Elder Homestead

Last evaluation

January 9, 2025

Evaluations on record

2

Investigations substantiated

1 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

1 kept 3 years

Most recent evaluation (January 9, 2025, state report 36X411)

MDH: “On January 6, 2025, through January 9, 2025, the Minnesota Department of Health conducted a survey at the above provider, and the following correction orders are issued.”

Survey completed January 9, 2025: 6 correction orders

• 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
  Details

  Summary: MDH found the licensee failed to comply with Minnesota State Fire Code and Minnesota Rule 7511.

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to comply with Minnesota State Fire Code and Minnesota Rule 7511. This had the potential to directly affect all residents, staff, and visitors. [...]”

  Rule cited: “for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) provide smoke alarms outside each separate sleeping area in the immediate vicinity of bedrooms; (iii) provide smoke [...]”

• Tag 1290: 144G.60 Subdivision 1 Background studies required Level 2, pattern scope, scope/level letter E · correction period: Two (2) days
  Details

  Summary: MDH found the licensee failed to ensure a background study was cleared and affiliated to the licensee's health facility identification number (HFID) as required for two of three employees (registered nurse (RN)-A, licensed practical nurse (LPN)-C).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure a background study was cleared and affiliated to the licensee's health facility identification number (HFID) as required for two of three employees (registered nurse (RN)-A, licensed practical nurse (LPN)-C). [...]”

  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 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 begins working for the licensee or performing the task for one of one unlicensed personnel (ULP-B).

  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 begins working for the licensee or performing the task for one of one unlicensed personnel (ULP-B). [...]”

  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
  Details

  Summary: MDH found the licensee failed to ensure employees received all required assisted living orientation content for one of two employees (registered nurse (RN)-A).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employees received all required assisted living orientation content for one of two employees (registered nurse (RN)-A). [...]”

  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 1880: 144G.71 Subd. 19 Storage of medications Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure prescription medications were securely locked in a substantially constructed compartment and permitted only authorized personnel to have access.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure prescription medications were securely locked in a substantially constructed compartment and permitted only authorized personnel to have access. [...]”

  Rule cited: “An assisted living facility must store all prescription medications in securely locked and substantially constructed compartments according to the manufacturer's directions and permit only authorized personnel to have access.”

• 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 medications were labeled correctly for one of one resident (R2).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were labeled correctly for one of one resident (R2). 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 an isolated scope (when one or a limited number of residents are affected or one or a [...]”

  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 [...]”

From MDH’s letter: the letter says the facility is in substantial compliance; no immediate fines.

Substantiated investigations (state reports)

• July 24, 2024 · report HL201041880M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected the resident when facility staff failed to follow the care plan resulting in the resident falling and being hospitalized with a hip fracture.”

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

  “The facility was responsible for the maltreatment.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was substantiated. The facility was responsible for the maltreatment. Facility nursing staff failed to immediately implement provider orders and failed to assess the resident and update the medical provider when a change in condition occurred, resulting in a delay of care. The resident fell and staff failed to assess, monitor, and update the resident's medical provider, after an increase in pain and decline in mobility status were observed. The resident was later transferred to the hospital and diagnosed with a hip fracture that required surgical repair.”

  Action taken by facility: “The facility updated the medical provider and sent the resident to the emergency room after an x-ray revealed evidence of a hip fracture.”

  Action taken by MDH: “The responsible party will be notified of their right to appeal the maltreatment finding. The facility was found to be in noncompliance.”

  Survey completed June 3, 2024: 2 correction orders

  • Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, isolated scope, scope/level letter G · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to provide care and services according to acceptable health care medical or nursing standards for one of four residents (R1) reviewed for falls, when provider orders were not immediately followed and the medical provider was not updated after reports of an increase in pain and immobility.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide care and services according to acceptable health care medical or nursing standards for one of four residents (R1) reviewed for falls, when provider orders were not immediately followed and the medical provider was not updated after reports of an increase in pain and immobility. [...]”

    Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”

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

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

    MDH’s finding, as written: “The facility failed to ensure one of one resident reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and the facility was responsible for the maltreatment, in connection with incidents which occurred at the facility. Please refer to the public maltreatment report for details.”

    Rule cited: “Residents have the right to be free from physical, sexual, and emotional abuse; neglect; financial exploitation; and all forms of maltreatment covered under the Vulnerable Adults Act.”

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 55 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.