Diversity Home Community

Last evaluation

March 26, 2026

Evaluations on record

2

Investigations substantiated

4 kept 7 years

Inconclusive

1 kept 4 years

Unsubstantiated

1 kept 3 years

Most recent evaluation (March 26, 2026, state report S2Z311)

MDH: “On March 23, 2026, through March 24, 2026, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”

Survey completed March 24, 2026: 8 correction orders

• Tag 510: 144G.41 Subd. 3 Infection control program Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to establish and maintain an effective infection control program that complies with accepted health care, medical and nursing standards for infection control related to glove use and handwashing during treatment and medication administration by one of two unlicensed personnel (ULP-C).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to establish and maintain an effective infection control program that complies with accepted health care, medical and nursing standards for infection control related to glove use and handwashing during treatment and medication administration by one of two unlicensed personnel (ULP-C). [...]”

  Rule cited: “(a) All assisted living facilities must establish and maintain an infection control program that complies with accepted health care, medical, and nursing standards for infection control. [...]”

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

  Summary: MDH found the licensee failed to establish and maintain a tuberculosis (TB) prevention program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC) which included completion of a two-step TST (tuberculin skin test) or other evidence of TB screening such as a blood test for one of one employee (unlicensed personnel (ULP)-C).

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

  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 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Twenty One (21) 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: “(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 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 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: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”

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
• Tag 780 (144g.45 Subd. 2 (a) (1) - Fire Protection And Physical Environment): $500.00

Total fines assessed, as printed in the letter: $1,000.00.

Substantiated investigations (state reports)

• February 14, 2025 · report HL392343521M · MDH finding: Substantiated, individual responsibility
  Details

  “The Minnesota Department of Health determined financial exploitation was substantiated.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined financial exploitation was substantiated. The AP, who worked as an unlicensed caregiver, was responsible. Financial records indicated the AP financially exploited the resident when she set up a Pay Pal account in the resident's name and transferred money from the account to her own and used the money for her own personal needs.”

  Action taken by facility: “The AP no longer worked at the facility.”

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

  Survey completed February 14, 2025: 1 correction order

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

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

    MDH’s finding, as written: “The facility failed to ensure one of one residents reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and an individual person 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 23, 2024 · report HL392341320M · MDH finding: Inconclusive
  Details

  Allegation, as written: “The facility abused a resident when they threatened the resident would be kicked out of the facility for voicing concerns or opinions regarding his care. The resident was fearful of staff due to retaliation.”

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

  “The facility was responsible for the maltreatment.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined abuse was inconclusive substantiated. The facility was responsible for the maltreatment. The facility promoted a culture of fear and control over the resident. The staff threatened the resident he would be asked to leave the facility if he did not follow the facility rules and/or if the resident reported the staff treatment to the police or state agency. The resident was fearful and isolated in his room. After the investigation, additional information was received, and while violations of resident rights occurred, there was not a preponderance of evidence it met the definition of abuse. An equal opportunity employer.”

  Action taken by facility: “No action taken.”

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

  Survey completed April 30, 2024: 6 correction orders

  • Tag 1640: 144G.70 Subd. 4 (a-e) Service plan, implementation and revisions to Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
    Details

    MDH’s finding, as written: “Based on interview and record review the licensee failed to ensure a service plan was initiated and included all required content for three of four residents (R2, R3, R4), reviewed. [...]”

    Rule cited: “(a) No later than 14 calendar days after the date that services are first provided, an assisted living facility shall finalize a current written service plan. [...]”

  • Tag 2290: 144G.91 Subd. 2 Legislative intent Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
    Details

    Summary: MDH found the licensee limited the rights of four of four residents (R1, R2, R3, R4) reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee limited the rights of four of four residents (R1, R2, R3, R4) reviewed. The licensee limited visitors from 10:00 a.m. to 6:00 p.m. This practice affected all the residents living at the facility and their visitors. [...]”

    Rule cited: “The rights established under this section for the benefit of residents do not limit any other rights available under law. [...]”

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

    Summary: MDH found the facility failed to ensure a residens was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure a residens was free from maltreatment. The 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.”

  • Tag 2380: 144G.91 Subd. 10 Individual autonomy Level 3, widespread scope, scope/level letter I · correction period: Two (2) days
    Details

    Summary: MDH found the licensee failed to respect a resident's individual autonomy and choices when not allowing the resident the right to choose their own schedule, routines, times and methods of cares, getting up for the day or going to bed at night and ability to go outside for four of four residents (R1, R2, R3, R4).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to respect a resident's individual autonomy and choices when not allowing the resident the right to choose their own schedule, routines, times and methods of cares, getting up for the day or going to bed at night and ability to go outside for four of four residents (R1, R2, R3, R4). [...]”

    Rule cited: “Residents have the right to individual autonomy, initiative, and independence in making life choices, including establishing a daily schedule and choosing with whom to interact.”

  • Tag 2400: 144G.91 Subd. 12 Visitors and social participation Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to respect the resident's right to have visitors at any time.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to respect the resident's right to have visitors at any time. This had the potential to affect all residents (R1 R2, R3, and R4) residing at the facility. [...]”

    Rule cited: “(a) Residents have the right to meet with or receive visits at any time by the resident's family, guardian, conservator, health care agent, attorney, advocate, or religious or social work counselor, or any person of the resident's choosing. [...]”

  • Tag 2560: 144G.92 Subdivision 1 Retaliation prohibited Level 2, widespread scope, scope/level letter F
    Details

    Summary: MDH found the licensee failed to ensure four of four residents (R1, R2, R3, R4), were not retaliated against.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure four of four residents (R1, R2, R3, R4), were not retaliated against. The licensee failed to provide an environment where residents have the ability to file a good faith complaint, grievance, or maltreatment report without fear of losing their housing. [...]”

    Rule cited: “A facility or agent of a facility may not retaliate against a resident or staff member if the resident, staff member, or any person acting on behalf of the resident: (1) files a good faith complaint or grievance, makes a good faith inquiry, or asserts any [...]”

• July 23, 2024 · report HL392343345M · MDH finding: Inconclusive
  Details

  Allegation, as written: “The facility neglected the resident when the alleged perpetrator (AP)#1 and AP#2 failed to assess and provide treatment for the resident's severely infected toes. The facility abused a resident when they promoted a hostile and fearful culture where staff threatened the resident would be evicted from the facility for voicing concerns or opinions regarding preferences or rights.”

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

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

  “The facility was responsible for the maltreatment.”

  Summary: MDH looked into 2 allegations and found: neglect not substantiated; abuse inconclusive.

  MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was not substantiated. Law enforcement completed a safety check for the resident and arranged for a medical evaluation at a hospital. There were no medical issues with the resident's feet. The Minnesota Department of Health determined abuse was inconclusive substantiated. The facility was responsible for the maltreatment. The facility demonstrated retaliatory behavior by indicating they would evict the resident from the facility if the resident reported suspected abuse to the state or police. The resident's rights were restricted by the facility causing the resident emotional distress. After the investigation, additional information was received, and while violations of resident rights occurred, there was not a preponderance of evidence it met the definition of abuse.”

  Action taken by facility: “No action taken by the facility.”

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

  Survey completed April 30, 2024: 6 correction orders

  • Tag 1640: 144G.70 Subd. 4 (a-e) Service plan, implementation and revisions to Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
    Details

    MDH’s finding, as written: “Based on interview and record review the licensee failed to ensure a service plan was initiated and included all required content for three of four residents (R2, R3, R4), reviewed. [...]”

    Rule cited: “(a) No later than 14 calendar days after the date that services are first provided, an assisted living facility shall finalize a current written service plan. [...]”

  • Tag 2290: 144G.91 Subd. 2 Legislative intent Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
    Details

    Summary: MDH found the licensee limited the rights of four of four residents (R1, R2, R3, R4) reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee limited the rights of four of four residents (R1, R2, R3, R4) reviewed. The licensee limited visitors from 10:00 a.m. to 6:00 p.m. This practice affected all the residents living at the facility and their visitors. [...]”

    Rule cited: “The rights established under this section for the benefit of residents do not limit any other rights available under law. [...]”

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

    Summary: MDH found the facility failed to ensure a residens was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure a residens was free from maltreatment. The 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.”

  • Tag 2380: 144G.91 Subd. 10 Individual autonomy Level 3, widespread scope, scope/level letter I · correction period: Two (2) days
    Details

    Summary: MDH found the licensee failed to respect a resident's individual autonomy and choices when not allowing the resident the right to choose their own schedule, routines, times and methods of cares, getting up for the day or going to bed at night and ability to go outside for four of four residents (R1, R2, R3, R4).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to respect a resident's individual autonomy and choices when not allowing the resident the right to choose their own schedule, routines, times and methods of cares, getting up for the day or going to bed at night and ability to go outside for four of four residents (R1, R2, R3, R4). [...]”

    Rule cited: “Residents have the right to individual autonomy, initiative, and independence in making life choices, including establishing a daily schedule and choosing with whom to interact.”

  • Tag 2400: 144G.91 Subd. 12 Visitors and social participation Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to respect the resident's right to have visitors at any time.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to respect the resident's right to have visitors at any time. This had the potential to affect all residents (R1 R2, R3, and R4) residing at the facility. [...]”

    Rule cited: “(a) Residents have the right to meet with or receive visits at any time by the resident's family, guardian, conservator, health care agent, attorney, advocate, or religious or social work counselor, or any person of the resident's choosing. [...]”

  • Tag 2560: 144G.92 Subdivision 1 Retaliation prohibited Level 2, widespread scope, scope/level letter F
    Details

    Summary: MDH found the licensee failed to ensure four of four residents (R1, R2, R3, R4), were not retaliated against.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure four of four residents (R1, R2, R3, R4), were not retaliated against. The licensee failed to provide an environment where residents have the ability to file a good faith complaint, grievance, or maltreatment report without fear of losing their housing. [...]”

    Rule cited: “A facility or agent of a facility may not retaliate against a resident or staff member if the resident, staff member, or any person acting on behalf of the resident: (1) files a good faith complaint or grievance, makes a good faith inquiry, or asserts any [...]”

• July 23, 2024 · report HL392343346M · MDH finding: Inconclusive
  Details

  Allegation, as written: “The facility abused a resident when they overmedicated the resident to sedate him. Additionally, the facility staff threatened the resident they would not provide cares if he had, "bad behavior."”

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

  “The facility was responsible for the maltreatment.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined abuse was inconclusive substantiated. The facility was responsible for the maltreatment. The facility created an environment of control, fear, and did not allow the resident to have input regarding his daily cares and activities. The residents' requests regarding his daily cares were considered, "bad behavior," and the facility made ongoing requests to the resident's physician and family to increase the residents' antipsychotics medication. The facility threatened the resident he would be kicked out of the facility if he did not follow the facility rules. After the investigation, additional information was An equal opportunity employer. received, and while violations of resident rights occurred, there was not a preponderance of evidence it met the definition of abuse.”

  Action taken by facility: “No action taken.”

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

  Survey completed April 30, 2024: 6 correction orders

  • Tag 1640: 144G.70 Subd. 4 (a-e) Service plan, implementation and revisions to Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
    Details

    MDH’s finding, as written: “Based on interview and record review the licensee failed to ensure a service plan was initiated and included all required content for three of four residents (R2, R3, R4), reviewed. [...]”

    Rule cited: “(a) No later than 14 calendar days after the date that services are first provided, an assisted living facility shall finalize a current written service plan. [...]”

  • Tag 2290: 144G.91 Subd. 2 Legislative intent Level 2, widespread scope, scope/level letter F · correction period: Fourteen (14) days
    Details

    Summary: MDH found the licensee limited the rights of four of four residents (R1, R2, R3, R4) reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee limited the rights of four of four residents (R1, R2, R3, R4) reviewed. The licensee limited visitors from 10:00 a.m. to 6:00 p.m. This practice affected all the residents living at the facility and their visitors. [...]”

    Rule cited: “The rights established under this section for the benefit of residents do not limit any other rights available under law. [...]”

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

    Summary: MDH found the facility failed to ensure a residens was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure a residens was free from maltreatment. The 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.”

  • Tag 2380: 144G.91 Subd. 10 Individual autonomy Level 3, widespread scope, scope/level letter I · correction period: Two (2) days
    Details

    Summary: MDH found the licensee failed to respect a resident's individual autonomy and choices when not allowing the resident the right to choose their own schedule, routines, times and methods of cares, getting up for the day or going to bed at night and ability to go outside for four of four residents (R1, R2, R3, R4).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to respect a resident's individual autonomy and choices when not allowing the resident the right to choose their own schedule, routines, times and methods of cares, getting up for the day or going to bed at night and ability to go outside for four of four residents (R1, R2, R3, R4). [...]”

    Rule cited: “Residents have the right to individual autonomy, initiative, and independence in making life choices, including establishing a daily schedule and choosing with whom to interact.”

  • Tag 2400: 144G.91 Subd. 12 Visitors and social participation Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to respect the resident's right to have visitors at any time.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to respect the resident's right to have visitors at any time. This had the potential to affect all residents (R1 R2, R3, and R4) residing at the facility. [...]”

    Rule cited: “(a) Residents have the right to meet with or receive visits at any time by the resident's family, guardian, conservator, health care agent, attorney, advocate, or religious or social work counselor, or any person of the resident's choosing. [...]”

  • Tag 2560: 144G.92 Subdivision 1 Retaliation prohibited Level 2, widespread scope, scope/level letter F
    Details

    Summary: MDH found the licensee failed to ensure four of four residents (R1, R2, R3, R4), were not retaliated against.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure four of four residents (R1, R2, R3, R4), were not retaliated against. The licensee failed to provide an environment where residents have the ability to file a good faith complaint, grievance, or maltreatment report without fear of losing their housing. [...]”

    Rule cited: “A facility or agent of a facility may not retaliate against a resident or staff member if the resident, staff member, or any person acting on behalf of the resident: (1) files a good faith complaint or grievance, makes a good faith inquiry, or asserts any [...]”

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 5 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.