Inspection Reports for Vikings Home Health Care LLC
11551 Georgia Avenue N, Champlin, MN 55316, MN, 55316
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Inspection Report
Follow-Up
Census: 2
Deficiencies: 13
Jul 16, 2024
Visit Reason
Follow-up survey conducted to determine if orders from the April 25, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Severity Breakdown
Level 2: 11
Level 3: 1
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to comply with requirements for reporting suspected maltreatment of vulnerable adults; did not report suspected financial abuse to the Minnesota Adult Abuse Reporting Center (MAARC). | Level 2 |
| Failed to ensure individual abuse prevention plan (IAPP) included required content to minimize risk of abuse. | Level 2 |
| Employee records lacked required documentation of training and competency evaluations for unlicensed personnel. | Level 2 |
| Emergency preparedness plan lacked required content including yearly review, role under waiver, occupancy information, and quarterly review of missing resident. | Level 2 |
| Failed to provide interconnected smoke alarms in immediate vicinity of all sleeping rooms. | Level 2 |
| Failed to maintain physical environment in good repair: hole in drywall, improper electrical extension cords, window well without ladder, exit door leading through garage. | Level 2 |
| Fire safety and evacuation plan lacked required content including resident sleeping room locations, specific employee actions, resident fire protection procedures, and individualized evacuation needs; failed to provide required training and drills. | Level 2 |
| Existing construction elements constituted a distinct hazard to life: emergency escape and rescue openings in resident sleeping rooms did not meet minimum size requirements. | Level 3 |
| Failed to provide written notice of contract termination to Ombudsman and failed to give adequate notice to resident for expedited termination. | Level 2 |
| Failed to provide written notice with required content for emergency relocation. | Level 2 |
| Registered nurse failed to develop training and competencies for unlicensed personnel providing medications for unplanned time away when licensed nurse not available. | Level 2 |
| Failed to ensure all medications were securely locked and only accessible to authorized personnel; resident self-administered diclofenac gel stored in personal purse without proper documentation. | Level 2 |
| Included language in resident documentation limiting resident rights, including threats of termination for rule violations and restrictions on behavior. | Level 2 |
Report Facts
Residents present during survey: 2
Fine amount: 3000
Emergency escape window opening size: 602
Emergency escape window opening size: 602
Emergency escape window opening size: 366
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jess Schoenecker | Supervisor, State Evaluation Team | Signed follow-up survey letter |
| Casey DeVries | Supervisor, State Evaluation Team | Signed licensing survey letter |
| ULP-E | Unlicensed Personnel | Named in medication administration and training deficiencies |
| CNS-C | Clinical Nurse Supervisor | Named in medication administration and training deficiencies |
| LALD/RN-D | Licensed Assisted Living Director/Registered Nurse | Named in multiple findings including fire safety and medication management |
| HM-B | Housing Manager | Named in maltreatment reporting and emergency preparedness findings |
| O-G | Named in complaint and termination findings |
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