Inspection Reports for Victory Homes
7917 Perry Avenue, North Brooklyn Park, MN 55443, MN, 55443
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Inspection Report
Routine
Census: 1
Capacity: 10
Deficiencies: 12
May 7, 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 food safety violations, tuberculosis prevention program deficiencies, emergency preparedness plan deficiencies, fire safety issues, background study non-compliance, lack of resident service plans, medication management plan deficiencies, improper medication disposition documentation, and unsafe oxygen storage.
Severity Breakdown
Level 1: 1
Level 2: 11
Deficiencies (12)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code, including cold holding violations and date marking issues. | Level 2 |
| Failed to establish and maintain a tuberculosis prevention program according to CDC guidelines, including incomplete TB risk assessment and missing baseline TB screening for an employee. | Level 2 |
| Failed to develop a written emergency preparedness plan with all required content and conduct required emergency drills. | Level 2 |
| Failed to provide functioning interconnected smoke alarms throughout the facility. | Level 2 |
| Failed to develop and maintain a comprehensive fire safety and evacuation plan including required training and drills. | Level 2 |
| Assisted living contracts included waivers of liability for health, safety, or personal property of residents, which is prohibited. | Level 1 |
| Failed to ensure background studies were affiliated with the license for two employees. | Level 2 |
| Failed to conduct resident reassessments and monitoring within required timeframes for two residents. | Level 2 |
| Failed to have signed service plans identifying specific services for two residents. | Level 2 |
| Failed to develop and maintain a current individualized medication management plan with all required content for one resident. | Level 2 |
| Failed to document disposition of medications upon resident discharge including date and staff involved. | Level 2 |
| Failed to provide care and services according to accepted health care standards for storage of oxygen; oxygen tanks were unsecured. | Level 2 |
Report Facts
Census: 1
Total Capacity: 10
Fine Amount: 500
Priority 1 Orders: 1
Priority 2 Orders: 2
Priority 3 Orders: 1
Temperature: 47
Days between assessments: 292
Days between assessments: 288
Days between assessments: 218
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jess Schoenecker | Supervisor, State Evaluation Team | Signed letter regarding inspection and correction orders |
| Sonie Padmore | Person-in-charge | Acknowledged receipt of Food & Beverage Inspection Report |
| Aron Goodner | Public Health Sanitarian 1 | Conducted Food & Beverage Inspection |
| Michelle Winters | MDH Nurse Evaluator | Reviewed Food & Beverage Inspection Report |
| ADM-A | Administrator | Interviewed regarding TB screening, contract waivers, background studies, oxygen storage, medication disposition |
| LALD-B | Licensed Assisted Living Director | Interviewed regarding emergency preparedness, fire safety, smoke alarms |
| CNS-E | Clinical Nurse Supervisor | Interviewed regarding resident assessments and medication management |
| ULP-C | Unlicensed Personnel | Employee with missing TB screening and background study |
| ULP-D | Unlicensed Personnel | Employee with missing background study |
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