Bridgewater at Owatonna

Survey completed November 2, 2022: 8 correction orders

• Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  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) 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 all the [...]”

  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 730: 144G.43 Subd. 3 Contents of resident record Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
  Details

  Summary: MDH found the licensee failed to ensure the resident record included a complete discharge summary for one of one resident (R4).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the resident record included a complete discharge summary for one of one resident (R4). 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: “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, [...]”

• Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the facility failed to maintain the facility in good repair in regards to resident health and safety in accordance with maintenance and repair program.

  MDH’s finding, as written: “Based on observation, and staff interview, the facility failed to maintain the facility in good repair in regards to resident health and safety in accordance with maintenance and repair program. This deficient condition has the ability to affect all staff and residents. [...]”

  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 1290: 144G.60 Subdivision 1 Background studies required Level 2, pattern scope, scope/level letter E · correction period: Two (2) days
  Details

  Summary: MDH found the licensee failed to ensure a background study was

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure a background study was submitted and received in affiliation with the assisted living license for three of three unlicensed personnel (ULP-F, ULP-H, ULP-I). [...]”

  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. [...]”

• Tag 1730: 144G.71 Subd. 5 Individualized medication management plan Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to develop an individualized medication management plan with all the required content for one of three residents (R1).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop an individualized medication management plan with all the required content for one of three residents (R1). [...]”

  Rule cited: “(a) For each resident receiving medication management services, the assisted living facility must prepare and include in the service plan a written statement of the medication management services that will be provided to the resident. [...]”

From MDH’s letter: no immediate fines.

Survey completed February 9, 2026: no correction orders issued.

Allegation, as written: “The alleged perpetrator (AP) sexually abused the resident by engaging in sexual intercourse with him during the night shift while on duty.”

“The Minnesota Department of Health determined abuse was not substantiated.”

Summary: MDH looked into an allegation and found: abuse not substantiated.

MDH’s conclusion, as written: “The Minnesota Department of Health determined abuse was not substantiated. The AP denied the event occurred and the resident refused to be interviewed.”

Action taken by facility: “The facility reported the incident to the Minnesota's Adult Protective Services and offered emotional support to the resident.”

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

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

Allegation, as written: “The facility neglected the resident when the facility failed to provide pain control and treat his wounds.”

“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. Although it was true the resident experienced chronic pain and had wounds which required dressing changes, the facility appropriately coordinated cares without outside providers.”

Action taken by facility: “The resident's cat was rehomed, the facility repaired the refrigerator, and hospice provided additional housekeeping services.”

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

Survey completed January 7, 2025: 3 correction orders

• 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 on interview and record review the licensee failed to ensure documentation of incidents involving the resident and actions taken in response to the needs of the resident were completed for one of one resident (R1) with records reviewed. [...]”

  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, [...]”

• Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure facility services were provided using a service plan subject to accepted health care standards for one of one resident (R1).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure facility services were provided using a service plan subject to accepted health care standards for one of one resident (R1). The facility was provided with an order to use a Hoyer lift (electrical device with a sling to transfer resident with limited mobility) for all transfers of R1 along with offering every four hours to lay down in bed. [...]”

  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 reviewed (R1) was free from maltreatment.

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

Allegation, as written: “The facility neglected the resident when the facility did not provide supervision to prevent a fall from a wheelchair, possibly due to intoxication.”

“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. While the resident did fall and alcohol may have been a contributing factor, the facility was aware of the potential for falls along with a history of alcohol consumption. The facility had appropriate interventions in place including safety checks.”

Action taken by facility: “The facility is aware of the resident rights and provides safety checks frequently.”

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

Survey completed January 7, 2025: 3 correction orders

• 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 on interview and record review the licensee failed to ensure documentation of incidents involving the resident and actions taken in response to the needs of the resident were completed for one of one resident (R1) with records reviewed. [...]”

  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, [...]”

• Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure facility services were provided using a service plan subject to accepted health care standards for one of one resident (R1).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure facility services were provided using a service plan subject to accepted health care standards for one of one resident (R1). The facility was provided with an order to use a Hoyer lift (electrical device with a sling to transfer resident with limited mobility) for all transfers of R1 along with offering every four hours to lay down in bed. [...]”

  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 reviewed (R1) was free from maltreatment.

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

Survey completed January 7, 2025: no correction orders issued.