Inspection Reports for Unique Homes LLC
4922 Newton Avenue, North Minneapolis, MN 55430, MN, 55430
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Inspection Report
Routine
Census: 4
Deficiencies: 17
Sep 24, 2025
Visit Reason
The Minnesota Department of Health completed a 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 sufficient documentation of correction orders, food service violations, inadequate individual abuse prevention plans, incomplete emergency preparedness plans, fire safety and evacuation plan deficiencies, incomplete resident assessments and service plans, medication management issues including incomplete medication assessments, documentation, and storage, and expired medications not discarded.
Severity Breakdown
Level 2: 15
Level 3: 1
Deficiencies (17)
| Description | Severity |
|---|---|
| Failed to provide sufficient documentation taken to comply with correction orders from a previous survey. | Level 2 |
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to have accurate individual abuse prevention plans for residents at risk of abusing others. | Level 2 |
| Failed to maintain a written emergency preparedness plan with all required content. | Level 2 |
| Failed to provide smoke alarms that functioned and were interconnected throughout the facility. | Level 2 |
| Failed to maintain the physical environment in a continuous state of good repair and operation. | Level 3 |
| Failed to develop a fire safety and evacuation plan with required content. | Level 2 |
| Failed to provide a written notice with required content for an emergency relocation to the resident or representative. | Level 2 |
| Failed to ensure registered nurse completed ongoing resident reassessments within required timeframes and accurate assessments of ADL needs. | Level 2 |
| Failed to ensure service plans included all required content including service descriptions, staff identification, monitoring, and contingency plans. | Level 2 |
| Failed to ensure registered nurse completed annual face-to-face medication management reassessments for residents. | Level 2 |
| Failed to maintain an accurate individualized medication management record reflecting medication storage and self-administration ability. | Level 2 |
| Failed to document medication administration timely and accurately, document PRN medication effectiveness, and document reasons for medications not administered. | Level 2 |
| Failed to ensure registered nurse developed training and competencies for unlicensed personnel providing medications for unplanned time away. | Level 2 |
| Failed to ensure written or electronically recorded prescriptions were obtained and renewed at least every 12 months for residents. | Level 2 |
| Failed to store prescription medications securely to permit only authorized personnel access. | Level 2 |
| Failed to discard expired medications. | Level 2 |
Report Facts
Residents present: 4
Fines assessed: 1500
Medication administration missed: 7
Expired medication: 2
Priority 2 orders: 2
Priority 3 orders: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Casey DeVries | Supervisor, State Evaluation Team | Signed cover letter for survey report |
| John Merchant | Certified Food Protection Manager | Named as CFPM on Food and Beverage Inspection Report |
| Aron Goodner | Public Health Sanitarian 1 | Conducted Food and Beverage Inspection |
| Susan Winkelmann | Contact for questionnaire about survey experience | |
| CNS-C | Clinical Nurse Supervisor | Interviewed regarding medication management and assessments |
| LALD-D | Licensed Assisted Living Director | Interviewed regarding assessments, service plans, and medication training |
| ULP-A | Unlicensed Personnel | Observed administering medication |
| A-F | Administrator | Accompanied surveyor on facility tour |
| HM-E | Housing Manager | Accompanied surveyor on facility tour |
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