Inspection Reports for Minnetonka Care Residence
421 Spring Valley Drive, Bloomington, MN 55420, MN, 55420
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Inspection Report
Follow-Up
Census: 4
Capacity: 10
Deficiencies: 8
Sep 2, 2025
Visit Reason
Follow-up survey to determine correction of orders from the survey completed on March 20, 2025.
Findings
The follow-up survey verified that the facility is in substantial compliance. However, previous surveys found deficiencies related to fire protection, infection control, food services, staff supervision, medication management, and contract language.
Severity Breakdown
Level 1: 1
Level 2: 6
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to establish and maintain an effective infection control program; staff failed to clean blood pressure equipment after use. | Level 2 |
| Failed to provide emergency escape and rescue openings (egress windows) in compliance with Minnesota State Fire Code. | Level 2 |
| Failed to provide smoke alarms inside all levels of the facility and interconnect them so that actuation of one alarm causes all alarms to sound. | Level 2 |
| Failed to develop fire safety and evacuation plan with required content and provide required training and drills. | Level 2 |
| Assisted living contract included language waiving licensee's liability for health, safety, or personal property of residents. | Level 1 |
| Failed to ensure registered nurse supervised unlicensed personnel within 30 calendar days of beginning delegated tasks. | Level 2 |
| Failed to ensure medications were maintained including the opened date for time sensitive medication storage. | Level 2 |
Report Facts
Residents present: 4
Licensed capacity: 10
Fines assessed: 4000
Violation counts: 3
Window clear opening area: 577.2
Window dimensions: 15.6
Window dimensions: 37
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tim Hanna | Supervisor, State Engineering Services Section | Contact person for follow-up survey letters dated July 24, 2025 and September 23, 2025 |
| Renee Anderson | Supervisor, State Evaluation Team | Contact person for April 17, 2025 survey and fine letter |
| CNS-B | Clinical Nurse Supervisor | Provided infection control and medication administration supervision information during survey |
| LALD-C | Licensed Assisted Living Director | Provided information and verified fire safety and evacuation plan deficiencies during survey |
| ULP-A | Unlicensed Personnel | Observed performing medication administration and blood pressure monitoring without proper infection control |
| ULP-D | Unlicensed Personnel | Lacked documentation of RN supervision within 30 days of delegated tasks |
| Roseline Nyamweya | Certified Food Protection Manager | Named on food establishment inspection report |
| Andrew Spaulding | Public Health Sanitarian 2 | Signed food establishment inspection report |
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