Orchard Path

Last evaluation

April 23, 2026

Evaluations on record

2

Investigations substantiated

4 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

1 kept 3 years

Most recent evaluation (April 23, 2026, state report SO6R11)

MDH: “On April 20, 2026, through April 23, 2026, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”

Survey completed April 23, 2026: 6 correction orders

• Tag 250: 144G.20 Subdivision 1 Conditions Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days · fine: $500.00 assessed
  Details

  MDH’s finding, as written: “Based on interview and record review the licensee failed to cooperate with a survey when the licensee denied representatives of the Minnesota Department of Health (MDH) access to the independent living resident roster, records, and facility living areas. [...]”

  Rule cited: “(a) The commissioner may refuse to grant a provisional license, refuse to grant a license as a result of a change in ownership, refuse to renew a license, suspend or revoke a license, or impose a conditional license if the owner, controlling individual, or [...]”

• Tag 1290: 144G.60 Subdivision 1 Background studies required Level 3, widespread scope, scope/level letter I · correction period: Immediate · fine: $1,000.00 assessed
  Details

  Summary: MDH found the licensee failed to ensure a background study was current and eligible on NETStudy 2.0 (web-based system for submitting background study requests to the Department of Human Services (DHS) ) with the assisted living license for one of 131 employees (human resource manager (HRM)-F).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure a background study was current and eligible on NETStudy 2.0 (web-based system for submitting background study requests to the Department of Human Services (DHS) ) with the assisted living license for one of 131 employees (human resource manager (HRM)-F). This had the potential to affect all residents residing in the facility. This resulted in an immediate correction order issued on April 21, 2026. [...]”

  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 1540: 144G.64 (a) (3) Training in Dementia, Mental Illness, and De- Level 2, isolated scope, scope/level letter D · correction period: Twenty-one
  Details

  Summary: MDH found the licensee failed to ensure direct care staff received the required two hours of initial training on mental illness and de-escalation topics for one of one new employee (unlicensed personnel (ULP)-D).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure direct care staff received the required two hours of initial training on mental illness and de-escalation topics for one of one new employee (unlicensed personnel (ULP)-D). [...]”

  Rule cited: “(3) for assisted living facilities with dementia care, direct-care staff must have completed at least eight hours of initial training on topics specified under paragraph (b) within 80 working hours of the employment start date. [...]”

• 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 one of four unlicensed personnel (ULP-D) administered the correct medication as prescribed.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure one of four unlicensed personnel (ULP-D) administered the correct medication as prescribed. [...]”

  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 1820: 144G.71 Subd. 13 Prescriptions Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure the prescriber orders for one of five residents (R2) was complete.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the prescriber orders for one of five residents (R2) was complete. 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 an isolated scope (when one or a limited number of residents are affected or one or a limited number of staff are involved, or the situation has occurred only [...]”

  Rule cited: “There must be a current written or electronically recorded prescription as defined in section 151.01, subdivision 16a, for all prescribed medications that the assisted living facility is managing for the resident.”

• 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 the prescription label matched the order for one of five residents (R2) observed during medication administration.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the prescription label matched the order for one of five residents (R2) observed during medication administration. [...]”

  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.

Food and beverage inspection (included in this report): No orders were issued for this inspection report.

Fines assessed by MDH

• Tag 250 (144g.20 Subdivision 1 - Conditions): $500.00
• Tag 1290 (144g.60 Subdivision 1 - Background Studies Required): $1,000.00

Total fines assessed, as printed in the letter: $1,500.00.

Substantiated investigations (state reports)

• April 27, 2026 · report HL338048543M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “A facility staff member/alleged perpetrator (AP) neglected a resident when they failed to provide care, services, and supervision as indicated in the resident's care plan. The resident fell, sustained a brain bleed and died.”

  “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 failed to follow the resident's plan of care, did not complete scheduled rounds and left the resident unsupervised in the bathroom. The resident fell, sustained head injury requiring hospitalization in the intensive care unit (ICU) and died several weeks later.”

  Action taken by facility: “The AP is no longer employed at the facility. The facility completed staff training following the incident.”

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

  Survey completed February 11, 2026: 1 correction order

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

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

    MDH’s finding, as written: “The facility failed to ensure one of one resident(s) reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and an individual person 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.”

• December 15, 2025 · report HL338047443M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “It is alleged the alleged perpetrators (AP)1 and AP2 financially exploited the resident when the AP1 received a total of $1250 for services and helping AP1 financially. AP2 cashed a $1600 check from the resident without authorization.”

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

  “AP1 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. AP1 was responsible for the maltreatment. AP2 was not responsible for maltreatment. AP1 violated the facility policy and provided services outside of her work hours to the resident for cash. The resident stated $150 was paid to AP1 for services such as moving boxes/furniture and cleaning up items. The resident stated two checks, one for $500 and one for $600 was given as an "advance" because AP1 had financial troubles. Additionally, AP1 stole a blank check, filled out the amount for $1600 made payable to AP2 so AP2 could cash the check for her because she did not have her identification. AP2 gave AP1 the full $1600 and did not receive any money.”

  Action taken by facility: “The facility completed an internal investigation, reported to law enforcement and completed retraining with staff. The facility assessed the resident and implemented measures to help safeguard her finances. AP1 and AP2 no longer work for the facility.”

  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 13, 2025: 1 correction order

  • 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 an individual person 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.”

• February 5, 2025 · report HL338046342M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “The alleged perpetrator (AP) financially exploited the resident when the AP stole the residents wedding ring and pawned it for his personal gain.”

  “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 resident and her family were unable to find the resident's wedding ring in her apartment after extensive searching. The family filed a police report and located the wedding ring at a local pawn shop. The police investigated and identified the AP pawned the resident's wedding ring. During an interview, the AP admitted to taking and pawning the residents wedding ring.”

  Action taken by facility: “The facility provided refresher training regarding vulnerable adult statutes to staff. The AP is no longer employed by the facility.”

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

  Survey completed January 7, 2025: 1 correction order

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

    Summary: MDH found the facility failed to ensure two of two residents reviewed (R1 & R2) were free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure two of two residents reviewed (R1 & R2) were free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and the facility and an individual person were 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.”

• February 5, 2025 · report HL338047762M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected the resident when the resident had ongoing, multiple falls and staff did not implement interventions to prevent further falls. The resident sustained a broken hip, broken shoulder, and a laceration to her head.”

  “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. The resident had approximately 36 falls in six months, several of which resulted in skin tears and bone fractures. The facility failed to investigate the cause, reassess the resident, and implement new, effective fall interventions after each fall.”

  Action taken by facility: “The facility held case conferences with family members concerned about the resident's care.”

  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 January 7, 2025: 1 correction order

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

    Summary: MDH found the facility failed to ensure two of two residents reviewed (R1 & R2) were free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure two of two residents reviewed (R1 & R2) were free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and the facility and an individual person were 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 87 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.