Brooklyn Park Assisted Living

Last evaluation

March 11, 2026

Evaluations on record

2

Investigations substantiated

7 kept 7 years

Inconclusive

3 kept 4 years

Unsubstantiated

3 kept 3 years

Most recent evaluation (March 11, 2026, state report GBCG11)

MDH: “On March 9, 2026, through March 11, 2026, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”

Survey completed March 11, 2026: 8 correction orders

• 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 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 maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC), including completion of a two-step tuberculin skin test (TST) or other evidence of TB screening such as a blood test for one of two employees (unlicensed personnel (ULP)-F).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC), including completion of a two-step tuberculin skin test (TST) or other evidence of TB screening such as a blood test for one of two employees (unlicensed personnel (ULP)-F). [...]”

  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 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 compliance with the requirements of Minnesota Statute 144G.

  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 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 ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G.

  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: “(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: Twenty-one (21) days
  Details

  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: “(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 [...]”

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

Food and beverage inspection (included in this report): Food and beverage inspection report included

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)

• March 18, 2025 · report HL373627902M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected a resident when they failed to provide 10 hours of one-to-one staffing per day as agreed upon on admission, neglected to assist the resident with eating, and neglected to provide showers, incontinence cares, or safety checks.”

  “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 facility failed to provide one to one staffing as agreed upon on admission, failed to ensure staff were feeding the resident, failed to monitor the resident's intake, failed to monitor the resident's weight, failed to ensure the resident received a full bed bath on non-shower days, failed to provide incontinence cares, and safety checks as agreed.”

  Action taken by facility: “No action taken.”

  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 January 7, 2025: 2 correction orders

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

    Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for seven of seven residents (R1, R4, R7, R8, R11, R16, and R19) reviewed for care and services.

    MDH’s finding, as written: “Based on observation, interview, and document review, the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for seven of seven residents (R1, R4, R7, R8, R11, R16, and R19) reviewed for care and services. This caused actual harm to multiple residents and potential for serious harm to all residents. [...]”

    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 four of four resident(s) reviewed (R4, R7, R11, and R16) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure four of four resident(s) reviewed (R4, R7, R11, and R16) 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 27, 2025 · report HL373626944M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected a resident when they failed to adequately clean the resident's catheter which resulted in mold in the tubing, failed to turn/reposition the resident which resulted in pressure ulcers, falsely documented cares completed when not done, and failed to provide necessary supplies.”

  “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 facility failed to ensure adequate staffing for repositioning and caring for the resident's indwelling urinary catheter. The facility failed to follow-up when cares were not completed and/or were not documented as completed. The facility failed to ensure indwelling urinary catheter supplies were available which resulted in the resident being transferred to the emergency room for catheter changes. Regarding mold in the resident's catheter, evidence supporting the of allegation of mold in the catheter tubing was not obtained, however, records indicated the resident had multiple urinary tract infections.”

  Action taken by facility: “No action taken.”

  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 January 7, 2025: 2 correction orders

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

    Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for seven of seven residents (R1, R4, R7, R8, R11, R16, and R19) reviewed for care and services.

    MDH’s finding, as written: “Based on observation, interview, and document review, the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for seven of seven residents (R1, R4, R7, R8, R11, R16, and R19) reviewed for care and services. This caused actual harm to multiple residents and potential for serious harm to all residents. [...]”

    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 four of four resident(s) reviewed (R4, R7, R11, and R16) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure four of four resident(s) reviewed (R4, R7, R11, and R16) 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 27, 2025 · report HL373627462M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected a resident when they failed to provide repositioning every two hours which led to worsening pressure ulcers, failed to provide range of motion exercises which led to increased arm pain, and failed to clean the resident's BiPap machine which led to the resident not using it.”

  “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 facility failed to ensure adequate staffing for repositioning and transfers. The facility failed to follow up when staff did not complete cares. The facility failed to ensure the resident received range of motion exercises two times daily when they incorrectly listed both times as 8:00 p.m., so when the resident received range of motion exercise it was only once per day. The resident required hospitalization four times in three months for pressure ulcers and urinary tract infections.”

  Action taken by facility: “No action taken.”

  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 January 7, 2025: 2 correction orders

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

    Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for seven of seven residents (R1, R4, R7, R8, R11, R16, and R19) reviewed for care and services.

    MDH’s finding, as written: “Based on observation, interview, and document review, the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for seven of seven residents (R1, R4, R7, R8, R11, R16, and R19) reviewed for care and services. This caused actual harm to multiple residents and potential for serious harm to all residents. [...]”

    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 four of four resident(s) reviewed (R4, R7, R11, and R16) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure four of four resident(s) reviewed (R4, R7, R11, and R16) 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 27, 2025 · report HL373628022M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected a resident when they failed to reposition and transfer the resident out of and into bed as needed for pressure relief on his wounds. The facility also failed to provide an assistive device or feeding assistance to the resident which resulted in a weight loss of over 50 pounds.”

  “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 facility failed to ensure staff repositioned the resident, transferred him out of and into bed for pressure relief, which resulted in additional pressure ulcers developing and the current pressure ulcers worsening. The facility failed to provide the resident the necessary assistive device needed for eating for six months, and staff failed to provide feeding assistance which resulted in a weight loss of 30 pounds.”

  Action taken by facility: “No action taken.”

  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 January 7, 2025: 2 correction orders

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

    Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for seven of seven residents (R1, R4, R7, R8, R11, R16, and R19) reviewed for care and services.

    MDH’s finding, as written: “Based on observation, interview, and document review, the licensee failed to provide care and services according to acceptable health care, medical, or nursing standards for seven of seven residents (R1, R4, R7, R8, R11, R16, and R19) reviewed for care and services. This caused actual harm to multiple residents and potential for serious harm to all residents. [...]”

    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 four of four resident(s) reviewed (R4, R7, R11, and R16) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure four of four resident(s) reviewed (R4, R7, R11, and R16) 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.”

• January 8, 2025 · report HL373623780C
  Details

  Survey completed January 7, 2025: 1 correction order

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

    Summary: MDH found the licensee failed to provide a safe physical environment for 27 of 27 residents reviewed when the licensee allowed unmonitored/unmaintained space heaters used in resident rooms (one of which tripped a circuit breaker), in the staff office, and one unattended next to a couch in a common area.

    MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide a safe physical environment for 27 of 27 residents reviewed when the licensee allowed unmonitored/unmaintained space heaters used in resident rooms (one of which tripped a circuit breaker), in the staff office, and one unattended next to a couch in a common area. This had the potential to cause serious injury or death to all residents. [...]”

    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 [...]”

• April 22, 2024 · report HL373629648C
  Details

  Survey completed February 29, 2024: 2 correction orders

  • 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 treatments were administered as prescribed and failed to document when treatments were not administered as prescribed and any follow-up completed for one of one resident (R2) who required daily suprapubic catheter care.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure treatments were administered as prescribed and failed to document when treatments were not administered as prescribed and any follow-up completed for one of one resident (R2) who required daily suprapubic catheter care. [...]”

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

  • Tag 2350: 144G.91 Subd. 7 Courteous treatment Level 3, isolated scope, scope/level letter G · correction period: Twenty-one (7) days
    Details

    MDH’s finding, as written: “Based on interview and record review, an unlicensed personnel, (ULP)-C, failed to treat a resident (R-1) with courtesy and respect when providing cares. This practice resulted in a level three violation (a violation that harmed a resident's health or safety, not including serious injury, impairment, or death, or a violation that has the potential to lead to serious injury, impairment, or death), and was issued at an isolated scope (when one or a limited number of residents are affected or one [...]”

    Rule cited: “Residents have the right to be treated with courtesy and respect, and to have the resident's property treated with respect”

• May 8, 2023 · report HL373622062M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “The alleged perpetrator (AP) neglected the resident when the AP did not follow the resident's plan of care and inserted the wrong size urinary catheter. This resulted in severe pain, bleeding, and injury. The resident was hospitalized and required surgical repair of the urethra.”

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

  “The AP was responsible for the maltreatment.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was substantiated. The AP was responsible for the maltreatment. The AP used a urinary catheter which was too large causing the resident pain and bleeding. The resident required hospitalization and treatment for a torn urethra (the tube through which urine leave the body).”

  Action taken by facility: “The facility transferred the resident to the emergency room and received treatment.”

  Action taken by MDH: “The facility was issued a correction order regarding the vulnerable adult's right to be free from maltreatment.”

  Survey completed March 22, 2023: 2 correction orders

  • 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 ensure medications and gastrostomy tube (tube into the stomach for liquid nutrition) feedings were administered as ordered for two of three residents (R1, R7) reviewed for medication administration.

    MDH’s finding, as written: “Based on interview, and record review, the licensee failed to ensure medications and gastrostomy tube (tube into the stomach for liquid nutrition) feedings were administered as ordered for two of three residents (R1, R7) reviewed for medication administration. [...]”

    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(s) reviewed (R6) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure one of one resident(s) reviewed (R6) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and the individual alleged perpetrator is responsible for the maltreatmnet, 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 32 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.