Inspection Reports for The Waters of Plymouth

MN, 55441

Back to Facility Profile

Inspection Report Summary

The most recent inspection on October 18, 2024, found several deficiencies related to service plan implementation, medication administration training and documentation, and resident privacy. Earlier inspections were not provided for comparison, so it is unclear whether these issues represent a new pattern or ongoing challenges. Inspectors cited main themes involving medication management and adherence to individualized service plans, along with privacy concerns during care. No complaint investigations or enforcement actions such as fines or license suspensions were listed in the available reports. Without prior inspection data, no clear trend of improvement or decline can be determined.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

3% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

4 3 2 1 0
2024

Inspection Report

Census: 91 Deficiencies: 4 Date: Oct 18, 2024

Visit Reason
The Minnesota Department of Health conducted a change of ownership survey to evaluate and assess compliance with state licensing statutes.

Findings
The licensee was found in substantial compliance but had several deficiencies including failure to implement all services required by service plans, inadequate training and competency verification for unlicensed personnel administering medications, incomplete medication administration documentation, and failure to ensure resident privacy during care.

Deficiencies (4)
Failed to implement and provide all services required by the current service plan for one resident (R11).
Failed to ensure registered nurse instructed unlicensed personnel in proper medication administration methods and verified competency for topical medication administration.
Failed to ensure medication administration documentation included signature and title of person administering medications for three residents (R1, R13, R12).
Failed to ensure resident privacy during confidential treatment and personal hygiene activities.
Report Facts
Residents present: 91 Residents receiving dementia care: 46 Time period for correction: 21 Time period for correction: 7

Employees mentioned
NameTitleContext
Casey DeVriesSupervisor, State Evaluation TeamContact person for the survey report
LPN-KLicensed Practical NurseDocumented medication administration and interacted with unlicensed personnel
CNS-AClinical Nurse SupervisorProvided expectations and verification regarding medication administration and privacy
ULP-LUnlicensed PersonnelAdministered topical medications without documented training or competency
ULP-OUnlicensed PersonnelAdministered topical medications without documented training or competency
ULP-MUnlicensed PersonnelAdministered topical medications without documented training or competency
ULP-JUnlicensed PersonnelObserved providing medication and care without ensuring resident privacy
RN-NRegistered NurseObserved providing nail care in dining room without privacy

Loading inspection reports...