Inspection Reports for Mission Group Home LLC
6730 Ewing Avenue North, Brooklyn Center, MN 55429, MN, 55429
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Inspection Report
Follow-Up
Census: 2
Deficiencies: 5
May 8, 2024
Visit Reason
Follow-up survey conducted to determine if orders from the February 2, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Severity Breakdown
Level 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Licensee's written staffing plan failed to include an evaluation completed by a registered nurse at least twice a year. | Level 2 |
| Employee record for one unlicensed personnel lacked documentation of competency evaluation. | Level 2 |
| Failed to establish and maintain a tuberculosis prevention program including baseline testing for one employee. | Level 2 |
| Failed to provide properly sized egress windows for resident rooms; windows measured less than required 648 square inches. | Level 2 |
| Failed to ensure a registered nurse completed a comprehensive reassessment including all required content per Minnesota Administrative Rule 4659.0150 for one resident. | Level 2 |
Report Facts
Residents present during follow-up survey: 2
Residents present during initial survey: 3
Egress window openable area: 551
Egress window openable area: 558.25
TB blood test timing: 90
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ULP-B | Unlicensed Personnel | Named in findings for missing competency evaluation and incomplete tuberculosis baseline testing |
| LALD-D | Licensed Assisted Living Director | Interviewed regarding staffing plan and egress window deficiencies |
| CNS-C | Clinical Nurse Supervisor | Interviewed regarding staffing plan and competency evaluation documentation |
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