Inspection Reports for Parker Oaks Senior Living
211 6th St NW, Winnebago, MN 56098, United States, MN, 56098
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Inspection Report
Annual Inspection
Census: 32
Deficiencies: 7
Apr 30, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for Parker Oaks Senior Living.
Findings
The survey identified multiple deficiencies including food service violations per Minnesota Food Code, infection control lapses during insulin administration, incomplete individual abuse prevention plans, fire safety code violations including missing carbon monoxide detectors and outdated fire extinguisher inspections, medication administration errors, and incomplete treatment or therapy management plans.
Severity Breakdown
Level 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Food was not prepared and served according to the Minnesota Food Code, resulting in a level two violation. | Level 2 |
| Failed to establish and maintain an infection control program consistent with accepted standards during insulin administration by unlicensed personnel. | Level 2 |
| Individual abuse prevention plans for residents R2, R3, and R5 lacked specific interventions for identified vulnerabilities. | Level 2 |
| Failed to comply with Minnesota Fire Code by missing carbon monoxide detectors in furnace and mechanical rooms. | Level 2 |
| Portable fire extinguishers were not maintained with annual testing current, last tested August 2023. | Level 2 |
| Medication administration error: polyethylene glycol 3350 was not measured accurately as prescribed for resident R5. | Level 2 |
| Treatment or therapy management plan for resident R2 lacked procedures for notifying a registered nurse when problems arise. | Level 2 |
Report Facts
Residents present: 32
Fine amount: 500
Medication dosage: 17
Fire extinguisher last tested: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Johnson | Supervisor, State Evaluation Team | Contact person for the inspection report |
| Nicole K Schwarz | Certified Food Protection Manager | Named on Food & Beverage Inspection Report |
| McKenna Mathews | Public Health Sanitarian 2 | Conducted Food & Beverage Inspection |
| ULP-C | Unlicensed Personnel | Observed administering insulin without gloves |
| ULP-D | Unlicensed Personnel | Observed inaccurately measuring medication for resident R5 |
| LPN/LALD-A | Licensed Practical Nurse/Licensed Assisted Living Director | Interviewed regarding treatment management services |
| CNS-B | Clinical Nurse Supervisor | Interviewed regarding infection control and treatment management |
| MS-E | Maintenance Supervisor | Interviewed regarding fire safety deficiencies |
| M-F | Maintenance | Interviewed regarding fire safety deficiencies |
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