Inspection Reports for Noah Home Care Inc
13521 Nicollet Lane, Burnsville, MN 55337, MN, 55337
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Inspection Report
Follow-Up
Census: 2
Deficiencies: 8
Apr 24, 2024
Visit Reason
The Minnesota Department of Health conducted a follow-up survey on April 24, 2024, to determine if orders from the January 17, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with all previously cited deficiencies.
Severity Breakdown
Level 2: 7
Level 3: 1
Deficiencies (8)
| Description | Severity |
|---|---|
| Failed to provide interconnected smoke alarms so actuation of one alarm causes all alarms to operate. | Level 2 |
| Failed to develop and maintain a complete fire safety and evacuation plan including employee actions and resident evacuation procedures. | Level 2 |
| Failed to provide a properly sized egress window for emergency escape for one resident. | Level 3 |
| Failed to conduct an initial nursing assessment by a registered nurse prior to initiation of services for one resident. | Level 2 |
| Failed to complete resident reassessment within 14 days of admission and every 90 days thereafter for one resident. | Level 2 |
| Failed to ensure delegation of medication administration was properly followed and documented for one resident. | Level 2 |
| Failed to document medication administration properly including accurate recording of PRN nicotine gum given. | Level 2 |
| Failed to document disposition of medications including prescription numbers for one discharged resident. | Level 2 |
Report Facts
Residents present: 2
Residents present: 2
Egress window opening size: 465
Egress window minimum size: 648
Days late for 14-day assessment: 1
Days between 90-day assessments: 93
Fine amount: 3000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bob Dehler | Engineering Manager | Signed follow-up survey letter dated May 14, 2024 |
| Jodi Johnson | Supervisor, State Evaluation Team | Signed initial survey letter dated February 6, 2024 |
| LALD/RN-A | Licensed Assisted Living Director / Registered Nurse | Named in findings related to resident assessments and medication delegation |
| O/HM-B | Owner / House Manager | Named in findings related to fire safety and egress window |
| ULP-C | Unlicensed Personnel | Named in medication administration observation |
| Barkuni Abu | Certified Food Protection Manager | Signed food and beverage establishment inspection report dated January 17, 2024 |
| Andrew Spaulding | Public Health Sanitarian 2 | Signed food and beverage establishment inspection report dated January 17, 2024 |
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