Lilac Homes Enh As Liv Mem Car

Last evaluation

January 8, 2025

Evaluations on record

2

Investigations substantiated

2 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

0 kept 3 years

Most recent evaluation (January 8, 2025, state report EO4Q11)

MDH: “On January 6, 2025, through January 8, 2025, the Minnesota Department of Health conducted a full survey at the above provider.”

Survey completed January 8, 2025: 14 correction orders

• Tag 340: 144G.30 Subd. 5 Correction orders Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to have sufficient documentation with actions taken to comply with correction orders (tag identification: 0470, 0660, 1540) for a survey completed on July 7, 2022.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to have sufficient documentation with actions taken to comply with correction orders (tag identification: 0470, 0660, 1540) for a survey completed on July 7, 2022. This had the potential to affect all residents, staff, and visitors at the facility. [...]”

  Rule cited: “(a) A correction order may be issued whenever the commissioner finds upon survey or during a complaint investigation that a facility, a managerial official, an agent of the facility, or staff of the facility is not in compliance with this chapter. [...]”

• Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F
  Details

  Summary: MDH found the licensee failed to ensure the clinical nurse supervisor (CNS) developed and implemented a staffing plan to determine staffing levels to meet the needs of all residents, which included reviewing the staffing plan at least twice per year.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the clinical nurse supervisor (CNS) developed and implemented a staffing plan to determine staffing levels to meet the needs of all residents, which included reviewing the staffing plan at least twice per year. This had the potential to affect all residents, staff, and visitors. [...]”

  Rule cited: “(11) develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility; (ii) ensures sufficient staffing at all times to [...]”

• Tag 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services Level 2, widespread scope, scope/level letter F · correction period: Please refer to the FBEIR for any compliance dates
  Details

  Summary: MDH found the licensee failed to ensure food was prepared and served according to the Minnesota 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: “(a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. [...]”

• Tag 510: 144G.41 Subd. 3 Infection control program 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 infection control standards were followed for three of five employees (unlicensed personnel (ULP)-F, ULP-H, ULP-I) during medication administration and resident cares.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure infection control standards were followed for three of five employees (unlicensed personnel (ULP)-F, ULP-H, ULP-I) during medication administration and resident cares. In addition, the licensee failed to ensure infection control standards were followed to disinfect shared reusable resident medical equipment for one of one employee (ULP-H). [...]”

  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) and Minnesota Department of Health (MDH), which included completion of an annual TB facility risk assessment.

  MDH’s finding, as written: “Based on 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) and Minnesota Department of Health (MDH), which included completion of an annual TB facility risk assessment. [...]”

  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 [...]”

From MDH’s letter: the letter says the facility is in substantial compliance.

Fines assessed by MDH

• Tag 510 (144g.41 Subd. 3 - Infection Control Program): $500.00

Total fines assessed, as printed in the letter: $500.00.

Substantiated investigations (state reports)

• November 22, 2023 · report HL348129147M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “The alleged perpetrator (AP) financially exploited Resident #1 when she used his debit card to make unauthorized purchases for herself. The AP financially exploited Resident #2 when she used his credit card to make unauthorized purchases for herself.”

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

  “The AP was responsible for the maltreatment.”

  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 was responsible for the maltreatment. The AP worked as an unlicensed personnel (ULP) at the facility and had access to Resident #1 and Resident #2's credit cards. The AP provided direct care and services to both residents in the weeks leading up to the debit and credit cards going missing. The AP was seen on surveillance footage using Resident #1's credit card to purchase $180.80 of household supplies at a retail store. The AP was wearing a name badge from the assisted living facility while making the purchase. The AP was also seen on surveillance footage An equal opportunity employer. using Resident #1's credit card to purchase $325.156 of tires. The AP was seen on surveillance footage using Resident #2's credit card to make two purchases at another retail store.”

  Action taken by facility: “The facility reported the incident to MAARC and contacted law enforcement and the AP was terminated. The facility reimbursed the $70 of cash taken from Resident #2.”

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

  Survey completed November 2, 2023: 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 the alleged perpetrator (AP) 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.”

• March 21, 2023 · report HL348124663M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected the resident when they failed to ensure a resident was provided appropriate treatment following a diagnoses of a urinary tract infection. The resident later died from septic shock.”

  “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. A urinalysis indicated the resident had a urinary tract infection (UTI). The resident's provider did not respond to the culture results or order any treatment. However, the resident continued to have symptoms of a UTI, including ongoing blood in his urine, over several days. Facility nurses failed to assess the resident's condition despite staff's continued reports of blood in the resident's urine. Six days after the urinalysis culture was collected, the resident experienced a significant change in condition and level of An equal opportunity employer. consciousness and the facility nurse called 911. The resident was taken to the emergency room where he died four hours later of septic shock attributed to the untreated UTI.”

  Action taken by facility: “No action taken.”

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

  Survey completed February 17, 2023: 5 correction orders

  • Tag 620: 144G.42 Subd. 6 (a) 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 timely submit a report to the Minnesota Adult Abuse Reporting Center (MAARC) for one of one resident (R1) after the licensee failed to ensure a resident was provided appropriate treatment following a diagnosis of a urinary tract infection (UTI).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to timely submit a report to the Minnesota Adult Abuse Reporting Center (MAARC) for one of one resident (R1) after the licensee failed to ensure a resident was provided appropriate treatment following a diagnosis of a urinary tract infection (UTI). [...]”

    Rule cited: “(a) The assisted living facility must comply with the requirements for the reporting of maltreatment of vulnerable adults in section 626.557. [...]”

  • Tag 1390: 144G.62 Subdivision 1 Availability of contact person to staff Level 3, widespread scope, scope/level letter I
    Details

    Summary: MDH found the licensee failed to ensure a registered nurse (RN) was available for consultation to staff performing delegated nursing tasks for one of one resident (R1) with records reviewed.

    MDH’s finding, as written: “Based on interview and document review, the licensee failed to ensure a registered nurse (RN) was available for consultation to staff performing delegated nursing tasks for one of one resident (R1) with records reviewed. In addition, the licensee failed to ensure a RN was available for consultation to staff performing delegated nursing tasks when it designated a licensed practical nurse (LPN) as the nurse on call and failed to designate the RN on call for consultation. [...]”

    Rule cited: “(a) Assisted living facilities must have a registered nurse available for consultation by staff performing delegated nursing tasks and must have an appropriate licensed health professional available if performing other delegated services such as therapies.”

  • Tag 2320: 144G.91 Subd. 4 (b) Appropriate care and services Level 4, isolated scope, scope/level letter J · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure reporting of a resident's change in condition to the appropriate supervisor or health care professional for one of one

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure reporting of a resident's change in condition to the appropriate supervisor or health care professional for one of one residents (R1) reviewed following a diagnoses of a urinary tract infection (UTI). Facility nurses failed to assess the resident's condition after staff continued to report blood in the resident's urine. [...]”

    Rule cited: “(b) Residents have the right to receive health care and other assisted living services with continuity from people who are properly trained and competent to perform their duties and in sufficient numbers to adequately provide the services agreed to in the [...]”

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

    Summary: MDH found the facility failed to ensure 1 of 1 residents reviewed (R1) was free from maltreatment.

    MDH’s finding, as written: “Based on interviews and document review, the facility failed to ensure 1 of 1 residents reviewed (R1) was free from maltreatment. The resident was neglected. 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 3000: 626.557 Subd. 3 Timing of report Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to timely submit a report to the Minnesota Adult Abuse Reporting Center (MAARC) for one of one resident (R1) after the licensee failed to ensure a resident was provided appropriate treatment following a diagnosis of a urinary tract infection (UTI).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to timely submit a report to the Minnesota Adult Abuse Reporting Center (MAARC) for one of one resident (R1) after the licensee failed to ensure a resident was provided appropriate treatment following a diagnosis of a urinary tract infection (UTI). [...]”

    Rule cited: “(a) A mandated reporter who has reason to believe that a vulnerable adult is being or has been maltreated, or who has knowledge that a vulnerable adult has sustained a physical injury which is not reasonably explained shall immediately report the information [...]”

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 40 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.