Inspection Reports for Richfield Senior Suites LLC

6808 3rd Ave S, Richfield, MN 55423, MN, 55423

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Deficiencies per Year

16 12 8 4 0
2024
Severe High Moderate
Inspection Report Routine Census: 2 Capacity: 5 Deficiencies: 15 Apr 23, 2024
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for an assisted living facility.
Findings
The survey identified multiple deficiencies including failure to develop and implement a staffing plan, failure to ensure food safety compliance, lack of quality management activities, missing individual abuse prevention plan for a resident, incomplete employee records, inadequate emergency preparedness plan, fire safety violations including non-interconnected smoke alarms and missing fire extinguisher maintenance, incomplete fire safety and evacuation plans and training, missing required resident contract notices, incomplete medication management assessments and plans, and failure to ensure appropriate care and services related to side rails.
Severity Breakdown
Level 1: 2 Level 2: 11 Level 3: 1
Deficiencies (15)
DescriptionSeverity
Failed to develop and implement a staffing plan to meet resident needs.Level 2
Failed to ensure food was prepared and served according to Minnesota Food Code.Level 2
Failed to engage in and maintain documentation of quality management activity.Level 2
Failed to develop and implement an individual abuse prevention plan for one resident.Level 2
Employee record lacked annual performance evaluation after 2021, infection control training, and TB training documentation.Level 2
Failed to develop a written emergency preparedness plan with all required content.Level 2
Failed to provide interconnected smoke alarms in the facility.Level 2
Failed to perform required monthly maintenance on fire extinguishers and fire extinguisher was improperly stored.Level 2
Failed to maintain physical environment in good repair; bedroom #6 lacked egress windows and ceiling tiles showed water damage.Level 2
Failed to develop and maintain fire safety and evacuation plans with required content, provide required training and drills.Level 2
Resident contract lacked required notice of right to designate a representative on a separate document.Level 1
Failed to ensure registered nurse conducted face-to-face medication management assessment with all required content for one resident.Level 2
Failed to develop an individualized medication management plan with required content for one resident.Level 2
Failed to ensure care and assisted living services were provided according to accepted health care standards for resident with side rails; missing side rail assessment and documentation.Level 3
Failed to post signage at facility entrance disclosing electronic monitoring devices.Level 1
Report Facts
Fine amount: 3000 Census: 2 Total Capacity: 5 Number of deficiencies: 15 Inspection date: Apr 23, 2024
Employees Mentioned
NameTitleContext
Jodi JohnsonSupervisor, State Evaluation TeamNamed in letter as contact for the inspection
HM-AHousing ManagerMentioned in relation to staffing, medication administration, and facility tour
LALD-BLicensed Assisted Living DirectorMentioned in relation to medication management and record review
Jessica DavisPublic Health Sanitarian IIISigned food inspection report
Negassa DegagaHouse ManagerSigned food inspection report

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