New Perspective Highland Park

Survey completed December 9, 2022: 17 correction orders

• 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 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 had the potential to affect all 79 residents receiving services. [...]”

  Rule cited: “(13) offer to provide or make available at least the following services to residents: (i) at least three nutritious meals daily with snacks available seven days per week, according to the recommended dietary allowances in the United States Department of [...]”

• 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.

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to post the required information related to the grievance procedure. This had the potential to affect all residents, staff, and visitors. [...]”

  Rule cited: “All facilities must post in a conspicuous place information about the facilities' grievance procedure, and the name, telephone number, and e-mail contact information for the individuals who are responsible for handling resident grievances. [...]”

• Tag 650: 144G.42 Subd. 8 Employee records Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure the employee record contained the required annual performance reviews for one of two employees (director of nursing (DON)-A) and documentation of required training and competency testing for two of three unlicensed employees (unlicensed personnel (ULP)-B, ULP-F).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the employee record contained the required annual performance reviews for one of two employees (director of nursing (DON)-A) and documentation of required training and competency testing for two of three unlicensed employees (unlicensed personnel (ULP)-B, ULP-F). [...]”

  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 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) which included baseline testing and screening for two of two employees (unlicensed personnel (ULP)-B, director of nursing (DON)-A), further ULP-B lacked TB training required upon hire and annually thereafter.

  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) which included baseline testing and screening for two of two employees (unlicensed personnel (ULP)-B, director of nursing (DON)-A), further ULP-B lacked TB training required upon hire and annually thereafter. [...]”

  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 [...]”

• 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

  MDH’s finding, as written: “Based on observation, interview, and record review the licensee failed to perform an annual review of their written emergency preparedness (EP) plan and failed to post the EP plan prominently. [...]”

  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 [...]”

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

Total fines assessed, as printed in the letter: $6000.00.

Allegation, as written: “The alleged perpetrator (AP), a facility staff member, abused the resident when the AP coerced the resident to perform oral sex.”

“The Minnesota Department of Health determined abuse was inconclusive.”

Summary: MDH looked into an allegation and found: abuse inconclusive.

MDH’s conclusion, as written: “The Minnesota Department of Health determined abuse was inconclusive. The incident was not reported for approximately 10 days, thus no evidence was available. There were no witnesses to the incident. The AP, who was an unlicensed caregiver denied the allegation of abuse.”

Action taken by facility: “The facility completed an internal investigation and suspended the AP pending law enforcement investigation.”

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

Survey completed June 3, 2025: no correction orders issued.

Survey completed June 4, 2025: 3 correction orders

• Tag 450: 144G.41 Subdivision 1 Minimum requirements Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed have and maintain a person-centered service delivery process for four of four residents reviewed (R1, R2, R3 and R4).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed have and maintain a person-centered service delivery process for four of four residents reviewed (R1, R2, R3 and R4). Additionally, the licensee failed to have and maintain a system for delegation of health care activities to unlicensed personnel by a registered nurse, including supervision and evaluation of the delegated activities as required by the Nurse Practice Act. [...]”

  Rule cited: “All assisted living facilities shall: (1) distribute to residents the assisted living bill of rights; (2) provide services in a manner that complies with the Nurse Practice Act in sections 148.171 to 148.285; (3) utilize a person-centered planning and service [...]”

• Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure medications were administered as prescribed; failed to ensure prescribed medications were available for use and failed to ensure prescribed medications were administered according to manufacturer recommendations for one of one resident (R1).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure medications were administered as prescribed; failed to ensure prescribed medications were available for use and failed to ensure prescribed medications were administered according to manufacturer recommendations 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 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 two determinations maltreatment occurred for two separate investigations (#HL201683174C/#HL201681843M and #HL201683175C/#HL201681844M) regarding R1 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.”

Allegation, as written: “The facility neglected two residents when resident #2 hit resident #1.”

“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. The facility could not have reasonably anticipated resident #2 would strike out at resident #1 and separated the residents quickly after the altercation. Resident #1was not seriously injured and returned to her baseline health condition.”

Action taken by facility: “Resident #1 and resident #2 were separated and no further altercations occurred between this incident and the onsite visit for the investigation. The facility updated resident #2's care plan to reduce the risk of recurrence.”

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

Survey completed June 4, 2025: 3 correction orders

• Tag 450: 144G.41 Subdivision 1 Minimum requirements Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed have and maintain a person-centered service delivery process for four of four residents reviewed (R1, R2, R3 and R4).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed have and maintain a person-centered service delivery process for four of four residents reviewed (R1, R2, R3 and R4). Additionally, the licensee failed to have and maintain a system for delegation of health care activities to unlicensed personnel by a registered nurse, including supervision and evaluation of the delegated activities as required by the Nurse Practice Act. [...]”

  Rule cited: “All assisted living facilities shall: (1) distribute to residents the assisted living bill of rights; (2) provide services in a manner that complies with the Nurse Practice Act in sections 148.171 to 148.285; (3) utilize a person-centered planning and service [...]”

• Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure medications were administered as prescribed; failed to ensure prescribed medications were available for use and failed to ensure prescribed medications were administered according to manufacturer recommendations for one of one resident (R1).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure medications were administered as prescribed; failed to ensure prescribed medications were available for use and failed to ensure prescribed medications were administered according to manufacturer recommendations 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 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 two determinations maltreatment occurred for two separate investigations (#HL201683174C/#HL201681843M and #HL201683175C/#HL201681844M) regarding R1 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.”

Allegation, as written: “The facility neglected the resident when the facility failed to follow the resident's plan of care. The resident received an incorrect diet and had lost weight resulting in admission to hospice.”

“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 lost weight and was admitted to hospice, there was not a preponderance of evidence it was due to the facility failing to provide services on the resident's care plan. The resident was referred to hospice services due to the progression of Alzheimer's disease and was moved to a higher level of care.”

Action taken by facility: “The facility acknowledged the resident's weight loss and dementia progression and requested hospice for additional services.”

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

Survey completed August 18, 2025: no correction orders issued.

Survey completed April 23, 2024: no correction orders issued.