Inspection Reports for Quality Living Care
925 Memorial Pkwy SW, Rochester, MN 55902, United States, MN, 55902
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Inspection Report
Original Licensing
Census: 3
Deficiencies: 6
May 31, 2024
Visit Reason
The Minnesota Department of Health conducted an initial survey to assess compliance with state licensing statutes for an assisted living facility.
Findings
The licensee was found to be in substantial compliance but had several deficiencies including failure to develop complete individual abuse prevention plans, incomplete fire safety and evacuation plans, lack of 30-day supervision of delegated staff, incomplete individualized medication management plans, lack of specific delegation instructions for medication administration, and missing up-to-date treatment orders.
Severity Breakdown
Level 2: 6
Deficiencies (6)
| Description | Severity |
|---|---|
| Failure to develop and implement individual abuse prevention plans that include susceptibility to abuse others and interventions to minimize risk to others for three residents. | Level 2 |
| Failure to develop a fire safety and evacuation plan with required content and maintain evacuation drill documentation. | Level 2 |
| Failure to provide direct supervision within 30 days for unlicensed personnel performing delegated tasks. | Level 2 |
| Failure to ensure individualized medication management plan included all required content such as medication storage system and delegation tasks. | Level 2 |
| Failure to specify in writing and document specific instructions for medication administration delegated to unlicensed personnel. | Level 2 |
| Failure to maintain up-to-date written or electronically recorded treatment orders for supplemental oxygen with CPAP for one resident. | Level 2 |
Report Facts
Residents present: 3
Date of survey: May 31, 2024
Number of medications administered: 6
Insulin units administered: 30
Oxygen flow rate: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Johnson | Supervisor, State Evaluation Team | Signed letter regarding licensing and survey |
| Susan Winkelmann | Contact for provider feedback questionnaire | |
| Rob Davis | Sanitarian 2, Rochester District Office | Signed food and beverage establishment inspection report |
| Muraya Gelle | Certified Food Protection Manager (CFPM) candidate | Completed training and awaiting CFPM card for food service |
| LALD-A | Licensed Assisted Living Director | Interviewed regarding fire safety plan and treatment orders |
| CNS-B | Clinical Nurse Supervisor | Interviewed regarding medication plans and supervision |
| ULP-C | Unlicensed Personnel | Observed administering medications and assisting residents |
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