4 Reports
Inspection Report — Jun 25, 2025
Routine
Date: Jun 25, 2025
Visit Reason
MDH assisted living licensing survey to evaluate and assess compliance with state assisted living licensing statutes.
Findings
MDH assisted living licensing survey. Three state correction orders were issued for fire protection and physical environment issues: undersized egress windows and improper locking/gates (which could obstruct egress) and use of extension cords; smoke alarms that were not interconnected; and incomplete fire safety and evacuation planning, training, drill documentation, and missing generator logs. No immediate fines were assessed for this survey.
Deficiencies (3)
0775 144G.45 Subd. 2. (a) Fire protection and physical environment: The facility's resident sleeping room egress windows did not meet the minimum openable area requirement, several doors and gates used locks or keypads that would delay or limit egress, and extension cords were used in common areas instead of permanent wiring.
0780 144G.45 Subd. 2 (a) (1) Fire protection and physical environment: Smoke alarms in multiple resident rooms and common areas were not interconnected so activation of one alarm did not activate others.
0810 144G.45 Subd. 2 (b-f) Fire protection and physical environment: The fire safety and evacuation plan lacked required resident-specific actions and details (including location/use of an air horn), generator maintenance logs were not maintained, and staff training and evacuation drill documentation were inadequate.
Report Facts
fines assessed: 0
Inspection Report — Apr 11, 2025
Complaint Investigation
Date: Apr 11, 2025
Visit Reason
MDH complaint investigation of alleged neglect.
Complaint Details
HL201157364M | Finding: Not Substantiated | The facility neglected the resident when she ingested hand sanitizer.
Findings
Maltreatment not substantiated. No correction orders were issued.
Inspection Report — Mar 11, 2025
Complaint Investigation
Date: Mar 11, 2025
Visit Reason
MDH complaint investigation of alleged neglect.
Complaint Details
HL201156782M | Finding: Not Substantiated | The alleged perpetrator neglected the resident by failing to provide physical safety and implement fall precautions after an apparent seizure, resulting in a fall and a fractured ankle requiring hospitalization.
Findings
Maltreatment not substantiated. No correction orders were issued.
Inspection Report — Aug 9, 2023
Routine
Date: Aug 9, 2023
Visit Reason
MDH assisted living licensing survey.
Findings
Eight state correction orders were issued addressing food preparation and Minnesota Food Code compliance; individual abuse prevention planning; multiple fire protection and physical environment issues (interconnected smoke alarms, building repairs, evacuation plans/training/drills, and unsecured/locked exits); service plan signature/authentication; and lack of required electronic monitoring notice. No immediate fines were assessed for this survey.
Deficiencies (8)
0480 144G.41 Subd 1 (13) (i) (B) Minimum requirements: The facility failed to ensure food was prepared and served according to the Minnesota Food Code, as documented in the Food and Beverage Establishment Inspection Report dated August 8, 2023.
0630 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma: The facility failed to develop an individual abuse prevention plan with all required content for one resident (R1).
0780 144G.45 Subd. 2 (a) (1) Fire protection and physical environment: The facility's sleeping-room smoke alarms were not interconnected so actuation of one alarm would not cause all alarms to operate.
0800 144G.45 Subd. 2 (a) (4) Fire protection and physical environment: The facility failed to maintain the physical environment in good repair (including water-damaged/bubbled ceilings and cracked window glass).
0810 144G.45 Subd. 2 (b)-(f) Fire protection and physical environment: The facility's fire safety and evacuation plan lacked required elements (location/number of resident rooms, exits/exit routes), employees had not received required ongoing training, and evacuation drills were not conducted as required.
0820 144G.45 Subd. 2 (g) Fire protection and physical environment: The facility had exit doors and yard gates that required codes/keys and were not tied into the fire alarm system to fail-safe, creating a distinct hazard to life.
01640 144G.70 Subd. 4 (a- e) Service plan, implementation and revisions to: The facility's most recent service plan for one resident (R1) lacked signature or other authentication by the resident or the resident's representative to document agreement on current services.
03090 144.6502, Subd. 8 Notice to Visitors: The facility did not post the required notice at the main entrance disclosing that electronic monitoring devices may be present.
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