Deficiencies (last 1 years)
Deficiencies (over 1 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
28% worse than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Census: 51
Deficiencies: 5
Date: Jun 14, 2023
Visit Reason
Follow-up survey conducted to determine if orders from the April 28, 2023 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Deficiencies (5)
Failed to develop a written emergency preparedness plan with all required content including annual review, missing resident quarterly review, and policy for facility role under a waiver.
Failed to provide required employee training on fire safety and evacuation, including required evacuation drills.
Failed to ensure a background study was submitted and clearance received for one employee affiliated with the current license.
Failed to ensure registered nurse developed training and competencies for unlicensed personnel providing medications during unplanned time away.
Assisted living contract included language requiring residents to obtain renters' insurance at management's request, which is non-compliant.
Report Facts
Residents present: 51
Fine amount: 3000
Time period for correction: 21
Time period for correction: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jessica Chenze | Supervisor, State Evaluation Team | Signed follow-up survey letter |
| Jess Schoenecker | Supervisor, State Evaluation Team | Signed correction order letter |
| CNS-B | Clinical Nurse Supervisor | Employee with background study deficiency |
| ULP-C | Unlicensed Personnel | Employee lacking documented training and competency for medication administration during unplanned time away |
| LALD-A | Licensed Assisted Living Director | Interviewed regarding deficiencies and contract issues |
| Environmental Services Manager-F | Interviewed regarding fire safety and evacuation drills | |
| Regional Health and Well-Being Director-E | Interviewed regarding fire safety and evacuation drills |
Loading inspection reports...
