Inspection Reports for Oak Hill Assisted Living
1971 NE 1st Ave, Grand Rapids, MN 55744, United States, MN, 55744
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Inspection Report
Routine
Census: 20
Deficiencies: 20
Aug 9, 2023
Visit Reason
The Minnesota Department of Health conducted a survey to evaluate and assess compliance with state licensing statutes for Oak Hill Assisted Living.
Findings
The survey identified multiple deficiencies including failure to provide 24/7 RN access, improper food preparation per Minnesota Food Code, inadequate infection control practices, incomplete employee records and training, privacy breaches with open computer screens, fire safety code violations, incomplete resident assessments and service plans, medication administration and storage issues, and improper documentation of treatments and medication administration.
Severity Breakdown
Level 2: 19
Deficiencies (20)
| Description | Severity |
|---|---|
| Failed to provide staff access to an on-call registered nurse 24 hours per day, seven days per week. | Level 2 |
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to ensure reusable equipment was cleaned in-between resident use. | Level 2 |
| Employee records lacked required content including orientation, training, and competency documentation. | Level 2 |
| Failed to ensure resident's personal health and medical information was kept private; computer screens with resident information were left open and unattended. | Level 2 |
| Failed to provide interconnected smoke alarms throughout the facility as required by State Fire Code. | Level 2 |
| Failed to maintain fire safety and evacuation plans with required elements including resident room identification and fire protection procedures. | Level 2 |
| Failed to ensure registered nurse provided written instructions for delegated tasks for residents using specialized equipment and treatments. | Level 2 |
| Failed to ensure employee received required dementia care training within required time frames. | Level 2 |
| Failed to complete comprehensive resident reassessment within required time frame after hospital discharge. | Level 2 |
| Failed to revise resident service plans to include all provided services and frequencies. | Level 2 |
| Failed to prepare written specific instructions for medication administration and failed to follow medication administration procedures including cleaning insulin pens prior to use. | Level 2 |
| Failed to document administration of PRN medication and timely medication documentation. | Level 2 |
| Failed to maintain medication refrigerator temperatures within manufacturer recommended range and failed to secure medication cart in one building. | Level 2 |
| Failed to maintain original prescription labels with legible expiration dates on opened medications and supplies in medication carts. | Level 2 |
| Failed to ensure prescription medication supply for one resident was not used by another resident. | Level 2 |
| Failed to include required content in service plans including monitoring methods and frequencies. | Level 2 |
| Failed to develop and maintain individualized treatment or therapy management record with required content. | Level 2 |
| Failed to prepare written specific instructions for treatments and therapies delegated to unlicensed personnel. | Level 2 |
| Failed to document treatments or therapies administered as prescribed. | Level 2 |
Report Facts
Residents present: 20
Fine amount: 500
Medication refrigerator temperature: 38.8
Medication refrigerator temperature out of range: 5
Medication refrigerator temperature low: 33.4
Annual training hours: 4
Annual training hours: 6.5
Dementia training hours: 0.5
Dementia training hours: 0.5
Dementia training hours: 1
Brace management documentation: 7
Brace management documentation: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Signed inspection letter and contact for reconsideration |
| Kyle Hedlund | Manager | Signed food establishment inspection report |
| Ryan Trenberth | SAN III | Signed food establishment inspection report |
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