Inspection Reports for West Metro Care Services LLC
201 103rd Avenue Nw, Coon Rapids, MN 55448, MN, 55448
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Inspection Report
Routine
Census: 4
Deficiencies: 13
Sep 3, 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 violations including food service noncompliance, contract deficiencies, staff training and recordkeeping issues, fire safety code violations, and medication disposition documentation errors. Several deficiencies were issued at various severity levels and scopes.
Severity Breakdown
Level 1: 3
Level 2: 7
Level 3: 2
Deficiencies (13)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code. | Level 2 |
| Failed to ensure the assisted living contract did not require residents to include and pay for meals as part of their contract. | Level 1 |
| Failed to maintain complete employee records including annual performance reviews for staff. | Level 2 |
| Failed to provide egress windows in compliance with Minnesota State Fire Code. | Level 3 |
| Failed to maintain portable fire extinguishers according to State Fire Code. | Level 2 |
| Failed to maintain physical environment including door handle and screen door closer in good repair. | Level 1 |
| Failed to develop fire safety and evacuation plan with required content and provide required training and drills. | Level 3 |
| Failed to execute a written contract with required content including Health Facility Identification number for a resident. | Level 1 |
| Failed to provide written notice with required content for emergency relocation to resident or representative. | Level 2 |
| Failed to ensure training and competency evaluations were completed for all required skill areas for unlicensed personnel prior to providing services. | Level 2 |
| Failed to ensure staff completed orientation to assisted living licensing requirements and regulations before providing services. | Level 2 |
| Failed to complete required initial and annual training on mental illness and de-escalation for staff. | Level 2 |
| Failed to document disposition of medications including prescription numbers for discharged resident. | Level 2 |
Report Facts
Residents present: 4
Fine amount: 1000
Egress window measurements: 600
Fire extinguisher mounting height: 72
Evacuation drills frequency: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kelly Thorson | Supervisor, State Evaluation Team | Signed letter and contact for survey questions |
| Adeyeye Samuel Ogunsina | Person in Charge | Named in Food & Beverage Inspection Report |
| Trevor McCliment | Public Health Sanitarian 3 | Signed Food & Beverage Inspection Report |
| ULP-F | Unlicensed Personnel | Named in staff record and training deficiencies |
| ULP-G | Unlicensed Personnel | Named in staff record and training deficiencies |
| ULP-A | Unlicensed Personnel | Named in staff record and training deficiencies |
| CNS-D | Clinical Nurse Supervisor | Named in multiple findings and acknowledged training and documentation deficiencies |
| ULP-E | Unlicensed Personnel | Assisted surveyor during fire safety window measurements |
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