Inspection Reports for The Alton Memory Care
1306 Alton St, St Paul, MN 55116, United States, MN, 55116
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
High
Moderate
Unclassified
Inspection Report
Follow-Up
Census: 41
Deficiencies: 16
Jun 4, 2024
Visit Reason
Follow-up survey to determine correction of orders found on the survey completed on March 7, 2024.
Findings
The licensee was found in substantial compliance but had not corrected all state licensing orders from the prior survey. Deficiencies included failure to maintain a tuberculosis prevention and control program, incomplete employee records, missing grievance procedure postings, incomplete infection control practices, incomplete resident records, and other regulatory violations.
Severity Breakdown
Level 2: 13
Level 3: 2
Deficiencies (16)
| Description | Severity |
|---|---|
| Failed to maintain a tuberculosis prevention and control program based on CDC guidelines; screening for active TB was not completed for three employees. | Level 2 |
| Failed to ensure direct care staff appropriately gloved and performed adequate hand hygiene for one staff member. | Level 2 |
| Failed to post required grievance procedure information and contact information for Ombudsman and maltreatment reporting. | Level 2 |
| Employee records lacked required documentation of training, competency evaluations, and background study for one employee. | Level 2 |
| Failed to maintain written evidence of tuberculosis screening for one employee within 90 days of hire. | Level 2 |
| Failed to post a written emergency preparedness plan with all required content. | Level 2 |
| Resident records lacked accurate documentation that services had been provided as identified in the service plan for one resident. | Level 2 |
| Failed to ensure employee had a cleared DHS background study for one employee; background study initiated under COVID-19 waiver expired. | Level 3 |
| Failed to ensure registered nurse conducted direct supervision of staff performing delegated tasks within 30 days for one employee. | Level 2 |
| Failed to ensure staff completed orientation to assisted living licensing requirements before providing services for one employee. | Level 2 |
| Failed to follow medication administration procedures including wiping nasal spray applicator tip for one resident. | Level 2 |
| Failed to discard expired medication for one resident. | Level 2 |
| Food and beverage establishment violations including missing temperature indicator on dish machine, food debris on can opener, food debris in hand sink, missing certified food protection manager certificate, domestic grade cooler, missing light bulbs in ventilation hood, scored cutting boards, and clogged hand sink. | — |
| Failed to ensure individualized activity plans contained all required content for four residents with dementia. | Level 2 |
| Failed to provide care and services according to acceptable health care standards for two residents using bed rails; lacked manufacturer's guidelines and recall information. | Level 3 |
| Failed to ensure one resident was treated with dignity and respect; mattress cover was soiled and not cleaned timely. | Level 2 |
Report Facts
Residents present: 41
Fine amount: 6000
Deficiencies cited: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| ULP-D | Unlicensed Personnel | Named in findings for failure to maintain employee records, infection control, supervision, orientation, and background study |
| ULP-H | Unlicensed Personnel | Named in tuberculosis screening deficiency |
| ULP-F | Unlicensed Personnel | Named in medication administration and dignity/respect deficiency |
| CNS-A | Clinical Nurse Supervisor | Named in multiple findings including supervision, tuberculosis screening, medication administration, and bed rail assessments |
| LALD-C | Licensed Assisted Living Director | Named in multiple findings including grievance postings, background study, and emergency preparedness postings |
| LEL-M | Life Enrichment Lead | Named in activity plan deficiency |
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