The Estates At Linden Llc
The Estates at Linden LLC in STILLWATER, MN — inspection on January 8, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During observation on 1/5/26 at 2:19 p.m., R11 was in bed, and his call light was hanging off the foot of the bed between the foot board and the air mattress out of R11's reach.During observation on 1/7/26 between 7:30 a.m., and 8:11 a.m., R11 was in his room watching television in a reclining chair and his call light was located at the foot of the bed and draped between the foot board and the air mattress and out of R11's reach. At 8:11 a.m., two staff persons walked by R11's room and one staff person looked inside R11's room and went into another room down the hallway.During observation on 1/7/26 at 8:17 a.m., nursing assistant (NA)-B and NA-C brought R11 from his room to the dining room.During observation on 1/7/26 at 8:39 a.m., R11's call light was draped between the foot board and the air mattress.
During interview and observation on 1/7/26 at 9:58 a.m., R11 was in his room in the reclining chair. NA-C stated R11 used his call light and verified R11's call light was between the foot of the bed and the mattress and was out of R11's reach.
During interview on 1/7/26 at 10:40 a.m., registered nurse (RN)-C stated R11 used his call light and verified a call light intervention was not on the Kardex and expected staff to ensure R11's call light was within reach.During interview on 1/7/26 at 11:01 a.m., the director of nursing (DON) stated she expected staff to follow the care plan and stated it was important for R11 to have his call light in order to call for assistance.
During interview on 1/7/26 at 1:02 p.m., the DON stated they did not have a policy on accessible call lights and stated it was general practice to have an accessible call light.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
245337 01/08/2026
The Estates at Linden LLC 105 West Linden Street Stillwater, MN 55082
indicated the purpose of the policy was to provide guidelines for assessing and managing wounds and
245337 01/08/2026
The Estates at Linden LLC 105 West Linden Street Stillwater, MN 55082
added R25 had a cough and will cover her cough and staff made sure R25's hands were washed.
of a respiratory infection, they were encouraged to wear a mask if leaving their room and they monitored to see if there were any patterns or trends and further stated residents did not go on precautions, they were kept in their rooms as they allowed and if staff had symptoms should wear a mask and were encouraged to wear masks but was not required when caring for a resident with cold signs and symptoms.
The DON further stated they tracked dates of onset of signs and symptoms and specific symptoms and temps based on a resident's baseline and was documented on a tracker.
The DON further stated they were made aware of new signs and symptoms through review of progress notes.
The DON stated she had a tracker that was completed on a daily basis and one completed at the end of the month and included daily symptoms, and type of medications.
The DON was asked how trends were tracked or how potential outbreaks were tracked and stated they were a small facility but did not have a tracking system for this.
The DON verified the Illness tracker log had not been updated.
The DON further stated for testing, staff would test based on working with the provider and types of symptoms such as fevers, oxygen levels and heart rates and they document in their Change of Condition log and verified the log was not updated and stated it was supposed to be updated every day and will clear the week prior unless a resident continued to show symptoms and verified R25 was not on the change in condition form and the morning meeting change of condition notes and stated they missed R25.
The DON further stated scheduled acetaminophen could mask symptoms of an elevated fever and added she would talk with the provider today to see if R25 should be on any sort of testing and R25 would be encouraged to stay in her room and if testing was pending, R25 would be placed on respiratory precautions.
A policy, Infection Prevention and Control Program (IPCP), dated 11/2024, indicated the IPCP's mission was to prevent the development and transmission of communicable disease and infections and addresses detection, prevention and control of infections among residents and personnel and major elements of the program included surveillance, data analysis, outbreak management, and prevention of infection.
Surveillance tools are used for recognizing the occurrence of infections, recording their number and frequency, detecting outbreaks and epidemics, monitoring employee infections and detecting unusual pathogens with infection control implications.
Data analysis gathered during surveillance is used to oversee infections and spot trends.
Furthermore, the policy indicated to educate staff and ensure adherence to proper infection control techniques and to implement appropriate isolation precautions when necessary to prevent the spread of infection.
The undated EVS policy titled Daily Cleaning Procedures identified place soiled rags in a plastic bag on cart, remove and discard gloves, and wash hands prior to leaving room.
The policy lacked instruction on how staff must handle, store, process, and transport linen to prevent the spread of infection.