Assisted Living
Dr Thomas H Johnson Hws, Penn Avenue South
5515 Penn Avenue South, Minneapolis, MN 55419 · Map
Licensed for 8 residents · DR THOMAS H JOHNSON HWS
Dr Thomas H Johnson Hws, Penn Avenue South is a state-licensed assisted living community in Minneapolis, Minnesota. It is licensed for 8 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, 8 residents
Assisted Living Facility 422157, current license dated Oct 1, 2025. Licensee DR THOMAS H JOHNSON HWS.
Nearest emergency room
1.5 miles
M Health Fairview Southdale Hospital, rated 5 of 5 stars by CMS.
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 |
|---|---|---|---|---|---|
| Dr Thomas H Johnson Hws, Penn Avenue South this community | 8 | Not published | Active | 1 substantiated | |
| Imran Healthcare Services | 0.0 mi | 10 | Not published | Active | 0 substantiated |
| Dr Thomas H Johnson Hws, West 55th Street | 0.0 mi | 8 | Not published | Active | 1 substantiated |
| Dr Thomas H Johnson Hws, Oliver Avenue South | 0.1 mi | 8 | Not published | Active | 0 substantiated |
| New Hope Assisted Living | 0.7 mi | 5 | Not published | Active | No record |
State inspection record1 substantiated
- Last evaluation
- August 8, 2025
- Evaluations on record
- 2
- Investigations substantiated
- 1 kept 7 years
- Inconclusive
- 1 kept 4 years
- Unsubstantiated
- 0 kept 3 years
Most recent evaluation (August 8, 2025, state report 39SW11)
MDH: “On August 4, 2025, through August 8, 2025, the Minnesota Department of Health conducted a full survey at the above provider, and the following correction orders are issued.”
Survey completed August 8, 2025: 15 correction orders
- Tag 550: 144G.41 Subd. 7 Resident grievances; reporting maltreatment Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to post the required information related to the grievance procedure and reporting contact information for the Office of Health Facility Complaints (OHFC).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to post the required information related to the grievance procedure and reporting contact information for the Office of Health Facility Complaints (OHFC). [...]”
Rule cited: “All facilities must post in a conspicuous place information about the facilities' grievance procedure, and the name, telephone number, and email contact information for the individuals who are responsible for handling resident grievances. [...]”
- Tag 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure an individual abuse prevention plan (IAPP) was developed to include the required content for two of three residents (R1, R2).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure an individual abuse prevention plan (IAPP) was developed to include the required content for two of three residents (R1, R2). [...]”
Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”
- 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 maintain facility in compliance with Minnesota State Fire Code under Minnesota Rules Chapter 7511.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain facility in compliance with Minnesota State Fire Code under Minnesota Rules Chapter 7511. This had the potential to affect some residents, staff, and visitors. [...]”
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: Two (2) days · fine: $500.00 assessed
Details
Summary: MDH found the licensee failed to provide interconnected smoke alarms throughout the facility.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide interconnected smoke alarms throughout the facility. 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, widespread scope, scope/level letter F · correction period: Seven (7) 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, 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 [...]”
Show all 15
- 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 the fire safety and evacuation plan with required content.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to develop the fire safety and evacuation plan with required content. 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 910: 144G.50 Subd. 2 (a-b) Contract information Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to execute a written contract with the required content for three of three residents (R1, R2, R3).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to execute a written contract with the required content for three of three residents (R1, R2, R3). This practice resulted in a level one violation (a violation that will cause only 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) The contract must include in a conspicuous place and manner on the contract the legal name and the health facility identification of the facility. [...]”
- Tag 1060: 144G.52 Subd. 9 Emergency relocation Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to provide a written notice with required content for an emergency relocation and failed to notify the Office of Ombudsman for Long-Term Care (OOLTC) for one of one resident (R1) who was relocated and had not returned to the facility within four days.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide a written notice with required content for an emergency relocation and failed to notify the Office of Ombudsman for Long-Term Care (OOLTC) for one of one resident (R1) who was relocated and had not returned to the facility within four days. [...]”
Rule cited: “(a) A facility may remove a resident from the facility in an emergency if necessary due to a resident's urgent medical needs or an imminent risk the resident poses to the health or safety of another facility resident or facility staff member. [...]”
- Tag 1290: 144G.60 Subdivision 1 Background studies required Level 3, isolated scope, scope/level letter G · correction period: Immediate
Details
Summary: MDH found the licensee failed to ensure a background study (BGS) was submitted and received in affiliation with the assisted living licensee for one of 29 employees (unlicensed personnel (ULP)-A).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure a background study (BGS) was submitted and received in affiliation with the assisted living licensee for one of 29 employees (unlicensed personnel (ULP)-A). [...]”
Rule cited: “(a) Employees, contractors, and regularly scheduled volunteers of the facility are subject to the background study required by section 144.057 and may be disqualified under chapter 245C. [...]”
- Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) conducted ongoing resident assessment and reassessment, not to exceed 90 calendar days from the date of the last assessment for two of two residents (R1, R2).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) conducted ongoing resident assessment and reassessment, not to exceed 90 calendar days from the date of the last assessment for two of two residents (R1, R2). [...]”
Rule cited: “(a) Residents who are not receiving any assisted living services shall not be required to undergo an initial nursing assessment. [...]”
- Tag 1640: 144G.70 Subd. 4 (a-e) Service plan, implementation and revisions to Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure the current service plan included all services to be provided
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the current service plan included all services to be provided for one of three residents (R1). [...]”
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 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 record with the required content for three of three residents (R1, R2, R3).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop an individualized medication management record with the required content for three of three residents (R1, R2, R3). [...]”
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 [...]”
- Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 4, isolated scope, scope/level letter J · correction period: Immediate · fine: $3,000.00 assessed
Details
Summary: MDH found the licensee failed to ensure medication orders were accurately transcribed to the medication administration record for one of one resident (R1).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medication orders were accurately transcribed to the medication administration record for one of one resident (R1). [...]”
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 1890: 144G.71 Subd. 20 Prescription drugs Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure a medication was labeled with the resident's name for one of one resident (R3) who utilized insulin.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure a medication was labeled with the resident's name for one of one resident (R3) who utilized insulin. [...]”
Rule cited: “A prescription drug, prior to being set up for immediate or later administration, must be kept in the original container in which it was dispensed by the pharmacy bearing the original prescription label with legible information including the expiration or [...]”
- Tag 2410: 144G.91 Subd. 13 Personal and treatment privacy Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure privacy was maintained for two of two residents (R1, R4), for whom the licensee stored incontinence products.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure privacy was maintained for two of two residents (R1, R4), for whom the licensee stored incontinence products. [...]”
Rule cited: “(a) Residents have the right to consideration of their privacy, individuality, and cultural identity as related to their social, religious, and psychological well-being. [...]”
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 PhysicalEnvironment): $500.00
- Tag 780 (144g.45 Subd.2 (a) (1) - Fire Protection And PhysicalEnvironment): $500.00
- Tag 1760 (144g.71 Subd.8 - DocumentationOf Administration Of Medication): $3,000.00
Total fines assessed, as printed in the letter: $4,000.00.
Earlier evaluations (1)
- August 10, 2023: report B9X811 · 27 correction orders
Details
Survey completed September 18, 2023: 13 correction orders
- Tag 470: 144G.41 Subdivision 1 Minimum requirements (re-issued) scope/level letter F
Details
MDH’s finding, as written: “No further action required.”
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 (re-issued) scope/level letter F
Details
MDH’s finding, as written: “No further action required.”
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 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma (re-issued) scope/level letter D
Details
MDH’s finding, as written: “No further action required.”
Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”
- Tag 650: 144G.42 Subd. 8 Employee records (re-issued) scope/level letter F
Details
MDH’s finding, as written: “No further action required.”
Rule cited: “(a) The facility must maintain current records of each paid employee, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”
- Tag 680: 144G.42 Subd. 10 Disaster planning and emergency preparedness (re-issued) scope/level letter F
Details
MDH’s finding, as written: “No further action required.”
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 [...]”
Show all 13
- Tag 730: 144G.43 Subd. 3 Contents of resident record (re-issued) scope/level letter D
Details
MDH’s finding, as written: “No further action required.”
Rule cited: “Contents of a resident record include the following for each resident: (1) identifying information, including the resident's name, date of birth, address, and telephone number; (2) the name, address, and telephone number of the resident's emergency contact, [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment (re-issued) scope/level letter F
Details
MDH’s finding, as written: “No further action required.”
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 (re-issued) scope/level letter F
Details
MDH’s finding, as written: “No further action required.”
Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”
- Tag 820: 144G.45 Subd. 2 (g) Fire protection and physical environment (re-issued) Level 2, pattern scope, scope/level letter E
Details
Summary: MDH found the licensee failed to provide egress windows in resident rooms that meet the minimum size requirements and that do not constitute a distinct hazard.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to provide egress windows in resident rooms that meet the minimum size requirements and that do not constitute a distinct hazard. This had the potential to directly affect a portion of residents and staff. [...]”
Rule cited: “(g) Existing construction or elements, including assisted living facilities that were registered as housing with services establishments under chapter 144D prior to August 1, 2021, shall be permitted to continue in use provided such use does not constitute a [...]”
- Tag 950: 144G.50 Subd. 3 Designation of representative (re-issued) scope/level letter F
Details
MDH’s finding, as written: “No further action required.”
Rule cited: “(a) Before or at the time of execution of an assisted living contract, an assisted living facility must offer the resident the opportunity to identify a designated representative in writing in the contract and must provide the following verbatim notice on a [...]”
- Tag 1460: 144G.63 Subdivision 1 Orientation of staff and supervisors (re-issued) scope/level letter D
Details
MDH’s finding, as written: “No further action required.”
Rule cited: “All staff providing and supervising direct services must complete an orientation to assisted living facility licensing requirements and regulations before providing assisted living services to residents. [...]”
- Tag 1500: 144G.63 Subd. 5 Required annual training (re-issued) scope/level letter E
Details
MDH’s finding, as written: “No further action required.”
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 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring (re-issued) scope/level letter F
Details
MDH’s finding, as written: “No further action required.”
Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”
Survey completed August 10, 2023: 14 correction orders
- Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop and implement a staffing plan to meet the scheduled and reasonably foreseeable unscheduled needs of the residents. [...]”
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 · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to adhere to the Minnesota Food Code, Minnesota Rules, chapter 4626.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to adhere to the Minnesota Food Code, Minnesota Rules, chapter 4626. This had the potential to affect all residents at the facility. [...]”
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 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure an individual abuse prevention plan (IAPP) contained required assessment content for one of two residents (R1).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure an individual abuse prevention plan (IAPP) contained required assessment content for one of two residents (R1). [...]”
Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”
- Tag 650: 144G.42 Subd. 8 Employee records Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employee records contained required annual performance reviews for three of three employees (registered nurse (RN)-C, unlicensed personnel, (ULP)-B and ULP-E).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employee records contained required annual performance reviews for three of three employees (registered nurse (RN)-C, unlicensed personnel, (ULP)-B and ULP-E). [...]”
Rule cited: “(a) The facility must maintain current records of each paid employee, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”
- 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 develop a written emergency preparedness plan (EPP) with all the required content and failed to post an emergency disaster plan prominently.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop a written emergency preparedness plan (EPP) with all the required content and failed to post an emergency disaster plan prominently. 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 [...]”
Show all 14
- 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
Summary: MDH found the licensee failed to ensure the resident record included documentation of all services provided for one of two residents (R1).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the resident record included documentation of all services provided for one of two residents (R1). This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety) and was issued at 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: “Contents of a resident record include the following for each resident: (1) identifying information, including the resident's name, date of birth, address, and telephone number; (2) the name, address, and telephone number of the resident's emergency contact, [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to maintain the facility physical environment in a continuous state of good repair and operation regarding the health, safety, and well-being of the residents.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the facility physical environment in a continuous state of good repair and operation regarding the health, safety, and well-being of the residents. 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 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 on fire safety and evacuation, and failed to conduct required evacuation drills.
MDH’s finding, as written: “Based on a record review and interview, 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 820: 144G.45 Subd. 2 (g) Fire protection and physical environment Level 3, widespread scope, scope/level letter I · correction period: Immediate
Details
Summary: MDH found the licensee failed to ensure the minimum size egress window openings for occupied and unoccupied resident bedrooms.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure the minimum size egress window openings for occupied and unoccupied resident bedrooms. This affected three of the occupied resident bedrooms and three unoccupied bedrooms. This had the potential to directly affect all residents and staff. [...]”
Rule cited: “(g) Existing construction or elements, including assisted living facilities that were registered as housing with services establishments under chapter 144D prior to August 1, 2021, shall be permitted to continue in use provided such use does not constitute a [...]”
- Tag 950: 144G.50 Subd. 3 Designation of representative Level 1, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to include verbatim language giving residents the right to identify a designated representative for one of one resident (R1).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to include verbatim language giving residents the right to identify a designated representative for one of one resident (R1). [...]”
Rule cited: “(a) Before or at the time of execution of an assisted living contract, an assisted living facility must offer the resident the opportunity to identify a designated representative in writing in the contract and must provide the following verbatim notice on a [...]”
- Tag 1460: 144G.63 Subdivision 1 Orientation of staff and supervisors Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure employees received orientation to assisted living statutes for one of three employees (registered nurse (RN)-C).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employees received orientation to assisted living statutes for one of three employees (registered nurse (RN)-C). [...]”
Rule cited: “All staff providing and supervising direct services must complete an orientation to assisted living facility licensing requirements and regulations before providing assisted living services to residents. [...]”
- Tag 1500: 144G.63 Subd. 5 Required annual training Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employees received at least eight hours of annual training for each 12 months of employment in all required training topics for two of three direct care employees (registered nurse (RN)-C, unlicensed personnel (ULP)-E).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employees received at least eight hours of annual training for each 12 months of employment in all required training topics for two of three direct care employees (registered nurse (RN)-C, unlicensed personnel (ULP)-E). [...]”
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 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) conducted a 14-day assessment no more than 14 calendar days after initiation of services and an initial review of resident's needs and preferences to be completed within 30 calendar days of the start of service 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) conducted a 14-day assessment no more than 14 calendar days after initiation of services and an initial review of resident's needs and preferences to be completed within 30 calendar days of the start of service for one of one resident (R1). [...]”
Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”
- Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, isolated scope, scope/level letter G · correction period: IMMEDIATE
Details
Summary: MDH found the licensee failed to provide care and services according to acceptable health care, medical or nursing standards for one of one resident (R1) who utilized hospital bed rails.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide care and services according to acceptable health care, medical or nursing standards for one of one resident (R1) who utilized hospital bed rails. [...]”
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.”
From MDH’s letter: the letter says the facility is in substantial compliance.
Total fines assessed, as printed in the letter: $6,000.00.
- Tag 470: 144G.41 Subdivision 1 Minimum requirements (re-issued) scope/level letter F
Substantiated investigations (state reports)
- April 18, 2023 · report HL215087434C
Details
Survey completed April 4, 2023: 1 correction order
- Tag 990: 144G.52 Subd. 2 Prerequisite to termination of a contract Level 2, isolated scope, scope/level letter D
Details
Summary: MDH found the licensee failed to provide a written termination notice at least seven days after the pre-termination meeting was held for one of two residents (R1) reviewed.
MDH’s finding, as written: “Based on interview and document review, the licensee failed to provide a written termination notice at least seven days after the pre-termination meeting was held for one of two residents (R1) reviewed. [...]”
Rule cited: “(a) Before issuing a notice of termination of an assisted living contract, a facility must schedule and participate in a meeting with the resident and the resident's legal representative and designated representative. [...]”
- Tag 990: 144G.52 Subd. 2 Prerequisite to termination of a contract Level 2, isolated scope, scope/level letter D
Inconclusive investigations (1)
- December 4, 2023 · report HL215085983M · MDH finding: Inconclusive
Details
Allegation, as written: “It is alleged the facility neglected a resident when they refused to store and administer one of the resident's medications (methadone-a long-acting opioid medication used to reduce withdrawal symptoms in people addicted to narcotics and/or pain relief) and failed to ensure he attended medication appointments. It is also alleged an unknown Alleged Perpetrator (AP) abused the resident, when the resident woke with injuries of unknown origin including swollen, bruised, and bloodied face.”
“The Minnesota Department of Health determined neglect was inconclusive, due to conflicting information.”
Summary: MDH looked into an allegation and found: neglect inconclusive.
MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was inconclusive, due to conflicting information. The facility indicated the resident refused to go to the clinic to obtain his methadone, and the resident stated the facility did not arrange appropriate transportation for An equal opportunity employer. him to go to the clinic, so he just quit going. The clinic staff indicated they spoke with the resident's team prior to admission, and the facility was aware of the possibility of weekly takeouts (an exception granted for the facility to securely obtain a weeks' worth of methadone). The facility indicated the resident's team discussed and agreed to daily dosing at the clinic. The resident stated no one talked to him about getting a week of methadone at a time instead of the resident traveling to the clinic 6 days a week. The allegation of abuse is not substantiated. [...]”
Action taken by facility: “The facility discharged the resident.”
Action taken by MDH: “No further action taken at this time.”
Survey completed November 20, 2023: no correction orders issued.
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”
Level 4: “a violation harmed a resident's health or safety, not including serious injury or death, or a violation that was likely to lead to serious injury 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 8 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 DR THOMAS H JOHNSON HWS
- License type
- Assisted Living Facility
- License number
- 422157
- License status
- Active
- Current license dated
- 2025-10-01
- Licensed capacity
- 8
- Licensee
- DR THOMAS H JOHNSON HWS
- County
- Hennepin County
- Administrator/Authorized Agent
- Heather Balenger
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 1.5 mi, nursing home 1.0 mi, pharmacy 1.0 mi
- Nearest hospital with an emergency room
- M Health Fairview Southdale Hospital, Edina. 1.5 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Mount Olivet Home, Minneapolis. 1.0 mile away, straight line.
- Nearest home health agency office
- Park Nicollet Methodist Hospital Care Svcs, Minneapolis. 2.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55419 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Richfield Dialysis, Richfield, 1.7 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Dialysis - South Minneapolis, Minneapolis, 2.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Minneapolis Uptown Dialysis, Minneapolis, 2.6 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 21 Medicare hospices tell CMS they serve ZIP code 55419.
Park Nicollet Methodist Hospital, office in Saint Louis Park, 2.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Brighton Hospice, office in Saint Louis Park, 3.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Allina Health Hospice & Palliative Care, office in Minneapolis, 3.9 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Hennepin Healthcare System Inc, Richfield. 1.7 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 moderate; 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 moderate. By hazard: inland flooding relatively moderate, tornado relatively high, heat wave relatively high, 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 2025. 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: no FEMA wildfire rating of moderate or higher here |
| 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 Dr Thomas H Johnson Hws, Penn Avenue South provide?
Dr Thomas H Johnson Hws, Penn Avenue South is licensed by the state of Minnesota for assisted living in Minneapolis, Minnesota. Its licensed capacity is 8 residents.
Does Lilisity rate Dr Thomas H Johnson Hws, Penn Avenue South?
No. We publish state licensing details for Dr Thomas H Johnson Hws, Penn Avenue South 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 Dr Thomas H Johnson Hws, Penn Avenue South cost?
Assisted Living in Hennepin County typically starts at $2,500 to $4,400 a month. Based on 18 communities that publish prices. These are area figures, not this community's price. Dr Thomas H Johnson Hws, Penn Avenue South does not publish its prices.
How do I contact Dr Thomas H Johnson Hws, Penn Avenue South?
Visit Dr Thomas H Johnson Hws, Penn Avenue South at 5515 Penn Avenue South, Minneapolis, MN 55419.
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