Valora Senior Living of St. Anthony

Survey completed June 7, 2022: 5 correction orders

• Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements (re-issued) scope/level letter F
  Details

  MDH’s finding, as written: “No further action required.”

  Rule cited: “(13) offer to provide or make available at least the following services to residents: (i) at least three nutritious meals daily with snacks available seven days per week, according to the recommended dietary allowances in the United States Department of [...]”

• Tag 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment (re-issued) scope/level letter E
  Details

  MDH’s finding, as written: “No further action required.”

  Rule cited: “(a) Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and: (1) for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) [...]”

• Tag 790: 144G.45 Subd. 2 (a) (2)-(3) Fire protection and physical environment (re-issued) scope/level letter F
  Details

  MDH’s finding, as written: “No further action required.”

  Rule cited: “(2) install and maintain portable fire extinguishers in accordance with the State Fire Code; (3) install portable fire extinguishers having a minimum 2-A:10-B:C rating within Group R-3 occupancies, as defined by the State Fire Code, located so that the travel [...]”

• Tag 810: 144G.45 Subd. 2 (b)-(f) Fire protection and physical environment (re-issued) scope/level letter F
  Details

  MDH’s finding, as written: “No further action required.”

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

• Tag 1650: 144G.70 Subd. 4 (f) Service plan, implementation and revisions to (re-issued) Level 2, widespread scope, scope/level letter F
  Details

  Summary: MDH found the licensee failed to ensure the resident service plan included the required content for three of three residents (R3, R1, R4,) with records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the resident service plan included the required content for three of three residents (R3, R1, R4,) with records reviewed. [...]”

  Rule cited: “(f) The service plan must include: (1) a description of the services to be provided, the fees for services, and the frequency of each service, according to the resident's current assessment and resident preferences; (2) the identification of staff or [...]”

Survey completed March 24, 2022: 14 correction orders

• Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure food was prepared according to the Minnesota Food Code.

  MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure food was prepared according to the Minnesota Food Code. This had the potential to affect all residents. [...]”

  Rule cited: “(13) offer to provide or make available at least the following services to residents: (i) at least three nutritious meals daily with snacks available seven days per week, according to the recommended dietary allowances in the United States Department of [...]”

• Tag 650: 144G.42 Subd. 8 Employee records Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure the employee record contained the required content for one of two employees unlicensed personnel (ULP)-B with records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the employee record contained the required content for one of two employees unlicensed personnel (ULP)-B with records reviewed. [...]”

  Rule cited: “(a) The facility must maintain current records of each paid employee, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”

• Tag 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to maintain proper functioning of the smoke alarm in resident room #202 and failed to provide interconnection of smoke alarms in room #410 as required by Minnesota Statutes, 144G.45, Subd.

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain proper functioning of the smoke alarm in resident room #202 and failed to provide interconnection of smoke alarms in room #410 as required by Minnesota Statutes, 144G.45, Subd. 2. This has the potential to directly affect all assisted living residents, visitors, and staff. [...]”

  Rule cited: “(a) Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and: (1) for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) [...]”

• Tag 790: 144G.45 Subd. 2 (a) (2)-(3) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
  Details

  Summary: MDH found the licensee failed to maintain portable fire extinguishers in accordance with the State Fire Code as required by MN Statute 144G.45 Subd(a)(2).

  MDH’s finding, as written: “Based on observation, record review, and interview, the licensee failed to maintain portable fire extinguishers in accordance with the State Fire Code as required by MN Statute 144G.45 Subd(a)(2). This had the potential to directly affect all residents, visitors, and staff. [...]”

  Rule cited: “(2) install and maintain portable fire extinguishers in accordance with the State Fire Code; (3) install portable fire extinguishers having a minimum 2-A:10-B:C rating within Group R-3 occupancies, as defined by the State Fire Code, located so that the travel [...]”

• Tag 810: 144G.45 Subd. 2 (b)-(f) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Fourteen
  Details

  Summary: MDH found the licensee failed to provide all required content on the fire safety and evacuation plan, the required evacuation drills, and the required training of staff on fire safety and evacuation.

  MDH’s finding, as written: “Based on observation, record review, and interview, the licensee failed to provide all required content on the fire safety and evacuation plan, the required evacuation drills, and the required training of staff on fire safety and evacuation. This has the potential to directly affect the safety of staff and all residents receiving care. [...]”

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

Total fines assessed, as printed in the letter: $500.00.

Total fines assessed, as printed in the letter: $3,000.00.

Allegation, as written: “The facility neglected the resident when safety checks were not completed in accordance with the service plan and the resident was later found in a locked kitchen on the floor with injuries.”

“The Minnesota Department of Health determined neglect was inconclusive.”

Summary: MDH looked into an allegation and found: neglect inconclusive.

MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was inconclusive. It was unable to be determined whether staff's failure to complete a safety check at the scheduled time resulted in the resident's fall. When staff discovered the resident missing from his room, staff contacted facility administration, the police, and the resident's family. The resident was located and sent to the hospital for evaluation.”

Action taken by facility: “When the resident was discovered missing, staff contacted 911 and searched for the resident.”

Action taken by MDH: “The facility was found to be in noncompliance.”

Survey completed January 14, 2025: 3 correction orders

• Tag 500: 144G.41 Subd. 2 Policies and procedures Level 2, widespread scope, scope/level letter F
  Details

  Summary: MDH found the licensee failed to ensure they had met the requirements for licensure by attesting the managerial officials in charge of day-to-day operations had assisted living licensure facility policies and procedures in place as required and keep them current.

  MDH’s finding, as written: “Based on observation and record review, the licensee failed to ensure they had met the requirements for licensure by attesting the managerial officials in charge of day-to-day operations had assisted living licensure facility policies and procedures in place as required and keep them current. This had the potential to affect all three residents, staff and visitors. [...]”

  Rule cited: “Each assisted living facility must have policies and procedures in place to address the following and keep them current: (1) requirements in section 626.557, reporting of maltreatment of vulnerable adults; (2) conducting and handling background studies on [...]”

• Tag 650: 144G.42 Subd. 8 (a) Staff records Level 2, isolated scope, scope/level letter D · correction period: Seven (21) days
  Details

  Summary: MDH found the licensee failed to ensure current employee records were maintained to include the required content of a background study clearance letter for three of six employees (ULP-C, RN-F and ULP-G) with records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure current employee records were maintained to include the required content of a background study clearance letter for three of six employees (ULP-C, RN-F and ULP-G) with records reviewed. [...]”

  Rule cited: “(a) The facility must maintain current records of each paid staff member, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”

• Tag 730: 144G.43 Subd. 3 Contents of resident record Level 2, isolated scope, scope/level letter D
  Details

  Summary: MDH found the licensee staff failed to ensure the content of the resident record included documentation of services identified in the service plan when scheduled night shift safety checks were not documented for one of two residents (R1) with records reviewed.

  MDH’s finding, as written: “Based on interview and record review, the licensee staff failed to ensure the content of the resident record included documentation of services identified in the service plan when scheduled night shift safety checks were not documented for one of two residents (R1) with records reviewed. [...]”

  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, [...]”

Allegation, as written: “The facility neglected the resident when they failed to administer scheduled medications as ordered.”

“The Minnesota Department of Health determined neglect was not substantiated.”

Summary: MDH looked into an allegation and found: neglect not substantiated.

MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was not substantiated. The facility administered medication as directed and followed the medical orders received at the time of the resident's admission.”

Action taken by facility: “The facility identified a change in the resident's condition and sent the resident for further evaluation. The facility maintained communication and engaged with the family, and coordinated additional training and care instructions with the Hospice agency.”

Action taken by MDH: “No further action taken at this time.”

Survey completed June 12, 2024: no correction orders issued.