Deficiencies per Year
8
6
4
2
0
Severe
High
Inspection Report
Annual Inspection
Census: 83
Deficiencies: 6
Oct 10, 2024
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for The Waters On 50th assisted living facility with dementia care license.
Findings
The licensee was found in substantial compliance but had several deficiencies including food preparation not fully compliant with Minnesota Food Code, contract language waiving liability, incomplete annual staff training, incomplete medication prescriptions, incomplete medication disposition documentation, and medication administration errors.
Severity Breakdown
Level 1: 1
Level 2: 5
Deficiencies (6)
| Description | Severity |
|---|---|
| Food was not prepared and served according to the Minnesota Food Code, resulting in a level two violation at a widespread scope. | Level 2 |
| The assisted living contract included language waiving the facility's liability for health, safety, or personal property of residents, a level one violation at widespread scope. | Level 1 |
| Annual training for one employee did not include all required topics, specifically principles of person-centered planning and service delivery, a level two violation at isolated scope. | Level 2 |
| Prescriber orders for one resident were incomplete, lacking medication dose and directions for use, a level two violation at isolated scope. | Level 2 |
| Failed to document prescription numbers in medication disposition records for one discharged resident, a level two violation at isolated scope. | Level 2 |
| Medication administration by one staff member did not follow policy and standards, specifically failing to measure the correct dose of topical medication, a level two violation at isolated scope. | Level 2 |
Report Facts
Residents present: 83
Residents receiving dementia care: 59
Deficiency count: 6
Time period for correction: 21
Time period for correction: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Johnson | Supervisor, State Evaluation Team | Signed letter regarding survey completion and correction orders |
| Susan Winkelmann | Contact for questionnaire and survey questions | |
| ULP-E | Unlicensed Personnel | Employee missing required annual training |
| ULP-D | Unlicensed Personnel | Observed administering medication with incomplete prescriber orders |
| ULP-G | Unlicensed Personnel | Observed administering medication without measuring correct dose |
| CNS-B | Clinical Nurse Supervisor | Provided information on training and medication administration deficiencies |
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