Blaine Senior Living

Survey completed June 16, 2023: 8 correction orders

• Tag 650: 144G.42 Subd. 8 Employee records Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure the employee record contained the required content to include an annual performance evaluation for one of one unlicensed personnel ((ULP)-B).

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure the employee record contained the required content to include an annual performance evaluation for one of one unlicensed personnel ((ULP)-B). [...]”

  Rule cited: “(a) The facility must maintain current records of each paid employee, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”

• 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 (21) days
  Details

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

  MDH’s finding, as written: “Based on a record review and interview, the licensee failed to provide required employee and resident training on fire safety and evacuation, and failed to 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 1060: 144G.52 Subd. 9 Emergency relocation Level 2, widespread scope, scope/level letter D
  Details

  Summary: MDH found the licensee failed to provide a written notice with required content for an emergency relocation and failed to notify the Office of Ombudsman for Long-Term Care of the emergency relocation for two of two residents (R2, R6).

  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 and failed to notify the Office of Ombudsman for Long-Term Care of the emergency relocation for two of two residents (R2, R6). [...]”

  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 1470: 144G.63 Subd. 2 Content of required orientation Level 2, isolated scope, scope/level letter D · correction period: Twenty-One (21) days
  Details

  Summary: MDH found the licensee failed to ensure employees received orientation to include the required content for one of two employees (unlicensed personnel (ULP)-B).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employees received orientation to include the required content for one of two employees (unlicensed personnel (ULP)-B). [...]”

  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 [...]”

From MDH’s letter: no immediate fines.

Allegation, as written: “The AP, who is an unlicensed caregiver, abused the resident when providing personal cares caused bruising to the top of the resident's hand.”

“The Minnesota Department of Health determined abuse was inconclusive.”

Summary: MDH looked into an allegation and found: abuse inconclusive.

MDH’s conclusion, as written: “The Minnesota Department of Health determined abuse was inconclusive. Although an incident did occur, it could not be determined what took place due to the inconsistencies of the statements provided by the AP and resident. The resident did not require medical attention and returned to baseline.”

Action taken by facility: “The facility conducted an internal investigation and updated the service plan to two people for bed mobility. The AP was no longer employed by the facility.”

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

Survey completed November 19, 2025: 1 correction order

• Tag 450: 144G.41 Subdivision 1 Minimum requirements Level 2, isolated scope, scope/level letter D
  Details

  Summary: MDH found the licensee failed to ensure the utilization of person-centered planning and service delivery process when it did not individualize a care plan for resident (R1) reviewed.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the utilization of person-centered planning and service delivery process when it did not individualize a care plan for resident (R1) reviewed. [...]”

  Rule cited: “All assisted living facilities shall: (1) distribute to residents the assisted living bill of rights; (2) provide services in a manner that complies with the Nurse Practice Act in sections 148.171 to 148.285; (3) utilize a person-centered planning and service [...]”

Allegation, as written: “The facility neglected the resident when the resident was hospitalized twice after ingesting hand sanitizer.”

“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. When facility staff observed the resident pumping the hand sanitizer into his hands then bringing his hand to his mouth, the resident was assessed, monitored, and treated. Facility staff facilitated meetings with the resident's family, medical provider(s) and the resident to develop and implement interventions for alcohol abuse.”

Action taken by facility: “The facility assessed and monitored the resident after each incident, completed facility internal investigations of the incidents, reported the incidents to family and the resident's provider and implemented interventions to prevent further occurrance.”

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

Survey completed May 6, 2025: no correction orders issued.

Allegation, as written: “The facility neglected the resident when staff failed to provide hygiene care, proper nutrition, and follow medication orders. As a result, the resident was hospitalized on two separate occasions.”

“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. The facility moved the resident to the memory care unit upon hospital return to accommodate her increased support needs, updated the resident's provider on changes in status and made medication adjustments.”

Action taken by facility: “The facility moved the resident to memory for increased care assistance. The facility followed orders received by the resident's NP. After a significant change in status, the facility sent the resident to the hospital for a second admission. The facility made changes to management staff to ensure timely communication to families and ensure nursing processes are carried out accurately and timely.”

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

Survey completed March 26, 2024: 4 correction orders

• Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 3, isolated scope, scope/level letter G
  Details

  Summary: MDH found the licensee failed to measure and assess a resident for proper sling size selection for one of one resident (R1) who used a full body mechanical lift.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to measure and assess a resident for proper sling size selection for one of one resident (R1) who used a full body mechanical lift. R1 fell from a mechanical full body lift and sustained a hip fracture. [...]”

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

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

  Summary: MDH found the licensee failed to transcribe provider's orders correctly for one of two residents (R2).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to transcribe provider's orders correctly for one of two residents (R2). R2 received an anti-psychotic medication for 10 days after it was discontinued. [...]”

  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 2320: 144G.91 Subd. 4 (b) 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 staff were competent to use of a full body mechanical lift for one of one resident (R1) reviewed.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure staff were competent to use of a full body mechanical lift for one of one resident (R1) reviewed. R1 fell from a mechanical full body lift and sustained a hip fracture. The licensee failed to retrain unlicensed personnel (ULP) on safe and proper use of the mechanical lift and during demonstration, the sling was attached to the mechanical lift incorrectly. [...]”

  Rule cited: “(b) Residents have the right to receive health care and other assisted living services with continuity from people who are properly trained and competent to perform their duties and in sufficient numbers to adequately provide the services agreed to in the [...]”

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

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

  MDH’s finding, as written: “The facility failed to ensure one of two 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.”