Assisted Living
Direct Home Care Services
19449 Rush Street Nw, Elk River, MN 55330 · Map
Licensed for 4 residents · DIRECT HOME CARE SERVICES LLC
Direct Home Care Services is a state-licensed assisted living community in Elk River, Minnesota. It is licensed for 4 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 4 residents
Assisted Living Facility 424950, current license dated Apr 4, 2026. Licensee DIRECT HOME CARE SERVICES LLC.
Nearest emergency room
9.8 miles
Centracare Health - Monticello.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Direct Home Care Services this community | 4 | Not published | Active | 0 substantiated | |
| Whispering Pines Assisted Livi | 1.5 mi | 8 | Not published | Active | 3 substantiated |
| Lakeview Estate | 1.9 mi | 5 | Not published | Active | 1 substantiated |
| Guardian Angels by the Lake | 1.9 mi | 100 | Not published | Active | 1 substantiated |
| Elk River Senior Living | 2.3 mi | 115 | Not published | Active | 0 substantiated |
State inspection record0 substantiated
- Last evaluation
- August 14, 2025
- Evaluations on record
- 2
- Investigations substantiated
- 0 kept 7 years
- Inconclusive
- 0 kept 4 years
- Unsubstantiated
- 0 kept 3 years
Most recent evaluation (August 14, 2025, state report LW4U11)
MDH: “On August 11, 2025, through August 14, 2025, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”
Survey completed August 15, 2025: 14 correction orders
- Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure the clinical nurse supervisor (CNS) developed and implemented a staffing plan to determine staffing levels to meet the needs of all residents, which included reviewing the staffing plan at least twice per year and failed to post an accurate daily work
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the clinical nurse supervisor (CNS) developed and implemented a staffing plan to determine staffing levels to meet the needs of all residents, which included reviewing the staffing plan at least twice per year and failed to post an accurate daily work schedule at the beginning of each work shift. This had the potential to affect all residents, staff, and visitors. [...]”
Rule cited: “(11) develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility; (ii) ensures sufficient staffing at all times to [...]”
- 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
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 485: 144G.41 Subdivision 1.a (a) Minimum requirements; required food services Level 1, widespread scope, scope/level letter C · correction period: Twenty-one
Details
Summary: MDH found the licensee failed to ensure weekly menus were made available to the residents.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure weekly menus were made available to the residents. This practice resulted in a level one violation (a violation that has no potential to cause more than a minimal impact on the resident and does not affect health or safety) and was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has affected or has potential to affect a large portion or all of the residents). [...]”
Rule cited: “(a) All assisted living facilities must offer to provide or make available 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 Agriculture (USDA) [...]”
- 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
Summary: MDH found the licensee failed to have a written emergency preparedness plan (EPP) with all the required content and failed to post the EPP in a prominent location.
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 the EPP in a prominent location. This had the potential to affect all visitors, employees, and 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 730: 144G.43 Subd. 3 Contents of resident record Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
MDH’s finding, as written: “Based on interview and record review the licensee failed to complete a discharge summary for one of one discharged resident (R2). This practice resulted in a level two violation (a violation that did not harm a client'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 an isolated scope (when one or a limited number of residents are affected or one or a limited number of staff [...]”
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, [...]”
Show all 14
- Tag 780: 144G.45 Subd. 2 (a) (1) 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 provide smoke alarms that functioned and were interconnected so that the actuation of one alarm caused all alarms in the dwelling unit to actuate.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide smoke alarms that functioned and were interconnected so that the actuation of one alarm caused all alarms in the dwelling unit to actuate. This had the potential to directly affect all residents, staff, and visitors. [...]”
Rule cited: “(a) Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and: (1) for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
Details
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the physical environment, in a continuous state of good repair and operation. This had the potential to directly affect all residents, staff, 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 3, widespread scope, scope/level letter I · correction period: Twenty-one (21) days · fine: $1,000.00 assessed
Details
Summary: MDH found the licensee failed to develop the fire safety and evacuation plan with the required content, to provide the required training, and to conduct evacuation drills.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop the fire safety and evacuation plan with the required content, to provide the required training, and to conduct evacuation drills. This had the potential to directly affect all residents, staff, and visitors. [...]”
Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”
- 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 staff performing delegated tasks was provided within 30 calendar days after the date on which the individual began working for the licensee for one of one employee (owner (O)-A).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure direct supervision of staff performing delegated tasks was provided within 30 calendar days after the date on which the individual began working for the licensee for one of one employee (owner (O)-A). [...]”
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 [...]”
- 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 one of one employee owner (O)-A received orientation to assisted living facility licensing requirements and regulations before providing services.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure one of one employee owner (O)-A received orientation to assisted living facility licensing requirements and regulations before providing services. [...]”
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 [...]”
- Tag 1500: 144G.63 Subd. 5 Required annual training 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 at least eight (8) hours of annual training for each 12 months of employment for one of one
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employees received at least eight (8) hours of annual training for each 12 months of employment for one of one employees (owner (O)-A). [...]”
Rule cited: “(a) All staff that perform direct services must complete at least eight hours of annual training for each 12 months of employment. [...]”
- Tag 1530: 144G.64 (a) (1-2) Training in Dementia, Mental Illness, and De- Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure direct care staff received the required 8 hours of dementia training within 160 hours of start date for one of one employee (owner (O)-A).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure direct care staff received the required 8 hours of dementia training within 160 hours of start date for one of one employee (owner (O)-A). [...]”
Rule cited: “(a) All assisted living facilities must meet the following dementia care, mental illness, and de-escalation training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on dementia topics specified under [...]”
- Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, isolated scope, scope/level letter D · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) completed a comprehensive reassessment not to exceed 90 calendar days from the last assessment, for one of one resident (R1).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) completed a comprehensive reassessment not to exceed 90 calendar days from the last assessment, for one of one resident (R1). [...]”
Rule cited: “(a) Residents who are not receiving any assisted living services shall not be required to undergo an initial nursing assessment. [...]”
- Tag 1730: 144G.71 Subd. 5 Individualized medication management plan Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to develop an individualized medication management plan with all required content for one of one resident (R1).
MDH’s finding, as written: “Based on interview, and record review, the licensee failed to develop an individualized medication management plan with all required content for one of one resident (R1). [...]”
Rule cited: “(a) For each resident receiving medication management services, a registered nurse, advanced practice registered nurse, or qualified staff delegated the task by a registered nurse must prepare and include in the service plan a written statement of the [...]”
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 780 (144g.45 Subd.2 (a) (1) - Fire Protection And PhysicalEnvironment): $500.00
- Tag 810 (144g.45 Subd.2 (b-F) - Fire Protection And PhysicalEnvironment): $1,000.00
Total fines assessed, as printed in the letter: $1,500.00.
Earlier evaluations (1)
- May 16, 2023: report 4JLY11 · 10 correction orders
Details
Survey completed May 16, 2023: 10 correction orders
- Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to develop and implement a staffing plan which included an evaluation, to be conducted at least twice a year, of appropriateness of staffing levels in the facility.
MDH’s finding, as written: “Based on record review, observation and interview, the licensee failed to develop and implement a staffing plan which included an evaluation, to be conducted at least twice a year, of appropriateness of staffing levels in the facility. This deficient practice affected all residents and staff. [...]”
Rule cited: “(11) develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility; (ii) ensures sufficient staffing at all times to [...]”
- Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure food was prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626.
MDH’s finding, as written: “Based on record review and interview, the licensee failed to ensure food was prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. 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 [...]”
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 680: 144G.42 Subd. 10 Disaster planning and emergency preparedness Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure their Appendix Z Emergency Preparedness Plan (EPP) was prominently posted and contained all required components.
MDH’s finding, as written: “Based on record review and interview, the licensee failed to ensure their Appendix Z Emergency Preparedness Plan (EPP) was prominently posted and contained all required components. This had the potential to affect all residents, staff and visitors. [...]”
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 790: 144G.45 Subd. 2 (a) (2)-(3) 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 maintain facility fire extinguishers.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain facility fire extinguishers. This had the potential to affect all current residents, staff and visitors. [...]”
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
Summary: MDH found the licensee failed to provide the physical environment in a continuous state of good repair and operation with regard to the health, safety, and well-being of the residents.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide the physical environment in a continuous state of good repair and operation with regard to the health, safety, and well-being of the residents. This had the potential to directly affect all residents and staff. [...]”
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 [...]”
Show all 10
- 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, failed to provide required employee and resident training
MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop a fire safety and evacuation plan with required elements, 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 1450: 144G.62 Subd. 5 Documentation Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to retain documentation of supervision activities in the personnel records for three of three staff members, owner (OW)-A, unlicensed personnel (ULP)-E, and ULP-F, with review of personnel records.
MDH’s finding, as written: “Based on record review, observation and interview, the licensee failed to retain documentation of supervision activities in the personnel records for three of three staff members, owner (OW)-A, unlicensed personnel (ULP)-E, and ULP-F, with review of personnel records. [...]”
Rule cited: “A facility must retain documentation of supervision activities in the personnel records.”
- Tag 1480: 144G.63 Subd. 3 Orientation to resident Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed ensure staff members providing assisted living services were specifically oriented to the resident (R1) and the services provided for three of three staff, OW-A, ULP-E and ULP-F, reviewed for orientation.
MDH’s finding, as written: “Based on record review and interview, the licensee failed ensure staff members providing assisted living services were specifically oriented to the resident (R1) and the services provided for three of three staff, OW-A, ULP-E and ULP-F, reviewed for orientation. [...]”
Rule cited: “Staff providing assisted living services must be oriented specifically to each individual resident and the services to be provided. This orientation may be provided in person, orally, in writing, or electronically.”
- Tag 1650: 144G.70 Subd. 4 (f) Service plan, implementation and revisions to Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure the service plan included a description of the services to be provided and the fees for services for one of one resident (R1) reviewed.
MDH’s finding, as written: “Based on record review and interview, the licensee failed to ensure the service plan included a description of the services to be provided and the fees for services for one of one resident (R1) reviewed. [...]”
Rule cited: “(f) The service plan must include: (1) a description of the services to be provided, the fees for services, and the frequency of each service, according to the resident's current assessment and resident preferences; (2) the identification of staff or [...]”
- Tag 1970: 144G.72 Subd. 6 Treatment and therapy orders Level 2, isolated scope, scope/level letter D
Details
Summary: MDH found the licensee failed to have an up-to-date written or electronically recorded order form from an authorized prescriber for compression leg wraps for one of one resident (R1) reviewed.
MDH’s finding, as written: “Based on record review, observation and interview, the licensee failed to have an up-to-date written or electronically recorded order form from an authorized prescriber for compression leg wraps for one of one resident (R1) reviewed. [...]”
Rule cited: “There must be an up-to-date written or electronically recorded order from an authorized prescriber for all treatments and therapies. [...]”
From MDH’s letter: the letter says the facility is in substantial compliance; MDH granted the assisted living license; no immediate fines.
- Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F
What the levels and scopes mean (MDH’s words)
Level 1: “a violation that has no potential to cause more than a minimal impact on the resident and does not affect health or safety”
Level 2: “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”
Level 3: “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”
Isolated scope: “when one or a limited number of residents are affected or one or a limited number of staff are involved, or the situation has occurred only occasionally”
Pattern scope: “when more than a limited number of residents are affected, more than a limited number of staff are involved, or the situation has occurred repeatedly; but is not found to be pervasive”
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 of the residents”
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.
What these terms mean
MDH: “An evaluation is a process regulated by the division to ensure licensees comply with the laws, rules, and certifications for the type of care and services authorized under their license/certification.”
“An investigation may occur when the division is notified that care and services are not being provided by licensees as required by law. This may include allegations of abuse, neglect, or financial misuse.”
For maltreatment, Minnesota law defines substantiated as “a preponderance of the evidence shows that an act that meets the definition of maltreatment occurred” and inconclusive as “less than a preponderance of evidence to show that maltreatment did or did not occur” (Minn. Stat. 626.5572).
Correction orders, as MDH explains on each state form: “Tag numbers have been assigned to Minnesota State Statutes for Assisted Living Facilities.” “The letter in the left column is used for tracking purposes and reflects the scope and level issued pursuant to 144G.31 subd. 1, 2, and 3.” MDH adds that there is no requirement to submit a plan of correction for violations of Minnesota state statutes.
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 4 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.
License and ownershipActive license, licensee DIRECT HOME CARE SERVICES LLC
- License type
- Assisted Living Facility
- License number
- 424950
- License status
- Active
- Current license dated
- 2026-04-04
- Licensed capacity
- 4
- Licensee
- DIRECT HOME CARE SERVICES LLC
- County
- Sherburne County
- Administrator/Authorized Agent
- Sam Totimeh
Source: Minnesota state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator/Authorized Agent name from the Minnesota licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Minnesota, and other programs
How Medicaid pays for care in Minnesota
- Elderly Waiver (EW), customized living services. Minnesota's Elderly Waiver, part of Medical Assistance (Minnesota Medicaid), can pay for "customized living" services, and a provider of those services must hold an assisted living license (or meet certain exceptions). You must qualify for Medical Assistance and need a nursing-home level of care. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 9.8 mi, nursing home 1.9 mi, pharmacy 3.6 mi
- Nearest hospital with an emergency room
- Centracare Health - Monticello, Monticello. 9.8 miles away, straight line.
- Nearest Medicare nursing home
- Guardian Angels Care Center, Elk River. 1.9 miles away, straight line.
- Nearest home health agency office
- Triniti Home Health And Hospice, Elk River. 2.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 3.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55330 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Dialysis - Central Mn Regional Dialysis, Elk River, 3.4 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Kidney Care Big Lake, Big Lake, 5.7 miles away, straight line (CMS rating 5 of 5 stars)
Fresenius Medical Care - Champlin, Champlin, 13.9 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 55330.
Triniti Hospice, office in Elk River, 2.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Olive Grove Hospice LLC, office in Blaine, 21.2 miles away, straight line
North Memorial Home Hlth Hospc, office in Robbinsdale, 24.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Fairview Health Services, Princeton. 15.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively low; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The current license dates from 2026. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- Who is here at night? Are they awake, or asleep and on call?
- Who covers when the owner is sick, on vacation, or away for the day? Can we meet them?
- Is it one flat rate, or does it rise with care needs?
- Can you help someone who needs two people to move, or a mechanical lift?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
What we checked11 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Minnesota Department of Health, Health Regulation Division inspection records | Sep 28, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Direct Home Care Services provide?
Direct Home Care Services is licensed by the state of Minnesota for assisted living in Elk River, Minnesota. Its licensed capacity is 4 residents.
Does Lilisity rate Direct Home Care Services?
No. We publish state licensing details for Direct Home Care Services but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Direct Home Care Services cost?
Assisted Living in Minnesota typically starts at $2,200 to $4,800 a month. Based on 74 communities that publish prices. These are area figures, not this community's price. Direct Home Care Services does not publish its prices.
How do I contact Direct Home Care Services?
Visit Direct Home Care Services at 19449 Rush Street Nw, Elk River, MN 55330.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid