Inspection Reports for Affinity Quality Living LLC
1620 Wilking Way, Shakopee, MN 55379, MN, 55379
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% worse than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Census: 1
Deficiencies: 6
Date: May 21, 2024
Visit Reason
Follow-up survey conducted to determine if orders from the April 16, 2024, initial survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Deficiencies (6)
Failed to employ a licensed assisted living director; licensee lacked a licensed assisted living director to manage and supervise assisted living services.
Failed to develop and maintain a fire safety and evacuation plan with required content specific to the facility.
Failed to include required designation of representative statutory language in the assisted living contract for the resident.
Failed to ensure training and competency evaluations were completed as required prior to providing direct care for two unlicensed personnel.
Failed to ensure two employees received the required amount of dementia care training within the required timeframe.
Failed to ensure the resident's service plan included all required content such as fees for services, monitoring schedules, contingency plans, and emergency contact information.
Report Facts
Fine amount: 500
Resident census: 1
Dementia care training hours: 7.75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jodi Johnson | Supervisor, State Evaluation Team | Signed follow-up survey letter and correspondence. |
| Nagmo Abdikarim | Food Service Manager, Certified Food Protection Manager | Named in food and beverage establishment inspection. |
| Sarah Conboy | Public Health Sanitation Supervisor | Conducted food and beverage establishment inspection. |
| O/ALD-A | Owner/Assisted Living Director | Named in assisted living director licensure deficiency and fire safety plan interview. |
| CNS-B | Clinical Nurse Supervisor | Named in training and competency evaluations and fire safety plan interviews. |
| ULP-C | Unlicensed Personnel | Named in training and competency evaluation deficiency. |
| ULP-D | Unlicensed Personnel | Named in training and competency evaluation deficiency. |
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