Amazing Love Assisted Living

Last evaluation

November 26, 2024

Evaluations on record

2

Investigations substantiated

4 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

1 kept 3 years

Most recent evaluation (November 26, 2024, state report KZBU11)

MDH: “On February 9, 2026, through February 11, 2026, the Minnesota Department of Health conducted a follow-up survey at the above provider to follow-up on orders issued pursuant to a survey completed on September 12, 2025.”

Survey completed February 11, 2026: 5 correction orders

• Tag 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services (re-issued) scope/level letter F
  Details

  Rule cited: “(a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. [...]”

• Tag 775: 144G.45 Subd. 2. (a) Fire protection and physical environment Level 3, widespread scope, scope/level letter I · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to maintain facility in compliance with Minnesota State Fire Code under Minnesota Rules Chapter 7511.

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain facility in compliance with Minnesota State Fire Code under Minnesota Rules Chapter 7511. Cigarettes were not disposed of in a proper manner and discarded smoking materials were located on the ground and on the back porch of the property. This had the potential to affect all residents, staff, and visitors. [...]”

  Rule cited: “Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and:”

• Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment (re-issued) scope/level letter F
  Details

  Rule cited: “(4) keep the physical environment, including walls, floors, ceiling, all furnishings, grounds, systems, and equipment in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents in accordance [...]”

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

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

• Tag 830: 144G.45 Subd. 3 Local laws apply (re-issued) scope/level letter F
  Details

  Rule cited: “Assisted living facilities shall comply with all applicable state and local governing laws, regulations, standards, ordinances, and codes for fire safety, building, and zoning requirements, except a facility with a licensed resident capacity of six or fewer [...]”

Survey completed September 12, 2025: 20 correction orders

• Tag 250: 144G.20 Subdivision 1 Conditions (re-issued) Level 2, widespread scope, scope/level letter F
  Details

  Summary: MDH found the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations understood applicable statutes and rules.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations understood applicable statutes and rules. This had the potential to affect all residents, staff, and visitors. [...]”

  Rule cited: “(a) The commissioner may refuse to grant a provisional license, refuse to grant a license as a result of a change in ownership, refuse to renew a license, suspend or revoke a license, or impose a conditional license if the owner, controlling individual, or [...]”

• Tag 340: 144G.30 Subd. 5 Correction orders Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to provide sufficient documentation taken to comply with the correction orders from a survey completed November 26, 2024.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide sufficient documentation taken to comply with the correction orders from a survey completed November 26, 2024. The lack of action to ensure compliance with regulations had the potential to affect all residents receiving services from the licensee. [...]”

  Rule cited: “(a) A correction order may be issued whenever the commissioner finds upon survey or during a complaint investigation that a facility, a managerial official, an agent of the facility, or staff of the facility is not in compliance with this chapter. [...]”

• Tag 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services (re-issued) scope/level letter F
  Details

  Rule cited: “(a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. [...]”

• Tag 720: 144G.43 Subd. 2 Access to records (re-issued) Level 2, widespread scope, scope/level letter F
  Details

  Summary: MDH found the licensee failed to ensure that resident records were readily available for timely access to employees, vendors, and the commissioner authorized representative.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure that resident records were readily available for timely access to employees, vendors, and the commissioner authorized representative. [...]”

  Rule cited: “The facility must ensure that the appropriate records are readily available to employees and contractors authorized to access the records. Resident records must be maintained in a manner that allows for timely access, printing, or transmission of the records. [...]”

• Tag 730: 144G.43 Subd. 3 Contents of resident record Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  MDH’s finding, as written: “Based in interview and record review, the licensee failed to maintain a current resident record with all required content for one of two residents (R14). This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and was issued at an isolated scope (when one or a limited number of residents are affected or one or [...]”

  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, [...]”

Survey completed November 26, 2024: 22 correction orders

• Tag 250: 144G.20 Subdivision 1 Conditions Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations understood applicable statutes and rules.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations understood applicable statutes and rules. This had the potential to affect all residents, staff, and visitors. [...]”

  Rule cited: “(a) The commissioner may refuse to grant a provisional license, refuse to grant a license as a result of a change in ownership, refuse to renew a license, suspend or revoke a license, or impose a conditional license if the owner, controlling individual, or [...]”

• Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 3, widespread scope, scope/level letter I · correction period: Seven (7) days · fine: $3,000.00 assessed
  Details

  Summary: MDH found the licensee failed to ensure their staffing plan was sufficient to meet the scheduled needs and reasonably foreseeable unscheduled needs of their resident population when the licensee provided care and services to thirteen residents who had significant mental health diagnoses and negative behaviors including substance abuse, physical aggression, stealing, property destruction, and suicidal ideation.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure their staffing plan was sufficient to meet the scheduled needs and reasonably foreseeable unscheduled needs of their resident population when the licensee provided care and services to thirteen residents who had significant mental health diagnoses and negative behaviors including substance abuse, physical aggression, stealing, property destruction, and suicidal ideation. [...]”

  Rule cited: “(11) develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility; (ii) ensures sufficient staffing at all times to [...]”

• Tag 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services Level 2, widespread scope, scope/level letter F · correction period: Please refer to the FBEIR for any compliance dates
  Details

  Summary: MDH found the licensee failed to ensure food was prepared and served 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 and served according to the Minnesota Food Code. This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and is issued at a widespread scope (when problems are pervasive or represent a systemic failure that has [...]”

  Rule cited: “(a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. [...]”

• Tag 650: 144G.42 Subd. 8 (a) Staff records Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
  Details

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the employee record contained the required content to include direct supervision of staff providing delegated tasks within 30 days for two of two unlicensed personnel ((ULP)-C, ULP-F) This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, [...]”

  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 680: 144G.42 Subd. 10 Disaster planning and emergency preparedness Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
  Details

  Summary: MDH found the licensee failed to provide a written emergency preparedness (EP) plan with all the required content.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide a written emergency preparedness (EP) plan with all the required content. This had the potential to affect all residents, 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 [...]”

Survey completed October 25, 2024: 3 correction orders

• Tag 1600: 144G.70 Subdivision 1 Acceptance of residents Level 3, isolated scope, scope/level letter G · correction period: Seven (7) Days
  Details

  MDH’s finding, as written: “Based on interview and document review the licensee failed to ensure staff had the sufficient qualifications, competency, and numbers to adequately provide the services agreed to in the assisted living contract prior to admission of one of one resident (R1) who had a history of mental health disorders, elopements, and a history of substance abuse. [...]”

  Rule cited: “An assisted living facility may not accept a person as a resident unless the facility has staff, sufficient in qualifications, competency, and numbers, to adequately provide the services agreed to in the assisted living contract.”

• Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, widespread scope, scope/level letter I · correction period: Seven (7) Days
  Details

  Summary: MDH found the licensee failed to ensure appropriate care and services were provided based on the resident's needs in accordance with an up-to-date service plan and accepted health care standards for one of one resident (R1) with a known history of elopement.

  MDH’s finding, as written: “Based on interview and document review, the licensee failed to ensure appropriate care and services were provided based on the resident's needs in accordance with an up-to-date service plan and accepted health care standards for one of one resident (R1) with a known history of elopement. [...]”

  Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”

• Tag 2360: 144G.91 Subd. 8 Freedom from maltreatment
  Details

  Summary: MDH found the facility failed to ensure one of one resident(s) reviewed (R1) was free from maltreatment.

  MDH’s finding, as written: “The facility failed to ensure one of one resident(s) reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred and the facility was responsible for the maltreatment, in connection with incidents which occurred at the facility. Please refer to the public maltreatment report for details.”

  Rule cited: “Residents have the right to be free from physical, sexual, and emotional abuse; neglect; financial exploitation; and all forms of maltreatment covered under the Vulnerable Adults Act.”

MDH letters in this report

• April 14, 2026: Notice Of Removal Of Conditional License
• Notice Of Conditional License

From MDH’s letter: the letter says the facility is not in substantial compliance; MDH granted the assisted living license.

Fines assessed by MDH

• Tag 470 (144g.41 Subdivision 1 - Minimum Requirements): $3,000.00
• Tag 780 (144g.45 Subd. 2 (a) (1) - Fire Protection And Physical Environment): $3,000.00

Total fines assessed, as printed in the letter: $5,500.00.

Total fines assessed, as printed in the letter: $7,000.00.

Substantiated investigations (state reports)

• March 19, 2025 · report HL247806520C
  Details

  Survey completed October 25, 2024: 3 correction orders

  • Tag 1600: 144G.70 Subdivision 1 Acceptance of residents Level 3, isolated scope, scope/level letter G · correction period: Seven (7) Days
    Details

    MDH’s finding, as written: “Based on interview and document review the licensee failed to ensure staff had the sufficient qualifications, competency, and numbers to adequately provide the services agreed to in the assisted living contract prior to admission of one of one resident (R1) who had a history of mental health disorders, elopements, and a history of substance abuse. [...]”

    Rule cited: “An assisted living facility may not accept a person as a resident unless the facility has staff, sufficient in qualifications, competency, and numbers, to adequately provide the services agreed to in the assisted living contract.”

  • Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, widespread scope, scope/level letter I · correction period: Seven (7) Days
    Details

    Summary: MDH found the licensee failed to ensure appropriate care and services were provided based on the resident's needs in accordance with an up-to-date service plan and accepted health care standards for one of one resident (R1) with a known history of elopement.

    MDH’s finding, as written: “Based on interview and document review, the licensee failed to ensure appropriate care and services were provided based on the resident's needs in accordance with an up-to-date service plan and accepted health care standards for one of one resident (R1) with a known history of elopement. [...]”

    Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”

  • Tag 2360: 144G.91 Subd. 8 Freedom from maltreatment
    Details

    Summary: MDH found the facility failed to ensure one of one resident(s) reviewed (R1) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure one of one resident(s) reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred and the facility was responsible for the maltreatment, in connection with incidents which occurred at the facility. Please refer to the public maltreatment report for details.”

    Rule cited: “Residents have the right to be free from physical, sexual, and emotional abuse; neglect; financial exploitation; and all forms of maltreatment covered under the Vulnerable Adults Act.”

• February 3, 2025 · report HL247809430C
  Details

  Survey completed November 26, 2024: 22 correction orders

  • Tag 250: 144G.20 Subdivision 1 Conditions Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
    Details

    Summary: MDH found the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations understood applicable statutes and rules.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations understood applicable statutes and rules. This had the potential to affect all residents, staff, and visitors. [...]”

    Rule cited: “(a) The commissioner may refuse to grant a provisional license, refuse to grant a license as a result of a change in ownership, refuse to renew a license, suspend or revoke a license, or impose a conditional license if the owner, controlling individual, or [...]”

  • Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 3, widespread scope, scope/level letter I · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure their staffing plan was sufficient to meet the scheduled needs and reasonably foreseeable unscheduled needs of their resident population when the licensee provided care and services to thirteen residents who had significant mental health diagnoses and negative behaviors including substance abuse, physical aggression, stealing, property destruction, and suicidal ideation.

    MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure their staffing plan was sufficient to meet the scheduled needs and reasonably foreseeable unscheduled needs of their resident population when the licensee provided care and services to thirteen residents who had significant mental health diagnoses and negative behaviors including substance abuse, physical aggression, stealing, property destruction, and suicidal ideation. [...]”

    Rule cited: “(11) develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility; (ii) ensures sufficient staffing at all times to [...]”

  • Tag 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services Level 2, widespread scope, scope/level letter F · correction period: Please refer to the FBEIR for any compliance dates
    Details

    Summary: MDH found the licensee failed to ensure food was prepared and served 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 and served according to the Minnesota Food Code. This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and is issued at a widespread scope (when problems are pervasive or represent a systemic failure that has [...]”

    Rule cited: “(a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. [...]”

  • Tag 650: 144G.42 Subd. 8 (a) Staff records Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
    Details

    MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the employee record contained the required content to include direct supervision of staff providing delegated tasks within 30 days for two of two unlicensed personnel ((ULP)-C, ULP-F) This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, [...]”

    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 680: 144G.42 Subd. 10 Disaster planning and emergency preparedness Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
    Details

    Summary: MDH found the licensee failed to provide a written emergency preparedness (EP) plan with all the required content.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide a written emergency preparedness (EP) plan with all the required content. This had the potential to affect all residents, 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 [...]”

  Show all 22

  • Tag 720: 144G.43 Subd. 2 Access to records Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
    Details

    Summary: MDH found the licensee failed to ensure that resident records were readily available for timely access to employees, vendors, and the commissioner authorized to access the records.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure that resident records were readily available for timely access to employees, vendors, and the commissioner authorized to access the records. [...]”

    Rule cited: “The facility must ensure that the appropriate records are readily available to employees and contractors authorized to access the records. Resident records must be maintained in a manner that allows for timely access, printing, or transmission of the records. [...]”

  • Tag 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment Level 3, widespread scope, scope/level letter I · correction period: Immediate
    Details

    Summary: MDH found the licensee failed to comply with the current State Fire Code in Minnesota Rules, chapter 7511.

    MDH’s finding, as written: “Based on observation and interview, the licensee failed to comply with the current State Fire Code in Minnesota Rules, chapter 7511. The licensee failed to provide resident bedrooms with the minimum window opening meeting the minimum state standard for egress. The licensee failed to provide smoke alarms that functioned and were interconnected so that the actuation of one alarm caused all alarms in the dwelling unit to actuate. [...]”

    Rule cited: “for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) provide smoke alarms outside each separate sleeping area in the immediate vicinity of bedrooms; (iii) provide smoke [...]”

  • Tag 790: 144G.45 Subd. 2 (a) (2-3) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to maintain the portable fire extinguishers.

    MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the portable fire extinguishers. This deficient condition had the potential to affect all staff, residents, and visitors. [...]”

    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 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to maintain the physical environment, including walls, floors, ceiling, all furnishings, grounds, systems, and equipment in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents.

    MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the physical environment, including walls, floors, ceiling, all furnishings, grounds, systems, and equipment in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents. This deficient condition had the potential to affect all staff, residents, and visitors. [...]”

    Rule cited: “(4) keep the physical environment, including walls, floors, ceiling, all furnishings, grounds, systems, and equipment in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents in accordance [...]”

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

    Summary: MDH found the licensee failed to develop the fire safety and evacuation plan with the required content and provide the required training and drills.

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

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

  • Tag 830: 144G.45 Subd. 3 Local laws apply Level 2, widespread scope, scope/level letter F · correction period: Two (2) Days
    Details

    Summary: MDH found the licensee failed to follow applicable state and local laws, regulations, standards, ordinances, and codes related to smoking for three of three residents (R1, R3, R6).

    MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to follow applicable state and local laws, regulations, standards, ordinances, and codes related to smoking for three of three residents (R1, R3, R6). [...]”

    Rule cited: “Assisted living facilities shall comply with all applicable state and local governing laws, regulations, standards, ordinances, and codes for fire safety, building, and zoning requirements, except a facility with a licensed resident capacity of six or fewer [...]”

  • Tag 1060: 144G.52 Subd. 9 Emergency relocation Level 2, isolated scope, scope/level letter D · correction period: Twenty-One (21) days
    Details

    Summary: MDH found the licensee failed to provide a written notice with required content for an emergency relocation for one of three residents (R3).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide a written notice with required content for an emergency relocation for one of three residents (R3). [...]”

    Rule cited: “(a) A facility may remove a resident from the facility in an emergency if necessary due to a resident's urgent medical needs or an imminent risk the resident poses to the health or safety of another facility resident or facility staff member. [...]”

  • Tag 1370: 144G.61 Subd. 2 (a) Training and evaluation of unlicensed personn Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
    Details

    Summary: MDH found the licensee failed to ensure training and competency evaluations included all the required training for two of two unlicensed personnel (ULP-C, ULP-F).

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

    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) [...]”

  • Tag 1380: 144G.61 Subd. 2 (b) Training and evaluation of unlicensed personn Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
    Details

    Summary: MDH found the licensee failed to ensure training and/or competencies were completed and documented two of two unlicensed personnel ((ULP)-C, ULP-F).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure training and/or competencies were completed and documented two of two unlicensed personnel ((ULP)-C, ULP-F). [...]”

    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 [...]”

  • Tag 1470: 144G.63 Subd. 2 Content of required orientation Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
    Details

    Summary: MDH found the licensee failed to ensure employees received orientation to include all required content for three of three employees (manager (MGR)-D, unlicensed personnel (ULP)-C, ULP-F).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employees received orientation to include all required content for three of three employees (manager (MGR)-D, unlicensed personnel (ULP)-C, ULP-F). [...]”

    Rule cited: “(a) The orientation must contain the following topics: (1) an overview of this chapter; (2) an introduction and review of the facility's policies and procedures related to the provision of assisted living services by the individual staff person; (3) handling [...]”

  • Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure the registered nurse (RN) documented ongoing resident monitoring and reassessment of smoking behavior and new interventions when documented interventions failed for three of three residents (R1, R3, R6).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) documented ongoing resident monitoring and reassessment of smoking behavior and new interventions when documented interventions failed for three of three residents (R1, R3, R6). [...]”

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

  • Tag 1640: 144G.70 Subd. 4 (a-e) Service plan, implementation and revisions to Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
    Details

    Summary: MDH found the licensee failed to ensure the current service plan included a signature or other authentication by the licensee and by the resident or resident's representative to document agreement of services to be provided for three of three residents (R1, R2, R3).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the current service plan included a signature or other authentication by the licensee and by the resident or resident's representative to document agreement of services to be provided for three of three residents (R1, R2, R3). [...]”

    Rule cited: “(a) No later than 14 calendar days after the date that services are first provided, an assisted living facility shall finalize a current written service plan. [...]”

  • Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, widespread scope, scope/level letter F · correction period: Seven (7)
    Details

    Summary: MDH found the licensee failed to document medication

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to document medication administration in residents' records for two of two residents (R1, R2). This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety) and was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has affected or has the potential to affect a large number or all [...]”

    Rule cited: “Each medication administered by the assisted living facility staff must be documented in the resident's record. The documentation must include the signature and title of the person who administered the medication. [...]”

  • Tag 1880: 144G.71 Subd. 19 Storage of medications Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to store all prescription medications according to the manufacturer's directions.

    MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to store all prescription medications according to the manufacturer's directions. This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety) and was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has affected or has the potential to affect a large portion or [...]”

    Rule cited: “An assisted living facility must store all prescription medications in securely locked and substantially constructed compartments according to the manufacturer's directions and permit only authorized personnel to have access.”

  • Tag 1910: 144G.71 Subd. 22 Disposition of medications Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to document in the resident's record the disposition of the medications as required for one of one resident (R3) upon

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to document in the resident's record the disposition of the medications as required for one of one resident (R3) upon discharge. [...]”

    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. [...]”

  • Tag 1940: 144G.72 Subd. 3 Individualized treatment or therapy managemen Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to develop and implement a treatment or therapy management plan to include all required content for one of one resident (R2).

    MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop and implement a treatment or therapy management plan to include all required content for one of one resident (R2). [...]”

    Rule cited: “For each resident receiving management of ordered or prescribed treatments or therapy services, the assisted living facility must prepare and include in the service plan a written statement of the treatment or therapy services that will be provided to the [...]”

  • Tag 1960: 144G.72 Subd. 5 Documentation of administration of treatments Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure documentation of administration of or the reason why a treatment was not administered and any follow-up procedures that were provided for one of one resident (R2) receiving treatments.

    MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure documentation of administration of or the reason why a treatment was not administered and any follow-up procedures that were provided for one of one resident (R2) receiving treatments. [...]”

    Rule cited: “Each treatment or therapy administered by an assisted living facility must be in the resident record. [...]”

• January 21, 2025 · report HL247806061M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected the resident when facility staff failed to provide adequate supervision, resulting in multiple elopements from the facility. In addition, staff failed to ensure adequate supervision resulting in the resident being sexually assaulted by another resident.”

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

  “The facility was responsible for the maltreatment.”

  Summary: MDH looked into an allegation and found: neglect substantiated (facility responsibility).

  MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was substantiated. The facility was responsible for the maltreatment. The resident admitted to the facility with a history of elopement and eloped approximately fifteen times within a five-month period. Nursing staff failed to assess the resident following the elopements and failed to implement interventions to protect the resident's health and safety following each elopement. It was unable to be determined if a sexual assault occurred. Law enforcement records related to the incident indicated there was not enough evidence available to substantiate sexual assault occurred and the resident later reported she had consensual sex with the other resident.”

  Action taken by facility: “None.”

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

  Survey completed October 25, 2024: 3 correction orders

  • Tag 1600: 144G.70 Subdivision 1 Acceptance of residents Level 3, isolated scope, scope/level letter G · correction period: Seven (7) Days
    Details

    MDH’s finding, as written: “Based on interview and document review the licensee failed to ensure staff had the sufficient qualifications, competency, and numbers to adequately provide the services agreed to in the assisted living contract prior to admission of one of one resident (R1) who had a history of mental health disorders, elopements, and a history of substance abuse. [...]”

    Rule cited: “An assisted living facility may not accept a person as a resident unless the facility has staff, sufficient in qualifications, competency, and numbers, to adequately provide the services agreed to in the assisted living contract.”

  • Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, widespread scope, scope/level letter I · correction period: Seven (7) Days
    Details

    Summary: MDH found the licensee failed to ensure appropriate care and services were provided based on the resident's needs in accordance with an up-to-date service plan and accepted health care standards for one of one resident (R1) with a known history of elopement.

    MDH’s finding, as written: “Based on interview and document review, the licensee failed to ensure appropriate care and services were provided based on the resident's needs in accordance with an up-to-date service plan and accepted health care standards for one of one resident (R1) with a known history of elopement. [...]”

    Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”

  • Tag 2360: 144G.91 Subd. 8 Freedom from maltreatment
    Details

    Summary: MDH found the facility failed to ensure one of one resident(s) reviewed (R1) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure one of one resident(s) reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred and the facility was responsible for the maltreatment, in connection with incidents which occurred at the facility. Please refer to the public maltreatment report for details.”

    Rule cited: “Residents have the right to be free from physical, sexual, and emotional abuse; neglect; financial exploitation; and all forms of maltreatment covered under the Vulnerable Adults Act.”

• July 2, 2024 · report HL247802723M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected a resident when they failed to provide adequate supervision and monitoring. The resident was sexually assaulted by another resident and used methamphetamine (illegal potent stimulant) at least two times a week when she resided at the facility.”

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

  Summary: MDH looked into an allegation and found: neglect substantiated (facility responsibility).

  MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was substantiated. Although the resident denied being sexually assaulted, the resident performed sexual favors for a male resident in his room in exchange for illegal drugs. The facility allowed the resident to enter and lock herself in male residents' rooms, take illegal drugs, and on one occasion the resident overdosed on Fentanyl (synthetic opioid narcotic) in a male resident's room. Despite awareness of the resident's risky behaviors, which also included taking illegal drugs in the community, the facility failed to implement interventions for the resident's safety and provide the resident with appropriate supervision in the facility and in the community.”

  Action taken by facility: “The facility called 911 after the resident overdosed in another resident's room.”

  Action taken by MDH: “The responsible party will be notified of their right to appeal the maltreatment finding. The facility was found to be in noncompliance.”

  Survey completed May 14, 2024: 1 correction order

  • Tag 2360: 144G.91 Subd. 8 Freedom from maltreatment
    Details

    Summary: MDH found the facility failed to ensure one of four residents reviewed (R1) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure one of four residents reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and the facility was for the maltreatment, in connection with incidents which occurred at the facility. Please refer to the public maltreatment report for details.”

    Rule cited: “Residents have the right to be free from physical, sexual, and emotional abuse; neglect; financial exploitation; and all forms of maltreatment covered under the Vulnerable Adults Act.”

Summaries are ours and are marked “Summary”; quoted text is MDH’s own, shortened where marked [...]. Read the full reports at the links above or search every report on MDH’s site.

MDH keeps investigation results for seven years when allegations are substantiated, four years when inconclusive, and three years when unsubstantiated, so the counts cover different periods. This community is licensed for 23 residents; larger communities are evaluated and reported on more often, so read counts with size in mind. Source: Minnesota Department of Health, Health Regulation Division, data as of September 28, 2026. Always visit in person and ask the community about anything listed here.