Inspection Reports for Nova Ewing Home
5152 Ewing Avenue North, Brooklyn Center, MN 55429, MN, 55429
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
156% worse than Minnesota average
Minnesota average: 3.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Follow-Up
Census: 4
Deficiencies: 10
Date: Sep 24, 2024
Visit Reason
Follow-up survey conducted on September 24, 2024, to determine if orders from the July 11, 2024 survey were corrected.
Findings
The follow-up survey verified that the facility is in substantial compliance with previous correction orders.
Deficiencies (10)
Food was not prepared and served according to the Minnesota Food Code, resulting in a level two violation at a widespread scope.
Failed to ensure one employee had evidence of completing orientation to assisted living facility licensing requirements before providing services.
Failed to have a written emergency preparedness plan with all required content, and failed to post emergency exit diagrams on each floor.
Failed to maintain physical environment in good repair including exposed light bulbs, holes in walls, broken door trim, and holes in doors.
Failed to develop fire safety and evacuation plan with required content, provide required training and drills.
Failed to ensure resident bedrooms had minimum window opening meeting state standard for egress, constituting a distinct hazard to life.
Failed to execute written contracts with required content including Health Facility Identification number.
Assisted living contract included language waiving licensee's liability for resident health, safety, or personal property.
Failed to ensure one employee received required initial dementia care training within first 160 working hours.
Service plan lacked required content including action to be taken if scheduled service cannot be provided.
Report Facts
Residents present: 4
Window measurements: 550
Window measurements: 573.5
Window measurements: 792
Correction order compliance dates: 7
Correction order compliance dates: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| ULP-C | Unlicensed Personnel | Named in findings for lack of orientation documentation and incomplete dementia care training. |
| Jess Schoenecker | Supervisor, State Evaluation Team | Signed follow-up survey letter dated October 18, 2024. |
| Casey DeVries | Supervisor, State Evaluation Team | Signed correction order letters and correspondence related to July 11, 2024 survey. |
| AD-B | Assistant Director | Interviewed regarding orientation documentation, emergency preparedness, fire safety, and window egress deficiencies. |
| CNS-A | Clinical Nurse Supervisor | Provided resident contract and assisted living contract documents during survey. |
| Dheeraj Karki | Certified Food Protection Manager | Named on Food and Beverage Establishment Inspection Report dated July 8, 2024. |
| Casey Kipping | Public Health Sanitarian III | Signed Food and Beverage Establishment Inspection Report dated July 8, 2024. |
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