Inspection Reports for Unique Homes LLC
3940 46th Ave N, Robbinsdale, MN 55422, MN, 55422
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Inspection Report
Routine
Census: 4
Deficiencies: 22
Sep 10, 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 survey identified multiple deficiencies including failure to provide accurate information, insufficient documentation of correction orders, inadequate staffing plan evaluations, failure to comply with Minnesota Food Code, lack of daily social and recreational activities, lack of 24-hour RN on-call availability, ineffective infection control practices, incomplete abuse prevention plans, incomplete staff records, deficient emergency preparedness plan, fire safety code violations, incomplete resident assessments and service plans, medication management issues including refusal documentation, and failure to dispose of medications upon resident discharge.
Severity Breakdown
Level 1: 0
Level 2: 19
Level 3: 2
Deficiencies (22)
| Description | Severity |
|---|---|
| Failed to provide accurate and truthful information during the survey. | Level 2 |
| Failed to provide sufficient documentation of correction orders from a previous survey. | Level 2 |
| Failed to develop and implement a written staffing plan with required evaluations twice a year. | Level 2 |
| Failed to ensure food was prepared and served according to Minnesota Food Code. | Level 2 |
| Failed to have a daily program of social and recreational activities based on resident needs. | Level 2 |
| Failed to ensure 24-hour on-call registered nurse availability. | Level 3 |
| Failed to establish and maintain an effective infection control program related to hand hygiene and gloving. | Level 2 |
| Failed to have accurate individual abuse prevention plans and specific measures to minimize abuse risk. | Level 3 |
| Failed to maintain complete employee records including annual training documentation. | Level 2 |
| Failed to maintain a written emergency preparedness plan with all required content. | Level 2 |
| Failed to comply with Minnesota State Fire Code including fire hazards and smoke alarm requirements. | Level 2 |
| Failed to develop fire safety and evacuation plans with required resident training. | Level 2 |
| Failed to develop and execute a written assisted living contract with required content for a resident. | Level 2 |
| Failed to ensure employees completed required initial mental illness and de-escalation training. | Level 2 |
| Failed to ensure facility had sufficient staff training and qualifications to provide agreed services, including behavioral management. | Level 2 |
| Failed to complete timely resident nursing reassessments and accurate assessments of activities of daily living. | Level 2 |
| Failed to finalize current written service plans with required signatures and content for residents. | Level 2 |
| Failed to conduct accurate face-to-face medication management assessments prior to providing medication management services. | Level 2 |
| Failed to discuss and document medication refusal consequences with residents. | Level 2 |
| Failed to document medication administration including reasons for missed doses and follow-up procedures. | Level 2 |
| Failed to obtain written or electronically recorded prescriptions for all prescribed medications. | Level 2 |
| Failed to dispose of medications upon resident discharge or death and document disposition. | Level 2 |
Report Facts
Residents present: 4
Fines assessed: 4000
Priority 1 orders: 1
Priority 2 orders: 1
Priority 3 orders: 1
Medication doses not administered: 12
Medication doses not administered: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Casey DeVries | Supervisor, State Evaluation Team | Signed the cover letter for the inspection report |
| John Weah Merchant | Operator | Acknowledged receipt of Food & Beverage Inspection Report |
| Jerry Malloy | Public Health Sanitarian Supervisor | Conducted Food & Beverage Inspection |
| Housing Manager A | Named in findings related to resident behavior and medication refusal | |
| Clinical Nurse Supervisor C | CNS | Named in findings related to medication management and resident assessments |
| Licensed Assisted Living Director D | LALD | Named in findings related to staffing, service plans, and resident admissions |
| Registered Nurse E | RN | Named in findings related to resident medication and discharge |
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