Benedict Homes

Survey completed November 10, 2023: 8 correction orders

• Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements 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 was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has [...]”

  Rule cited: “(13) offer to provide or make available at least the following services to residents: (B) food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626; and”

• Tag 485: 144G.41 Subdivision 1. (13)(i)(A)and(C) Minimum Requirements Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure the contract did not require a resident to include and pay for all meals.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the contract did not require a resident to include and pay for all meals. This had the potential to affect all of the licensee's current residents for all meals. [...]”

  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 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

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

  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 [...]”

• 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 (21) days
  Details

  Summary: MDH found the licensee failed to develop a fire safety and evacuation plan with required elements, provide required employee and resident training on fire safety and evacuation, and conduct required evacuation drills.

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

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

• Tag 1290: 144G.60 Subdivision 1 Background studies required Level 2, isolated scope, scope/level letter D
  Details

  Summary: MDH found the licensee failed to ensure a background study (BGS) was submitted and a clearance received in affiliation with the assisted living licensee's current health facility identification (HFID) for one of two employees (unlicensed personnel (ULP-D).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure a background study (BGS) was submitted and a clearance received in affiliation with the assisted living licensee's current health facility identification (HFID) for one of two employees (unlicensed personnel (ULP-D). [...]”

  Rule cited: “(a) Employees, contractors, and regularly scheduled volunteers of the facility are subject to the background study required by section 144.057 and may be disqualified under chapter 245C. [...]”

From MDH’s letter: the letter says the facility is in substantial compliance; no immediate fines.

Allegation, as written: “The facility neglected the resident when staff failed to provide the resident supervision and as a result, the resident attempted suicide and sustained multiple self-inflicted wounds and was involved in a resident-to-resident altercation. In addition, the resident resided in memory care unit and did not have memory problems.”

“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. Prior to the self-harm incident, the resident did not voice to staff any suicidal thoughts, ideation, or have a history of self-inflicted wounds. The resident had hidden a razor blade in the sole of his shoe. The resident had no history of resident-to-resident altercations. During one altercation, staff immediately intervened and separated the residents without injury. The resident's admission to the memory care unit was appropriate and approved by his provider for his diagnoses of major neurocognitive disorder (deficit in cognitive functioning.)”

Action taken by facility: “Once the self-inflicted wounds were seen, the facility provided the resident wound care and coordinated transfer to the hospital for evaluation. [...]”

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

Survey completed June 9, 2025: no correction orders issued.