Inspection Reports for Royal Age Assisted Living LLC
7047 Goodview Avenue South, Cottage Grove, MN 55016, MN, 55016
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Inspection Report
Follow-Up
Census: 3
Deficiencies: 22
Apr 15, 2025
Visit Reason
Follow-up survey to determine correction of orders from the survey completed on February 20, 2025.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Severity Breakdown
Level 1: 2
Level 2: 19
Level 3: 1
Deficiencies (22)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to develop and implement current policies and procedures including reporting maltreatment of vulnerable adults and background studies on employees, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to ensure an individual abuse prevention plan was developed with required content for one resident, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to maintain current records including training documentation for one staff member, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to maintain a tuberculosis prevention and control program with required screening documentation for two employees, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to maintain a written emergency preparedness plan with all required content, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to ensure resident's personal health and medical information was kept private; electronic medication administration record left open and unattended, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to comply with State Fire Code by restricting emergency escape window opening in one resident room, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to provide smoke alarms in all required locations and interconnect smoke alarms, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to maintain fire extinguisher mounting height in accordance with State Fire Code, resulting in a level two violation at isolated scope. | Level 2 |
| Failed to maintain physical environment in good repair; basement remodel left unfinished with exposed electrical outlets and construction materials, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to develop fire safety and evacuation plan with required content, failed to provide required training and drills for staff and residents, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to comply with all applicable state and local laws and codes for fire safety, building, and zoning; basement remodel unpermitted and unsafe, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to execute written contracts with required content including current health facility identification number for all residents, resulting in a level one violation at widespread scope. | Level 1 |
| Contract included language waiving facility liability for health, safety, or personal property of residents, resulting in a level one violation at widespread scope. | Level 1 |
| Failed to ensure background studies were submitted and received for two employees under current assisted living license, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to ensure employees received at least eight hours of annual training for each 12 months of employment for one employee, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to conduct resident reassessment and monitoring within required timeframes for two residents, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to ensure current service plans included resident signature or other authentication documenting agreement on services, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to store all prescription medications in securely locked and substantially constructed compartments and permit only authorized personnel access; medication cart left unlocked and unattended during medication administration, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to keep medications in original containers with legible prescription labels and expiration dates; loose pills found in medication cart; expired medications not disposed, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to provide care and services according to acceptable health care standards for one resident using bed rails; bed rail assessment failed to identify entrapment risks and safety interventions, resulting in a level three violation at isolated scope. | Level 3 |
Report Facts
Residents present: 3
Background study clearance date: Dec 23, 2019
Background study clearance date: Nov 17, 2017
Expired medication date: Apr 4, 2023
Expired medication date: Sep 30, 2024
Bed rail entrapment measurement: 4.8
Bed rail entrapment measurement: 4.9
Bed rail entrapment measurement: 5.1
Bed rail entrapment measurement: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| CNS-B | Clinical Nurse Supervisor | Named in findings related to policies, training, medication administration, and documentation |
| LALD-A | Licensed Assisted Living Director | Named in findings related to emergency preparedness, background studies, fire safety, and service plans |
| ULP-D | Unlicensed Personnel | Named in background study deficiency |
| ULP-E | Unlicensed Personnel | Named in background study deficiency |
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