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Inspection Reports for The Waters on Mayowood

MN, 55902

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Inspection Report Summary

The most recent inspection on October 24, 2024, found the facility in substantial compliance but noted several deficiencies related to food preparation, contract language, staff training, resident assessments, medication delegation, and labeling. Earlier inspections were not provided for comparison, so it is unclear whether these issues represent a new pattern or ongoing challenges. Inspectors cited concerns mainly involving regulatory compliance with food safety, staff training, and medication management. No complaint investigations or enforcement actions such as fines or license suspensions were listed in the available reports. Without prior inspection data, a clear trend in compliance cannot be determined at this time.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

54% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2024
Severe (Immediate Jeopardy) High (Actual Harm)
State average

Inspection Report

Routine
Census: 202 Capacity: 89 Deficiencies: 6 Date: Oct 24, 2024
Visit Reason
The Minnesota Department of Health conducted a survey to evaluate and assess compliance with state licensing statutes for The Waters On Mayowood assisted living facility.
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 dementia care training for one employee, failure to complete resident assessments after changes in condition, incomplete delegation instructions for PRN medications, and medication labeling issues.
Deficiencies (6)
Food was not prepared and served according to the Minnesota Food Code, resulting in a level two violation at widespread scope.
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.
One of three employees failed to receive the required dementia care training within the required timeframe, a level two violation at isolated scope.
Registered nurse failed to complete assessments for changes in condition for two residents, a level two violation at isolated scope.
Failed to specify in writing instructions for PRN medications for one resident, a level two violation at isolated scope.
Medications for two residents lacked proper labeling and open dates, a level two violation at isolated scope.
Report Facts
Residents present: 202 Residents under Assisted Living with Dementia Care license: 89 Dementia training hours completed: 2.5 Hours worked: 492 Time period for correction: 21 Time period for correction: 7
Employees mentioned
NameTitleContext
Jodi JohnsonSupervisor, State Evaluation TeamContact person for the survey report
ULP-HUnlicensed PersonnelEmployee who failed to complete required dementia care training
LALD/RN-BLicensed Assisted Living Director/Registered NurseConfirmed dementia training deficiency for ULP-H
CNS-AClinical Nurse SupervisorAcknowledged failure to complete resident assessments and medication delegation instructions
LPN-FLicensed Practical NurseObserved administering medication to resident R7
ULP-CUnlicensed PersonnelObserved administering medications to resident R1
RN-DRegistered NurseObserved checking blood sugar and medication cabinet for resident R2
Rob DavisSanitarian 2Signed Food and Beverage Establishment Inspection Report
Thomas HartmannCertified Food Protection ManagerCertified manager for food service at facility

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