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Inspection Reports for Parker Oaks Senior Living

211 6th St NW, Winnebago, MN 56098, United States, MN, 56098

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Inspection Report Summary

The most recent inspection on April 30, 2025, identified multiple deficiencies related to food service, infection control, abuse prevention plans, fire safety, medication administration, and treatment plan documentation. Earlier inspections were not provided for comparison, so it is unclear if these issues represent a new or ongoing pattern. Inspectors cited lapses in infection control during insulin administration, incomplete abuse prevention interventions, and fire safety code violations including missing carbon monoxide detectors and outdated extinguisher testing as main themes. No complaint investigations or enforcement actions such as fines or license suspensions were listed in the available reports. Without prior inspection data, no clear trend of improvement or decline can be determined at this time.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

79% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2025
High (Actual Harm)
State average

Inspection Report

Annual Inspection
Census: 32 Deficiencies: 7 Date: 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individual abuse prevention plans, fire safety code violations including missing carbon monoxide detectors and outdated fire extinguisher inspections, medication administration errors, and incomplete treatment or therapy management plans.
Deficiencies (7)
Food was not prepared and served according to the Minnesota Food Code, resulting in a level two violation.
Failed to establish and maintain an infection control program consistent with accepted standards during insulin administration by unlicensed personnel.
Individual abuse prevention plans for residents R2, R3, and R5 lacked specific interventions for identified vulnerabilities.
Failed to comply with Minnesota Fire Code by missing carbon monoxide detectors in furnace and mechanical rooms.
Portable fire extinguishers were not maintained with annual testing current, last tested August 2023.
Medication administration error: polyethylene glycol 3350 was not measured accurately as prescribed for resident R5.
Treatment or therapy management plan for resident R2 lacked procedures for notifying a registered nurse when problems arise.
Report Facts
Residents present: 32 Fine amount: 500 Medication dosage: 17 Fire extinguisher last tested: 2023
Employees mentioned
NameTitleContext
Jodi JohnsonSupervisor, State Evaluation TeamContact person for the inspection report
Nicole K SchwarzCertified Food Protection ManagerNamed on Food & Beverage Inspection Report
McKenna MathewsPublic Health Sanitarian 2Conducted Food & Beverage Inspection
ULP-CUnlicensed PersonnelObserved administering insulin without gloves
ULP-DUnlicensed PersonnelObserved inaccurately measuring medication for resident R5
LPN/LALD-ALicensed Practical Nurse/Licensed Assisted Living DirectorInterviewed regarding treatment management services
CNS-BClinical Nurse SupervisorInterviewed regarding infection control and treatment management
MS-EMaintenance SupervisorInterviewed regarding fire safety deficiencies
M-FMaintenanceInterviewed regarding fire safety deficiencies

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