Inspection Report
Routine
Census: 8
Capacity: 8
Deficiencies: 6
Jun 25, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for the assisted living facility with dementia care license.
Findings
The survey identified multiple violations including failure to provide compliant egress windows and door locking mechanisms, lack of interconnected smoke alarms, incomplete fire safety and evacuation plans, inadequate staff training on fire safety, and improper use of extension cords. The facility had implemented a temporary fire watch and planned installation of sprinkler and fire alarm systems.
Severity Breakdown
Level 3: 1
Level 2: 4
Deficiencies (6)
| Description | Severity |
|---|---|
| Failure to provide resident sleeping rooms with egress windows meeting minimum size requirements and improper door locking mechanisms, obstructing egress. | Level 3 |
| Failure to provide interconnected smoke alarms throughout the facility. | Level 2 |
| Failure to develop a fire safety and evacuation plan including required content such as specific fire protection actions for residents and maintenance of generator logs. | Level 2 |
| Failure to provide and document adequate fire safety and evacuation training to employees upon hire and at least twice per year thereafter. | Level 2 |
| Failure to conduct and record fire evacuation drills at required frequency. | Level 2 |
| Use of extension cords as substitute for permanent wiring, posing fire risk. | — |
Report Facts
Residents present: 8
Total licensed capacity: 8
Window openable area measurements (square inches): 537.5
Window openable area measurements (square inches): 634.5
Correction order compliance timeframes: 2
Correction order compliance timeframe: 21
Dishwasher sanitizing temperature: 160
Milk temperature: 41
Egg temperature: 38
Fruit temperature: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renee Anderson | Supervisor, State Evaluation Team | Contact person for survey and correction order reconsideration process |
| Crystal Elva | Public Health Sanitarian | Conducted food and beverage inspection |
| Erin Armstrong | Certified Food Protection Manager | Facility's certified food protection manager as per food inspection report |
| ED-A | Executive Director | Interviewed during survey regarding fire safety and egress deficiencies |
| DM-C | Director of Maintenance | Interviewed during survey regarding fire safety and egress deficiencies |
| LALD-B | Licensed Assisted Living Director | Provided documents and interviewed regarding fire safety and evacuation plans and training |
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