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Inspection Reports for Three Stars Group Homes LLC

630 Virginia Street, St. Paul, MN 55103, MN, 55103

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Inspection Report Summary

The most recent inspection on January 31, 2024, identified multiple deficiencies related to food preparation, emergency preparedness, fire safety, resident contracts, employee background checks, medication storage, and treatment documentation. Earlier inspections were not provided for comparison, so the broader inspection pattern is unclear. The main issues involved compliance with food safety standards, emergency and fire planning, and proper documentation for residents and staff. No complaint investigations or enforcement actions such as fines or license suspensions were listed in the available reports. Without previous reports to compare, it is not possible to determine a clear trend in compliance.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 11 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

182% worse than Minnesota average
Minnesota average: 3.9 deficiencies/year

Deficiencies per year

12 9 6 3 0
2024
Severe (Immediate Jeopardy) High (Actual Harm)
State average

Inspection Report

Annual Inspection
Census: 4 Deficiencies: 11 Date: Jan 31, 2024
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for an assisted living facility.
Findings
The survey identified multiple violations including failure to prepare and serve food according to Minnesota Food Code, lack of a comprehensive emergency preparedness plan, non-compliance with fire safety and evacuation requirements, incomplete resident contracts, missing background study for an employee, incomplete resident reassessments, unsecured medication storage, and incomplete treatment management plans and orders.
Deficiencies (11)
Food was not prepared and served according to the Minnesota Food Code, including cross-contamination risks.
Failed to maintain a written emergency preparedness plan with all required content.
Failed to provide functioning and interconnected smoke alarms throughout the facility.
Failed to develop and maintain a fire safety and evacuation plan with required content, training, and drills.
Resident contracts lacked required Health Facility Identification number.
Resident contracts included prohibited waiver of liability language.
Failed to submit and receive a required background study for an employee affiliated with the assisted living license.
Failed to complete resident reassessment within required 90-day intervals.
Failed to securely store prescription medications and restrict access to authorized personnel only.
Failed to develop an individualized treatment management plan including all required content for a resident.
Failed to obtain and maintain current signed prescriber orders for treatments and therapies for a resident.
Report Facts
Residents present: 4 Days between assessments: 122 Temperature: 39 Temperature: 40 Certification expiration: Nov 1, 2024
Employees mentioned
NameTitleContext
Casey DeVriesSupervisor, State Evaluation TeamContact person for the survey and report.
Idris GeyreCertified Food Protection ManagerPerson in charge during food and beverage establishment inspection.
Gregory T. NelsonPublic Health SanitarianConducted the food and beverage establishment inspection.
LALD-ELicensed Assisted Living DirectorInterviewed multiple times regarding deficiencies and compliance.
RN-ARegistered NurseInterviewed regarding resident assessments, treatment plans, and medication management.

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