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Inspection Reports for Nervana’s Caring Hands Inc

2508 River Hills Drive, Burnsville, MN 55337, MN, 55337

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Inspection Report Summary

The most recent inspection on May 8, 2024, found deficiencies related to staffing, safety plans, medication management, and physical environment issues. Earlier inspections identified similar concerns, and this follow-up survey confirmed that the facility had not fully corrected previous orders. Inspectors cited problems with the absence of a licensed assisted living director on record, incomplete staffing and quality management plans, inadequate abuse prevention and fire evacuation plans, and medication storage issues including expired drugs. There were no complaint investigations or enforcement actions listed in the available reports. The pattern of deficiencies suggests ongoing challenges in administrative oversight and safety compliance.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 10 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

156% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

12 9 6 3 0
2024
Severe (Immediate Jeopardy) High (Actual Harm) Moderate (Potential Harm)
State average

Inspection Report

Follow-Up
Census: 5 Capacity: 5 Deficiencies: 10 Date: 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.
Deficiencies (10)
Failed to ensure licensed assisted living director was listed as Director of Record.
Failed to develop and implement a staffing plan including biannual evaluation of staffing levels.
Failed to implement and maintain a quality management program appropriate to facility size and services.
Failed to develop an individual abuse prevention plan with required content for one resident.
Failed to maintain physical environment in continuous good repair; emergency exit door led into garage.
Failed to develop a fire safety and evacuation plan with required elements including employee actions and resident evacuation procedures.
Failed to provide properly sized egress windows in resident rooms; some windows smaller than required 648 sq. inches.
Resident contract included waiver of facility liability for health, safety, or personal property.
Individualized medication management plans lacked required content for two residents, including unclear PRN medication directions.
Stored medications were expired including house stock acetaminophen and resident's ointment.
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
NameTitleContext
LALD/CNS-ALicensed Assisted Living Director/Clinical Nurse SupervisorNamed in findings related to director of record, staffing plan, quality management, abuse prevention plan, medication management, and expired medications
LALD-BLicensed Assisted Living DirectorNamed in findings related to expired medications and medication management
ULP-DUnlicensed PersonnelObserved administering medications to residents

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