Inspection Reports for Tradition
8500 Tessman Farm Rd, Brooklyn Park, MN 55445, United States, MN, 55445
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Inspection Report
Routine
Census: 155
Capacity: 160
Deficiencies: 13
Feb 5, 2025
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 licensee was found in substantial compliance but had multiple deficiencies including failure to develop and implement a staffing plan, food service violations per Minnesota Food Code, incomplete individual abuse prevention plans, lack of tuberculosis prevention program compliance, fire safety code violations, incomplete staff orientation and annual training, incomplete resident assessments and service plans, and incomplete treatment documentation.
Severity Breakdown
Level 2: 13
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to develop and implement a staffing plan to determine staffing levels to meet the needs of all residents. | Level 2 |
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to ensure individual abuse prevention plans containing required assessment content were completed on admission for five of six residents. | Level 2 |
| Failed to establish and maintain a tuberculosis prevention program including maintaining a current Facility TB Risk Assessment and baseline screening/testing for employees. | Level 2 |
| Failed to provide a facility in compliance with Minnesota State Fire Code including damaged fire doors, obstructed sprinkler heads, non-functional emergency lights, and blocked egress routes. | Level 2 |
| Failed to maintain portable fire extinguishers with current annual service tags and monthly checks. | Level 2 |
| Failed to ensure employees received orientation including all required content for one employee. | Level 2 |
| Failed to ensure annual training was provided and included all required topics for one employee. | Level 2 |
| Failed to ensure registered nurse completed 14-day assessments and comprehensive nursing assessments within required timeframes for several residents. | Level 2 |
| Failed to ensure initial and revised service plans were authenticated by the resident or resident's representative for four residents. | Level 2 |
| Failed to ensure service plans included required content such as description of services, fees, monitoring schedules, and contingency plans for four residents. | Level 2 |
| Failed to develop and implement a treatment or therapy management plan including required content for one resident. | Level 2 |
| Failed to document treatment administration including removal of compression wraps for one resident on multiple dates. | Level 2 |
Report Facts
Residents present: 155
Total licensed capacity: 160
Fine amount: 500
Days between nursing assessments: 91
Days between nursing assessments: 112
Days between nursing assessments: 195
Days between nursing assessments: 92
Days between nursing assessments: 96
Dates missing treatment documentation: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber J. Abubo | Culinary Director | Named in Food and Beverage Establishment Inspection report |
| Jess Schoenecker | Supervisor, State Evaluation Team | Named in letter regarding survey and correction orders |
| Kai Yang | Public Health Sanitarian 1 | Named in Food and Beverage Establishment Inspection report |
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