Brookdale Eagan

Last evaluation

January 7, 2026

Evaluations on record

2

Investigations substantiated

2 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

1 kept 3 years

Most recent evaluation (January 7, 2026, state report U4NU11)

MDH: “On January 5, 2026, through January 7, 2026, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”

Survey completed January 7, 2026: 8 correction orders

• Tag 580: 144G.42 Subd. 2 Quality management Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
  Details

  Summary: MDH found the licensee failed to engage in and maintain documentation of quality management activity appropriate to the size and relevant to the type of services provided by the assisted living.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to engage in and maintain documentation of quality management activity appropriate to the size and relevant to the type of services provided by the assisted living. This had the potential to affect all residents receiving assisted living services. [...]”

  Rule cited: “The facility shall engage in quality management appropriate to the size of the facility and relevant to the type of services provided. [...]”

• Tag 650: 144G.42 Subd. 8 (a) Staff 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 for one of two employees (unlicensed personnel (ULP)-C).

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

  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 690: 144G.43 Subdivision 1 Resident record Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure resident records were permanently recorded, current, and authenticated with the name and title of the person making the

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure resident records were permanently recorded, current, and authenticated with the name and title of the person making the entry for one of three residents (R2). [...]”

  Rule cited: “(a) Assisted living facilities must maintain records for each resident for whom it is providing services. [...]”

• Tag 775: 144G.45 Subd. 2. (a) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days · fine: $500.00 assessed
  Details

  Summary: MDH found the licensee failed to ensure the physical environment of the facility was maintained in

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G. [...]”

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

• Tag 1440: 144G.62 Subd. 4 Supervision of staff providing delegated nurs Level 2, isolated scope, scope/level letter D · correction period: Twenty-One (21) days
  Details

  Summary: MDH found the licensee failed to ensure direct supervision of one of two unlicensed personnel (ULP-C) performing delegated tasks was completed by the registered nurse (RN).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure direct supervision of one of two unlicensed personnel (ULP-C) performing delegated tasks was completed by the registered nurse (RN). [...]”

  Rule cited: “(a) Staff who perform delegated nursing or therapy tasks must be supervised by an appropriate licensed health professional or a registered nurse according to the assisted living facility's policy where the services are being provided to verify that the work [...]”

From MDH’s letter: the letter says the facility is in substantial compliance.

Food and beverage inspection (included in this report): No orders were issued for this inspection report.

Fines assessed by MDH

• Tag 775 (144g.45 Subd. 2. (a) - Fire Protection And Physical Environment): $500.00

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

Substantiated investigations (state reports)

• April 3, 2024 · report HL306839845M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected the resident when the facility failed to administer blood thinners as ordered.”

  “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 orders for warfarin (an anticoagulant to prevent blood clots) but the facility did not administer warfarin for six days. The resident fell, exhibited new left-sided paralysis, and was diagnosed with an acute stroke.”

  Action taken by facility: “Resident sent to hospital for treatment. The facility provided training to other caregivers regarding critical medications and communication.”

  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 February 21, 2024: 2 correction orders

  • Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 4, isolated scope, scope/level letter J · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure medication was administered as prescribed for one of one resident (R1) resulting in the hospitalization of R1 with an acute cardiovascular accident (CVA)

    MDH’s finding, as written: “Based on document review and interviews, the licensee failed to ensure medication was administered as prescribed for one of one resident (R1) resulting in the hospitalization of R1 with an acute cardiovascular accident (CVA) This practice resulted in a level four violation (a violation that results in 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 a limited number of staff are involved, or the [...]”

    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 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.”

• July 31, 2023 · report HL306833384M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected a resident when the resident fell three times in one month and sustained significant bruising and facial fractures. Facility staff failed to document, assess, monitor the resident for injuries, and failed to develop post-fall interventions to prevent further falls.”

  “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. Nursing staff failed to follow facility policies and procedures related to falls. Although nursing staff assessed and identified the resident had a history and risk for falls, they failed to document, assess, treat, and monitor after multiple falls occurred. In addition, interventions were not developed or implemented to prevent future falls, the resident's physician was not notified of the fall(s) and/or injury(s), and the resident was not evaluated or assessed until another fall with injury occurred four days later. The resident was sent to the hospital and found to have significant bruising and multiple facial fractures. [...]”

  Action taken by facility: “None.”

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

  Survey completed May 23, 2023: 2 correction orders

  • Tag 660: 144G.42 Subd. 9 Tuberculosis prevention and control Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
    Details

    Summary: MDH found the licensee failed to ensure history, symptoms, tuberculosis (TB) risk assessment screening were completed and documented for one of one, registered nurse, (RN)-B, employees reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure history, symptoms, tuberculosis (TB) risk assessment screening were completed and documented for one of one, registered nurse, (RN)-B, employees reviewed. In addition, RN-B's employee record did not include her QuantiFERON TB test result. [...]”

    Rule cited: “(a) The facility must establish and maintain a comprehensive tuberculosis infection control program according to the most current tuberculosis infection control guidelines issued by the United States Centers for Disease Control and Prevention (CDC), Division [...]”

  • Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 3, isolated scope, scope/level letter G · correction period: Seven (7) days
    Details

    MDH’s finding, as written: “Based on interview and record review the licensee failed to ensure the licensee's registered nurse (RN)-B and (RN)-R, reassessed a resident after incidents occurred for one of five residents (R1) reviewed. R1 had three falls with in one month. The resident's assessment at the time of the incidents did not include or accurately reflect the resident's current condition. [...]”

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

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 52 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.