Deficiencies (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: 94
Deficiencies: 15
Date: Jun 30, 2025
Visit Reason
Follow-up survey to determine correction of orders from the survey completed on April 3, 2025.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Deficiencies (15)
Licensee failed to demonstrate legal responsibility for control and operation of the facility when allowing use of facility space by a vendor to provide therapy services to residents and outside community members.
Failed to ensure food was prepared and served according to the Minnesota Food Code.
Failed to ensure infection control standards were followed by unlicensed personnel during health monitoring services.
Failed to establish and maintain a tuberculosis infection control program including baseline TB screenings for employees.
Failed to comply with Minnesota State Fire Code including non-operational exit door, locked exit doors requiring keys, lack of emergency unlocking device for controlled egress doors, fire doors held open, holes in fire-resistant walls, storage in exit paths, and use of extension cords as permanent power.
Failed to provide interconnected smoke alarms throughout the facility.
Failed to provide required fire safety and evacuation training to residents annually.
Failed to ensure direct care employee received required dementia care training within required timeframe.
Failed to ensure dementia training included all required content for direct care employee.
Failed to revise service plans to include provided services for residents R3, R4, and R5.
Failed to provide specific resident instructions related to medication administration for residents R3, R4, and R5.
Failed to document medication administration properly for residents R3, R4, R5, R9, and R10.
Failed to ensure medications were maintained with original prescription labels including expiration dates and failed to monitor for expired medications.
Failed to provide written specific instructions for blood glucose monitoring for residents R3, R5, and R6.
Failed to ensure privacy was maintained for resident R6 during blood glucose monitoring in a common dining area.
Report Facts
Residents present: 94
Fines assessed: 500
Dementia training hours: 6.25
Dementia training hours: 1
Medication administration times: 5
Blood pressure monitoring frequency: 32
Blood pressure range: 172
Blood pressure range: 63
Medication expiration date: 2023
Temperature: 156
Temperature: 174
Temperature: 38
Temperature: 39
Temperature: 41
Temperature: 40
Temperature: 37
Temperature: 41
Sanitizer concentration: 200
Sanitizer concentration: 200
Dishwasher temperature: 160
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Benjamin J. Zwart | Supervisor, State Engineering Services Section | Signed follow-up survey letter dated June 30, 2025 |
| Jessie Chenze | Supervisor, State Evaluation Team | Signed letter dated April 30, 2025 regarding initial survey |
| Dennis Reif | Certified Food Protection Manager | Signed food and beverage establishment inspection report dated April 3, 2025 |
| Ryan Trenberth | SAN III, Bemidji District Office | Signed food and beverage establishment inspection report dated April 3, 2025 |
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