Landings of Minnetonka

Survey completed January 26, 2024: 7 correction orders

• Tag 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Please refer to the FBEIR for any compliance dates
  Details

  Summary: MDH found the licensee failed to ensure food was prepared and served according to the Minnesota Food Code.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure food was prepared and served according to the Minnesota Food Code. This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety) and was issued at a 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 the [...]”

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

  MDH’s finding, as written: “Based on observation, interview, and record review the licensee failed to establish and maintain an infection control (IC) program that complies with accepted health care, medical and nursing standards for infection control for two of two biohazard bins and hand hygiene for one of two unlicensed personnel (ULP)-E. [...]”

  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 730: 144G.43 Subd. 3 Contents of resident record Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to develop and maintain resident records with all required content related to provider orders for five of five residents (R2, R3, R4, R5, R6).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop and maintain resident records with all required content related to provider orders for five of five residents (R2, R3, R4, R5, R6). [...]”

  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 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 the required content for an emergency relocation to the resident, legal representative, or designated representative for two of two residents (R2, R6).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide a written notice with the required content for an emergency relocation to the resident, legal representative, or designated representative for two of two residents (R2, R6). [...]”

  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 1750: 144G.71 Subd. 7 Delegation of medication administration Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure the registered nurse (RN) prepared in writing specific instructions for one of five residents (R6) who received medication management.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) prepared in writing specific instructions for one of five residents (R6) who received medication management. [...]”

  Rule cited: “When administration of medications is delegated to unlicensed personnel, the assisted living facility must ensure that the registered nurse has: (1) instructed the unlicensed personnel in the proper methods to administer the medications, and the unlicensed [...]”

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

  Summary: MDH found the licensee failed to ensure medications were stored per the manufacturer's directions for all residents who had refrigerated medications.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were stored per the manufacturer's directions for all residents who had refrigerated medications. [...]”

  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 1940: 144G.72 Subd. 3 Individualized treatment or therapy managemen Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to develop a treatment management record to include all required content for one of one resident (R6).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop a treatment management record to include all required content for one of one resident (R6). 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: “For each resident receiving management of ordered or prescribed treatments or therapy services, the assisted living facility must prepare and include in the service plan a written statement of the treatment or therapy services that will be provided to the [...]”

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

Survey completed March 19, 2026: no correction orders issued.

Survey completed January 27, 2026: no correction orders issued.

Allegation, as written: “The facility neglected the resident when the resident experienced respiratory distress, and staff drove him to the emergency room in a private vehicle and left. Staff did not provide information to hospital staff before leaving other than the resident was short of breath. The resident's blood oxygen saturation level (O2 sat) was in the 50s (normal is 95-100%). The resident required a stay in the intensive care unit (ICU) and intubation.”

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

Summary: MDH looked into an allegation and found: neglect not substantiated.

MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was not substantiated. When providing cares, a staff member noticed the resident did not look well. The staff member checked the resident's vital signs, which were outside normal ranges. Staff recommended the resident go to the hospital for further evaluation, but initially the resident declined. The resident eventually agreed to go to the hospital, but only if a staff member drove him. A staff member drove the resident to the hospital, provided front desk staff with the resident's face sheet and facility contact information, and returned to the facility once the resident was settled in the hospital emergency department (ED).”

Action taken by facility: “Staff assessed the resident appropriately and in a timely manner. After the resident returned from the hospital, his provider orders were followed as prescribed.”

Action taken by MDH: “No further action taken at this time.”

Survey completed July 29, 2025: no correction orders issued.

Allegation, as written: “The facility neglected the resident when he was found on fire in the bathroom.”

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

Summary: MDH looked into an allegation and found: neglect not substantiated.

MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was not substantiated. Although the resident passed away, the resident did not have any history of suicidal ideation and was not a smoker before the incident.”

Action taken by facility: “The facility reported the case to the Minnesota Adult Abuse Reporting Center. They also educated the staff about the warning signs of suicide and provided safe smoking guidelines to all residents who smoked.”

Action taken by MDH: “No further action taken at this time.”

Survey completed July 9, 2024: no correction orders issued.

Allegation, as written: “The facility neglected a resident when the resident #1 was found unresponsive in resident #2's room.”

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

Summary: MDH looked into an allegation and found: neglect not substantiated.

MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was not substantiated. While resident #1 had a history of opioid abuse the facility had taken appropriate steps this including getting resident #1 a supply of Narcan. When resident #1 was found unresponsive in resident #2's room the facility responded appropriately to the emergency although the resident #1 was pronounced deceased. Resident #2 did not have a history of opioid overdose and left the facility for unrelated reasons. The relationship between the two residents was new and the facility was unaware of it.”

Action taken by facility: “No action required.”

Action taken by MDH: “No further action taken at this time.”

Survey completed November 8, 2023: no correction orders issued.