Open Heart Residence Limited

Summary: MDH found the licensee failed to have a daily program of social and recreational activities.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to have a daily program of social and recreational activities. This had the potential to affect all three residents receiving assisted living services. [...]”

Rule cited: “(ii) weekly housekeeping; (iii) weekly laundry service; (iv) upon the request of the resident, provide direct or reasonable assistance with arranging for transportation to medical and social services appointments, shopping, and other recreation, and provide [...]”

Summary: MDH found the licensee failed to post the required information related to the grievance procedure and contact information for the Office of Ombudsman for Long-Term Care and Mental Health and Developmental Disabilities.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to post the required information related to the grievance procedure and contact information for the Office of Ombudsman for Long-Term Care and Mental Health and Developmental Disabilities. This had the potential to affect all three residents receiving assisted living services, staff, and visitors. [...]”

Rule cited: “All facilities must post in a conspicuous place information about the facilities' grievance procedure, and the name, telephone number, and e-mail contact information for the individuals who are responsible for handling resident grievances. [...]”

Summary: MDH found the licensee failed to ensure implementation of an individual abuse prevention plan for one of one resident (R1) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure implementation of an individual abuse prevention plan for one of one resident (R1) with records reviewed. [...]”

Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”

Summary: MDH found the licensee failed to post the required content in common areas to include: 911 emergency number in common areas and near telephones provided by the assisted living facility and the reporting number for the Minnesota Adult Abuse Reporting Center (MAARC) to report suspected maltreatment of a vulnerable adult under section 626.557.

MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to post the required content in common areas to include: 911 emergency number in common areas and near telephones provided by the assisted living facility and the reporting number for the Minnesota Adult Abuse Reporting Center (MAARC) to report suspected maltreatment of a vulnerable adult under section 626.557. This had the potential to affect all three residents receiving assisted living services, staff, and visitors. [...]”

Rule cited: “The facility shall support protection and safety through access to the state's systems for reporting suspected criminal activity and suspected vulnerable adult maltreatment by: (1) posting the 911 emergency number in common areas and near telephones provided [...]”

Summary: MDH found the licensee failed to have a written emergency preparedness plan with all the required content and failed to post an emergency preparedness plan prominently.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to have a written emergency preparedness plan with all the required content and failed to post an emergency preparedness plan prominently. This had the potential to affect all three residents receiving services under the assisted living license, staff, and visitors. [...]”

Rule cited: “(a) The facility must meet the following requirements: (1) have a written emergency disaster plan that contains a plan for evacuation, addresses elements of sheltering in place, identifies temporary relocation sites, and details staff assignments in the event [...]”

Summary: MDH found the licensee failed to complete a discharge summary for one of one discharged resident (R2) reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to complete a discharge summary for one of one discharged resident (R2) reviewed. This practice resulted in a level one violation (a violation that has no potential to cause more than a minimal impact on the resident and does not affect health or safety), and was issued at an isolated scope (when one or a limited number of residents are affected or one or a limited number of staff are involved or the situation has occurred only [...]”

Rule cited: “Contents of a resident record include the following for each resident: (1) identifying information, including the resident's name, date of birth, address, and telephone number; (2) the name, address, and telephone number of the resident's emergency contact, [...]”

Summary: MDH found the licensee failed to develop and maintain fire safety and evacuation plans, to provide required training to residents and employees for fire safety and evacuation, and to conduct required employee evacuation drills.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop and maintain fire safety and evacuation plans, to provide required training to residents and employees for fire safety and evacuation, and to conduct required employee evacuation drills. This had the potential to affect all current residents, visitors and staff. [...]”

Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”

Summary: MDH found the licensee failed to develop and execute an assisted living written contract with the residents to include all required content for one of one resident (R1) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop and execute an assisted living written contract with the residents to include all required content for one of one resident (R1) with records reviewed. [...]”

Rule cited: “(a) An assisted living facility may not offer or provide housing or assisted living services to any individual unless it has executed a written contract with the resident. [...]”

Summary: MDH found the licensee failed to ensure training and competency evaluations contained all the required training for two of two unlicensed personnel ((ULP)-C and ULP-D) with records reviewed.

MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure training and competency evaluations contained all the required training for two of two unlicensed personnel ((ULP)-C and ULP-D) with records reviewed. [...]”

Rule cited: “(a) Training and competency evaluations for all unlicensed personnel must include the following: (1) documentation requirements for all services provided; (2) reports of changes in the resident's condition to the supervisor designated by the facility; (3) [...]”

MDH’s finding, as written: “Based on observation, interview, and record review the licensee failed to ensure training and competency evaluations contained all the required training for two of two unlicensed personnel ((ULP)-C and ULP-D) with records reviewed. [...]”

Rule cited: “(b) In addition to paragraph (a), training and competency evaluation for unlicensed personnel providing assisted living services must include: (1) observing, reporting, and documenting resident status; (2) basic knowledge of body functioning and changes in [...]”

Summary: MDH found the licensee failed to ensure all direct care staff completed at least eight (8) hours initial training in dementia care for one of two unlicensed personnel ((ULP)-D) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure all direct care staff completed at least eight (8) hours initial training in dementia care for one of two unlicensed personnel ((ULP)-D) with records reviewed. [...]”

Rule cited: “(a) All assisted living facilities must meet the following training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on topics specified under paragraph (b) within 120 working hours of the employment start [...]”

Summary: MDH found the licensee failed to ensure the registered nurse (RN) completed a comprehensive nursing assessment with all required content for one of one residents (R1) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) completed a comprehensive nursing assessment with all required content for one of one residents (R1) with records reviewed. This had the potential to affect all three residents at the facility. [...]”

Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”

Summary: MDH found the licensee failed to ensure documentation of the disposition of medications for one of one discharged resident (R2) with records reviewed.

MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure documentation of the disposition of medications for one of one discharged resident (R2) with records reviewed. [...]”

Rule cited: “(a) Any current medications being managed by the assisted living facility must be provided to the resident when the resident's service plan ends or medication management services are no longer part of the service plan. [...]”