Inspection Reports for Shamaani Assistant Living LLC
1873 Stinson Boulevard, New Brighton, MN 55112, MN, 55112
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Inspection Report
Follow-Up
Census: 5
Deficiencies: 14
Aug 5, 2025
Visit Reason
Follow-up survey to determine correction of orders from the survey completed on January 31, 2025.
Findings
The follow-up survey verified that the facility is in substantial compliance. Several regulatory areas were not reviewed during this survey. The facility had outstanding correction orders from a previous survey.
Severity Breakdown
Level 1: 1
Level 2: 11
Level 3: 1
Deficiencies (14)
| Description | Severity |
|---|---|
| Failed to record actions taken to comply with all correction orders from a survey completed June 21, 2023. | Level 2 |
| Failed to review staffing plan two times annually to determine if staffing levels met the needs of all residents. | Level 2 |
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Assisted living contract required residents to pay for meals, housekeeping, and laundry services, which is not allowed. | Level 1 |
| Failed to establish and maintain an effective infection control program, including lack of soap in bathroom for handwashing. | Level 2 |
| Lacked posting of grievance procedure with required contact information for responsible individuals and state ombudsman offices. | Level 2 |
| Failed to post required 911 emergency number near telephones in common areas. | Level 2 |
| Employee record lacked documentation of annual performance review for one employee. | Level 2 |
| Failed to maintain a written emergency preparedness plan with all required content including annual review, communication plan, and emergency exercises. | Level 2 |
| Failed to provide compliant emergency escape and rescue windows in resident sleeping rooms as required by Minnesota Fire Code. | Level 3 |
| Failed to maintain interconnected smoke alarms and proper cigarette butt disposal. | Level 2 |
| Fire safety and evacuation plan lacked specific employee actions, resident actions, and procedures for unique resident needs; failed to provide required training and evacuation drills. | Level 2 |
| Failed to ensure annual staff training included all required topics for two employees. | Level 2 |
| Failed to ensure registered nurse conducted resident reassessment within 14 calendar days of service initiation for one resident. | Level 2 |
Report Facts
Residents present: 5
Residents present: 4
Residents present: 4
Emergency escape window width: 16.75
Emergency escape window height: 26.5
Emergency escape window openable area: 494
Emergency escape window width: 16.75
Emergency escape window height: 35
Emergency escape window openable area: 586
Emergency escape window width: 17.5
Emergency escape window height: 44
Emergency escape window openable area: 748
Emergency escape window width: 16.5
Emergency escape window height: 36.6
Emergency escape window openable area: 584
Emergency escape window width: 17.5
Emergency escape window height: 44
Emergency escape window openable area: 748
Fines assessed: 3500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ULP-B | Unlicensed Personnel | Named in infection control and annual training findings |
| ULP-C | Unlicensed Personnel | Named in annual training and employee record findings |
| Renee Anderson | Supervisor, State Evaluation Team | Named in licensing letter dated March 6, 2025 |
| Tim Hanna | Supervisor, State Engineering Services Section | Named in follow-up survey letters dated August 5, 2025 and June 30, 2025 |
| CNS/LALD-A | Clinical Nurse Supervisor/Licensed Assisted Living Director | Named in multiple findings including staffing, infection control, grievance posting, emergency preparedness, fire safety, and resident reassessment |
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