Maple Woods Assisted Living

Last evaluation

January 14, 2026

Evaluations on record

2

Investigations substantiated

4 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

2 kept 3 years

Most recent evaluation (January 14, 2026, state report 0NEW11)

MDH: “On April 7, 2026, the Minnesota Department of Health conducted a follow-up survey for the above provider to follow-up on orders issued pursuant to a survey completed on January 14, 2026.”

Survey completed April 8, 2026: 15 correction orders

• Tag 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services (re-issued) scope/level letter F
  Details

  MDH’s finding, as written: “Not reviewed during this survey.”

  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 (re-issued) scope/level letter F · fine: $500.00 assessed
  Details

  MDH’s finding, as written: “Not reviewed during this survey.”

  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 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma (re-issued) scope/level letter D
  Details

  MDH’s finding, as written: “Not reviewed during this survey.”

  Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”

• Tag 650: 144G.42 Subd. 8 (a) Staff records (re-issued) scope/level letter F
  Details

  MDH’s finding, as written: “Not reviewed during this survey.”

  Rule cited: “(a) The facility must maintain current records of each paid staff member, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”

• Tag 660: 144G.42 Subd. 9 Tuberculosis prevention and control (re-issued) scope/level letter E
  Details

  MDH’s finding, as written: “Not reviewed during this survey.”

  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 [...]”

Survey completed January 14, 2026: 15 correction orders

• 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, but was not likely to cause serious injury, impairment, or death), and is issued at a widespread scope (when problems are pervasive or represent a systemic failure that has [...]”

  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 services were provided according to accepted health care, medical, or nursing standards in regard to infection control during resident cares and medication administration for three of five employees (unlicensed personnel (ULP)-C, ULP-G, ULP-H).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure services were provided according to accepted health care, medical, or nursing standards in regard to infection control during resident cares and medication administration for three of five employees (unlicensed personnel (ULP)-C, ULP-G, ULP-H). In addition, the licensee failed to implement personal protective equipment (PPE) guidelines for staff with respect to COVID-19 positive residents. [...]”

  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 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) was developed to include the required content for one of two residents (R3).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure an individual abuse prevention plan (IAPP) was developed to include the required content for one of two residents (R3). [...]”

  Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”

• Tag 650: 144G.42 Subd. 8 (a) Staff 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 the required content for two of two employees (unlicensed personnel (ULP)-C, ULP-H).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employee records contained the required content for two of two employees (unlicensed personnel (ULP)-C, ULP-H). [...]”

  Rule cited: “(a) The facility must maintain current records of each paid staff member, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”

• Tag 660: 144G.42 Subd. 9 Tuberculosis prevention and control Level 2, pattern scope, scope/level letter E · 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), including completion of a two-step TST (tuberculin skin test) or other evidence of TB screening such as a blood test for two of three employees (clinical nurse supervisor (CNS) -B, 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) and Minnesota Department of Health (MDH), including completion of a two-step TST (tuberculin skin test) or other evidence of TB screening such as a blood test for two of three employees (clinical nurse supervisor (CNS) -B, 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 [...]”

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 510 (144g.41 Subd. 3 - Infection Control Program): $500.00
• Tag 775 (144g.45 Subd. 2. (a) - Fire Protection And Physical Environment): $500.00

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

Substantiated investigations (state reports)

• August 29, 2024 · report HL339753185M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “The alleged perpetrator (AP) neglected the resident when the AP failed to follow the resident's plan of care which resulted in a fall with a fracture.”

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

  “The AP was responsible for the maltreatment.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was substantiated. The AP was responsible for the maltreatment. The AP did not follow the resident's plan of care while assisting him with transferring from his bed to his WC. The AP attempted to transfer the resident by herself from his bed to his wheelchair using a bear hug lifting method. The resident's plan of care required transfer assistance of two staff members and a full body mechanical lift (Hoyer lift).”

  Action taken by facility: “The facility called emergency medical services to transport the resident to the hospital for evaluation.”

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

  Survey completed July 10, 2024: 3 correction orders

  • Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 4, isolated scope, scope/level letter J · correction period: Seven (7) days
    Details

    MDH’s finding, as written: “Based on interview and document review the licensee failed to identify and complete a change of condition assessment, as required for 1 of 1 residents (R1) reviewed. R1 developed excessive drooling, a protruding tongue, slurred speech, had teeth removed while residing at the facility, and had a noted behavior to "scarf" food down at mealtimes, placing the resident at risk for choking. The resident died at the facility due to choking on food. [...]”

    Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”

  • 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 authentication for services from the resident, as required for 1 of 1 residents (R2) reviewed.

    MDH’s finding, as written: “Based on observation and document review, the licensee failed to authentication for services from the resident, as required for 1 of 1 residents (R2) reviewed. R2's service plan lacked the signature of R2 or a representative of R2. [...]”

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

    Summary: MDH found the facility failed to ensure two of two resident(s) reviewed (R1, R2) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure two of two resident(s) reviewed (R1, R2) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred. The facility was responsible for the maltreatment, in connection with incidents which occurred at the facility involving R1. An individual person was for the maltreatment, in connection with incidents which occurred at the facility involving R2. [...]”

    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.”

• August 29, 2024 · report HL339753621M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected the resident when the resident choked on food and died.”

  “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. While there was a primary registered nurse (RN) at the facility, management and nursing staff completed work between two different locations. The facility staff were aware of noted changes in the resident's eating and swallowing but failed to conduct a change in condition assessment. The facility failed to initiate interventions to help prevent the resident from choking and provide supervision when eating.”

  Action taken by facility: “The facility attempted life saving measures to the resident and activated emergency medical services promptly.”

  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 July 10, 2024: 3 correction orders

  • Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 4, isolated scope, scope/level letter J · correction period: Seven (7) days
    Details

    MDH’s finding, as written: “Based on interview and document review the licensee failed to identify and complete a change of condition assessment, as required for 1 of 1 residents (R1) reviewed. R1 developed excessive drooling, a protruding tongue, slurred speech, had teeth removed while residing at the facility, and had a noted behavior to "scarf" food down at mealtimes, placing the resident at risk for choking. The resident died at the facility due to choking on food. [...]”

    Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”

  • 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 authentication for services from the resident, as required for 1 of 1 residents (R2) reviewed.

    MDH’s finding, as written: “Based on observation and document review, the licensee failed to authentication for services from the resident, as required for 1 of 1 residents (R2) reviewed. R2's service plan lacked the signature of R2 or a representative of R2. [...]”

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

    Summary: MDH found the facility failed to ensure two of two resident(s) reviewed (R1, R2) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure two of two resident(s) reviewed (R1, R2) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred. The facility was responsible for the maltreatment, in connection with incidents which occurred at the facility involving R1. An individual person was for the maltreatment, in connection with incidents which occurred at the facility involving R2. [...]”

    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.”

• January 3, 2023 · report HL339752887M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “The alleged perpetrator (AP) neglected a resident when they gave Resident #1 Clozapine (anti-psychotic medication) prescribed to Resident #2 resulting in Resident #1 requiring treatment at a hospital.”

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

  “The AP was responsible for the maltreatment.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was substantiated. The AP was responsible for the maltreatment. The AP gave Resident #1 Clozapine (anti-psychotic medication) 400 milligrams (two tablets) prescribed to Resident #2 without ensuring the correct medication was given to the correct resident. As a result, Resident #1 required admission to a hospital for evaluation and treatment with a reduced level of consciousness.”

  Action taken by facility: “Management provided a review of the facility's medication administration policy and procedure and required medication administration training for the AP.”

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

• October 14, 2021 · report HL33975001C

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 32 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.