Inspection Report
Follow-Up
Census: 82
Deficiencies: 4
Sep 3, 2025
Visit Reason
The Minnesota Department of Health completed a follow-up survey to determine correction of orders from the survey completed on June 4, 2025.
Findings
The follow-up survey verified that the facility is in substantial compliance. The prior survey on June 4, 2025, identified multiple deficiencies including food service violations, lack of individual abuse prevention plans for some residents, failure to review missing resident policy quarterly, and inadequate care related to consumer bed rails for residents.
Severity Breakdown
Level 2: 3
Level 3: 1
Deficiencies (4)
| Description | Severity |
|---|---|
| Food was not prepared and served according to the Minnesota Food Code, including expired buttermilk found in coolers. | Level 2 |
| Failure to develop an individual abuse prevention plan for a resident who did not receive services but resided at the facility. | Level 2 |
| Failure to review the missing resident policy quarterly as required. | Level 2 |
| Failure to provide appropriate care and services related to consumer bed rails for three residents, including lack of assessments and documentation. | Level 3 |
Report Facts
Residents present: 82
Residents receiving dementia care: 69
Fine amount: 3000
Expired buttermilk bottles: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jessie Chenze | Supervisor, State Evaluation Team | Signed follow-up survey letter and correspondence |
| Ryan Crissinger | Certified Food Protection Manager | Head kitchen staff mentioned in food service inspection |
| Stephanie Reynolds | Public Health Sanitarian 2 | Conducted food and beverage inspection |
| CNS-B | Clinical Nurse Supervisor | Interviewed regarding bed rail assessments and abuse prevention plans |
| LALD-A | Licensed Assisted Living Director | Interviewed regarding missing resident policy and abuse prevention plans |
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