Inspection Reports for Hawthorne House Inc
1100 Idaho Avenue, Golden Valley, MN 55427, MN, 55427
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
15 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
285% worse than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Follow-Up
Census: 2
Deficiencies: 15
Date: Jan 29, 2025
Visit Reason
Follow-up survey to determine correction of orders from the survey completed on November 6, 2024.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders related to emergency preparedness, fire safety, medication management, service plans, and other regulatory requirements.
Deficiencies (15)
Failed to have a written emergency preparedness plan with all required content and failed to post the emergency disaster plan prominently.
Failed to provide resident sleeping rooms with egress windows meeting Minnesota State Fire Code requirements.
Failed to keep the physical environment in a continuous state of good repair affecting health, safety, and well-being of residents.
Failed to develop and maintain fire safety and evacuation plans with required content and failed to provide adequate training and drills.
Assisted living contract included language waiving licensee's liability for health, safety, or personal property of a resident.
Failed to submit and affiliate background studies for three employees.
Failed to provide a description of the dementia care training program to residents, families, or others who request it.
Failed to execute signed service plans including agreement on services to be provided for residents.
Failed to include required content in service plan such as fees, staff identification, monitoring methods, and contingency plans.
Failed to develop an individualized medication management record with required content for a resident.
Failed to document medication administration as prescribed for a resident, including transcription errors.
Failed to develop comprehensive written procedures for unlicensed personnel providing medications during unplanned time away when licensed nurse was unavailable.
Failed to ensure over-the-counter drugs were stored appropriately for a resident.
Prescription drug supply for a resident was saved and used by another resident.
Failed to dispose of expired medications for a resident.
Report Facts
Residents present during survey: 2
Egress window measurements: 27
Egress window measurements: 20
Egress window measurements: 548
Egress window measurements: 29.5
Egress window measurements: 19.5
Egress window measurements: 575.25
Egress window measurements: 29.5
Egress window measurements: 19
Egress window measurements: 560.5
Expired medication quantities: 30
Expired medication quantities: 54
Expired medication quantities: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Tim Hanna | Supervisor, State Engineering Services Section | Signed follow-up survey letter dated January 29, 2025 |
| Jess Schoenecker | Supervisor, State Evaluation Team | Signed correction order reconsideration letter dated December 17, 2024 |
| Anna Bohnen | HRD Inspector | Food and Beverage Establishment inspection on November 4, 2024 |
| CNS-A | Clinical Nurse Supervisor | Named in multiple findings related to medication management and service plans |
| ULP-B | Unlicensed Personnel | Named in medication administration and emergency preparedness findings |
| O/LALD-D | Owner/Licensed Assisted Living Director | Named in multiple findings related to emergency preparedness, service plans, and medication management |
| LPN-C | Licensed Practical Nurse | Named in medication management and expired medication findings |
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