resident.
Failed to develop a treatment management plan including written instructions and delegation for oxygen therapy for one resident.
Report Facts
Residents present: 3 Total licensed capacity: 10 Days late for resident reassessment: 9 Depth of egress window well: 47 Oxygen saturation range: 92-99 Oxygen flow rate: 3
Employees mentioned
NameTitleContext
Rick MichalsExecutive Regional Operations ManagerSigned licensing and enforcement letters
Hamse MohmedOperatorSigned food and beverage establishment inspection report
Holly SieversPublic Health Sanitarian 2Conducted food and beverage establishment inspection
Abdukadir M. NorCertified Food Protection ManagerCertified food protection manager for the facility
Tim HannaContact person for reconsideration requests
CNS-AClinical Nurse SupervisorProvided statements regarding individual abuse prevention plan and treatment management
ULP-DUnlicensed PersonnelProvided information on fire safety and evacuation plan and training

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