Inspection Reports for Nervana’s Caring Hands Inc
2508 River Hills Drive, Burnsville, MN 55337, MN, 55337
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Inspection Report
Follow-Up
Census: 5
Capacity: 5
Deficiencies: 10
May 8, 2024
Visit Reason
Follow-up survey conducted to determine if orders from the February 7, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Severity Breakdown
Level 1: 2
Level 2: 6
Level 3: 1
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to ensure licensed assisted living director was listed as Director of Record. | Level 1 |
| Failed to develop and implement a staffing plan including biannual evaluation of staffing levels. | Level 2 |
| Failed to implement and maintain a quality management program appropriate to facility size and services. | Level 2 |
| Failed to develop an individual abuse prevention plan with required content for one resident. | Level 2 |
| Failed to maintain physical environment in continuous good repair; emergency exit door led into garage. | Level 2 |
| Failed to develop a fire safety and evacuation plan with required elements including employee actions and resident evacuation procedures. | Level 2 |
| Failed to provide properly sized egress windows in resident rooms; some windows smaller than required 648 sq. inches. | Level 3 |
| Resident contract included waiver of facility liability for health, safety, or personal property. | Level 1 |
| Individualized medication management plans lacked required content for two residents, including unclear PRN medication directions. | Level 2 |
| Stored medications were expired including house stock acetaminophen and resident's ointment. | Level 2 |
Report Facts
Residents present: 5
Licensed capacity: 5
Egress window size: 1098
Egress window size: 689.75
Egress window size: 534.75
Expired acetaminophen: 500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| LALD/CNS-A | Licensed Assisted Living Director/Clinical Nurse Supervisor | Named in findings related to director of record, staffing plan, quality management, abuse prevention plan, medication management, and expired medications |
| LALD-B | Licensed Assisted Living Director | Named in findings related to expired medications and medication management |
| ULP-D | Unlicensed Personnel | Observed administering medications to residents |
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