Inspection Reports for
Well Care Health Services LLC
3600 73rd Avenue, Brooklyn Park, MN 55429, MN, 55429
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Inspection Report — Feb 13, 2026
Routine
Date: Feb 13, 2026
Visit Reason
MDH assisted living licensing survey; follow-up survey on 2026-05-12 verified the facility in substantial compliance.
Findings
Survey resulted in 22 correction orders addressing management and documentation, staff records and training, tuberculosis prevention and control, emergency preparedness, food safety and physical environment, and medication and treatment management; MDH assessed fines totaling $3,000.
Deficiencies (22)
0330 144G.30 Subd. 4 Information provided by facility: The licensee failed to provide accurate and truthful information to MDH during the survey, including inconsistencies and missing documentation in personnel records and TB testing records.
0340 144G.30 Subd. 5 Correction orders: The licensee failed to provide sufficient documentation of actions taken to comply with prior correction orders from the March 14, 2024 survey.
0420 144G.40 Subdivision 1 Responsibility for housing and services: The licensee failed to demonstrate adequate management, control, and operation of the facility, reflecting limited understanding of licensing requirements.
0480 144G.41 Subdivision 1 Minimum requirements; required food services: The licensee failed to ensure food was prepared and served according to the Minnesota Food Code (see FBEIR for specifics).
0550 144G.41 Subd. 7 Resident grievances; reporting maltreatment: The facility failed to post the grievance procedure and required contact information as required.
0650 144G.42 Subd. 8 Staff records: Personnel records for unlicensed staff were missing required elements (competency documentation, job descriptions, supervised reviews and signed performance evaluations).
0660 144G.42 Subd. 9 Tuberculosis prevention and control: The licensee failed to maintain a TB infection control program consistent with CDC guidance (incomplete risk assessment, missing or undocumented baseline TB testing and training).
0680 144G.42 Subd. 10 Disaster planning and emergency preparedness: The emergency preparedness plan lacked required content (risk assessment, communication, staffing/subsistence, tracking, policies) and was not posted prominently.
0775 144G.45 Subd. 2 (a) Fire protection and physical environment: Physical environment deficiencies were identified (see PEIR 02-12-26) and must be corrected.
0780 144G.45 Subd. 2 (a)(1) Fire protection and physical environment (smoke alarms/power): The facility had isolated issues with smoke alarm interconnection and related requirements.
0810 144G.45 Subd. 2 (b-f) Fire protection and physical environment (plans, training, drills): The facility's fire safety and evacuation plans, staff training and drill frequency/documentation were inadequate or not implemented (see PEIR 02-12-26).
01320 144G.60 Subd. 4 Unlicensed personnel: Required training and competency documentation for unlicensed personnel were incomplete or missing.
01470 144G.63 Subd. 2 Content of required orientation: Unlicensed staff did not receive required orientation on assisted living statutes, complaint reporting, consumer advocacy, resident rights and other required topics prior to providing services.
01500 144G.63 Subd. 5 Required annual training: Annual training requirements (maltreatment reporting, infection control, assisted living bill of rights, dementia-related communication/problem solving, person-centered planning) were not documented for staff.
01530 144G.64 (a)(1-2) Training in Dementia, Mental Illness, and De-escalation: Direct care staff did not receive required initial and/or ongoing dementia care and mental illness/de-escalation training in the required timeframes.
01620 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring: Registered nurse reassessments exceeded the required 90-day interval for two residents (assessments documented 98 days apart).
01730 144G.71 Subd. 5 Individualized medication management plan: Resident medication record lacked required content (e.g., identification of tasks delegated to unlicensed staff, persons responsible for refills, GT medication handling).
01760 144G.71 Subd. 8 Documentation of administration of medication: The facility failed to ensure accurate medication transcription/ MAR updates for a changed gabapentin prescription, resulting in inconsistent dosing instructions.
01880 144G.71 Subd. 19 Storage of medications: Medications were not always stored securely (medications observed unsecured in resident rooms and a common bathroom) and the medication refrigerator temperature monitoring/documentation was inadequate (recorded temperatures not maintained within manufacturer guidance).
01910 144G.71 Subd. 22 Disposition of medications: The facility had not documented disposition of discontinued/ deceased residents' medications and retained expired/discontinued medications without required disposition documentation.
01940 144G.72 Subd. 3 Individualized treatment or therapy management: Resident treatment records (e.g., bolus G-tube feeds, wound care, flushes) lacked required individualized treatment/therapy plan content and procedures for notifying licensed clinicians when problems arise.
03090 144.6502 Subd. 8 Notice to Visitors: The facility entrance notice did not use the required statutory language to disclose electronic monitoring (cameras/audio).
Report Facts
fine_assessed: 500
fine_assessed: 1000
fine_assessed: 500
fine_assessed: 1000
fines_assessed_total: 3000
Inspection Report — Sep 17, 2024
Complaint Investigation
Date: Sep 17, 2024
Visit Reason
MDH complaint investigation of alleged neglect.
Complaint Details
HL395644181M | Finding: Not Substantiated | The facility neglected the resident when the facility did not provide assistance and she fell causing a fractured shoulder and hip.
Findings
Maltreatment not substantiated. No correction orders were issued.
Inspection Report — Mar 14, 2024
Original Licensing
Date: Mar 14, 2024
Visit Reason
MDH assisted living licensing survey (initial survey).
Findings
The Department issued 8 state correction orders covering food service, emergency preparedness, fire safety and evacuation planning, designation of representative language in the assisted living contract, staff orientation and required annual training (including dementia training), and required electronic monitoring notice. No immediate fines were assessed and the licensee was granted an assisted living facility license.
Deficiencies (8)
0480 144G.41 Subd 1 (13) (i) (B) Minimum requirements: Based on observation, interview, and record review, the licensee failed to ensure food was prepared and served according to the Minnesota Food Code.
0680 144G.42 Subd. 10 Disaster planning and emergency preparedness: The licensee lacked a complete written emergency preparedness plan and did not document required elements (for example: communication plan, hazard vulnerability assessment, procedures for tracking evacuated residents and staff), potentially affecting all residents.
0810 144G.45 Subd. 2 (b)-(f) Fire protection and physical environment: The licensee's fire safety and evacuation plan was incomplete and vague, lacking employee actions and specific procedures for resident movement, evacuation, and identification of unique resident needs.
0950 144G.50 Subd. 3 Designation of representative: One resident's assisted living contract did not include the required verbatim designated representative notice or a space for the resident to initial if declining to name a representative.
01470 144G.63 Subd. 2 Content of required orientation: The licensee failed to ensure RN-A received required orientation to assisted living licensing requirements and facility policies before providing services.
01500 144G.63 Subd. 5 Required annual training: RN-A's records lacked documentation of required annual training (at least eight hours per 12 months), including review of facility policies and procedures.
01530 144G.64 TRAINING IN DEMENTIA CARE REQUIRED: RN-A's employee record lacked required dementia-care training hours and required topic coverage within the required timeframe.
03090 144.6502, Subd. 8 Notice to Visitors: The facility failed to post the required electronic monitoring notice at entrances accessible to visitors.
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