Assisted Living and Memory Care
Personal Care Senior Living Ll
14209 Inca Street Nw, Andover, MN 55304 · Map
Licensed for 32 residents · PERSONAL CARE SENIOR LIVING LLC
Personal Care Senior Living Ll is a state-licensed assisted living, memory care community in Andover, Minnesota. It is licensed for 32 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 32 residents
Assisted Living Facility Dementia Care 423041, current license dated Nov 16, 2025. Licensee PERSONAL CARE SENIOR LIVING LLC.
State inspection record3 substantiated
- Last evaluation
- December 12, 2024
- Evaluations on record
- 1
- Investigations substantiated
- 3 kept 7 years
- Inconclusive
- 0 kept 4 years
- Unsubstantiated
- 0 kept 3 years
Most recent evaluation (December 12, 2024, state report 2H7411)
MDH: “On December 9, 2024, through December 12, 2024, the Minnesota Department of Health conducted a full survey at the above provider.”
Survey completed December 12, 2024: 7 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
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 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to provide the physical environment in a continuous state of good repair and operation with regard to the health, safety, and well-being of the residents.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide the physical environment in a continuous state of good repair and operation with regard to the health, safety, and well-being of the residents. This had the potential to directly affect a limited number of residents, staff, and visitors. [...]”
Rule cited: “(4) keep the physical environment, including walls, floors, ceiling, all furnishings, grounds, systems, and equipment in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents in accordance [...]”
- Tag 810: 144G.45 Subd. 2 (b-f) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to develop a fire safety and evacuation plan with the required content and provide required drills.
MDH’s finding, as written: “Based on observation, record review, and interview, the licensee failed to develop a fire safety and evacuation plan with the required content and provide required drills. This had the potential to directly affect all residents, staff, and visitors. [...]”
Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”
- Tag 1060: 144G.52 Subd. 9 Emergency relocation Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide a written notice with required content for an emergency relocation for one of one resident (R3). 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 [...]”
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 1890: 144G.71 Subd. 20 Prescription drugs Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure medications were maintained bearing legible information including the opened-on date for time sensitive medication for two of two residents (R5, R6).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were maintained bearing legible information including the opened-on date for time sensitive medication for two of two residents (R5, R6). [...]”
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 [...]”
- Tag 2040: 144G.81 Subdivision 1 Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to mitigate a hazard identified on the safety risk assessment of the physical environment.
MDH’s finding, as written: “Based on observation, record review, and interview, the licensee failed to mitigate a hazard identified on the safety risk assessment of the physical environment. This deficient practice had the ability to affect all dementia care residents and staff. [...]”
Rule cited: “An assisted living facility with dementia care that has a secured dementia care unit must meet the requirements of section 144G.45 and the following additional requirements: (1) a hazard vulnerability assessment or safety risk must be performed on and around [...]”
- Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services 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 provide care and services according to acceptable health care standards, medical, or nursing standards for one of one resident (R5) who utilized oxygen. [...]”
Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”
From MDH’s letter: the letter says the facility is in substantial compliance; MDH granted the assisted living license; no immediate fines.
Substantiated investigations (state reports)
- March 26, 2026 · report HL393128002M · MDH finding: Substantiated, individual responsibility
Details
Allegation, as written: “The resident was neglected when the alleged perpetrator (AP) failed to provide care and services for falls prevention, then failed to report the fall or resident's complaint of pain.”
“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. Although the AP, an unlicensed personnel (ULP) documented completing safety checks and scheduled toileting, she admitted those services were not provided. A facility investigation indicated video surveillance showed the AP failed to provide scheduled toileting and supervision to ensure his safety. The resident was found on the floor with complaints of pain, but the AP put the resident back into bed and closed the door without providing pain management or reporting the fall to ensure the resident's pain and injuries were addressed. The resident record indicated he sustained a hip fracture with uncontrolled pain requiring transfer to the emergency department (ED), hospitalization, and surgical repair. [...]”
Action taken by facility: “The facility suspended the AP, investigated the incident, and reported the incident to the Minnesota Adult Abuse Reporting Center (MAARC). 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 27, 2026: 1 correction order
- Tag 2360: 144G.91 Subd. 8 Freedom from maltreatment
Details
Summary: MDH found the licensee failed to ensure one of one residents (R1) reviewed was free from maltreatment.
MDH’s finding, as written: “Based on interviews and document review, the licensee failed to ensure one of one residents (R1) reviewed was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, an individual person was responsible for the maltreatment, in connection with incidents which occurred at the facility. Please see 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 2360: 144G.91 Subd. 8 Freedom from maltreatment
- October 17, 2024 · report HL393122640M · MDH finding: Substantiated, facility and individual responsibility
Details
Allegation, as written: “The facility neglected a resident when they failed to ensure the resident received care, services, and supervision according to the resident's assessed needs. The resident fell and injured her head while walking unassisted. The resident bled for over 60 minutes before the resident was transported to a hospital where she received treatment for her head injury.”
“The Minnesota Department of Health determined neglect was substantiated.”
Summary: MDH looked into an allegation and found: neglect substantiated (facility and individual responsibility).
MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was substantiated. The alleged perpetrator (AP) and the facility were responsible for the neglect. The AP failed to follow the resident's care planned needs of providing stand-by assistance, a gait belt, and walker during ambulation. The resident fell and reopened a pre-existing closed head wound causing the resident unnecessary pain and suffering. In addition, facility staff failed to notify the on-call triage nurse a second time when the resident continued to profusely bleed from the head wound for 60 to 90 minutes. Also, the facility failed to have a system in place for the resident with hospice services, to be evaluated at a hospital following a head injury.”
Action taken by facility: “The facility sent the resident to the hospital for previous falls.”
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 August 21, 2024: 2 correction orders
- Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, isolated scope, scope/level letter G
Details
Summary: MDH found the licensee failed to provide care in accordance with accepted healthcare standards for one of one resident (R1) reviewed.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide care in accordance with accepted healthcare standards for one of one resident (R1) reviewed. R1 fell after staff failed to provide the R1 stand-by assistance, a gait belt, and a walker when she walked in the community. As a result, R1 fell and opened a head wound. [...]”
Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”
- 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 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 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, isolated scope, scope/level letter G
- October 12, 2023 · report HL393126028C
Details
Survey completed October 12, 2023: 1 correction order
- Tag 100: 144G.10 Subdivision 1 License required Level 3, widespread scope, scope/level letter I
Details
MDH’s finding, as written: “Based on observation, interview, and document review, the entity known as Personal Care Senior Living LLC, failed to obtain assisted living facility with dementia care (ALDFC) licensure and operated without a license providing assisted living with dementia care services to residents between June 12, 2023, and October 12, 2023. During the time without licensure, twenty-three residents received services. [...]”
Rule cited: “(a)(1)?Beginning August 1, 2021, no assisted living facility may operate in Minnesota unless it is licensed under this chapter.? (2) No facility or building on a campus may provide assisted living services until obtaining the required license under paragraphs [...]”
- Tag 100: 144G.10 Subdivision 1 License required Level 3, widespread scope, scope/level letter I
What the levels and scopes mean (MDH’s words)
Level 2: “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”
Level 3: “a violation that harmed a resident's health or safety, not including serious injury, impairment, or death, or a violation that has the potential to lead to serious injury, impairment, or death”
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 occasionally”
Pattern scope: “when more than a limited number of residents are affected, more than a limited number of staff are involved, or the situation has occurred repeatedly; but is not found to be pervasive”
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 of the residents”
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.
What these terms mean
MDH: “An evaluation is a process regulated by the division to ensure licensees comply with the laws, rules, and certifications for the type of care and services authorized under their license/certification.”
“An investigation may occur when the division is notified that care and services are not being provided by licensees as required by law. This may include allegations of abuse, neglect, or financial misuse.”
For maltreatment, Minnesota law defines substantiated as “a preponderance of the evidence shows that an act that meets the definition of maltreatment occurred” and inconclusive as “less than a preponderance of evidence to show that maltreatment did or did not occur” (Minn. Stat. 626.5572).
Correction orders, as MDH explains on each state form: “Tag numbers have been assigned to Minnesota State Statutes for Assisted Living Facilities.” “The letter in the left column is used for tracking purposes and reflects the scope and level issued pursuant to 144G.31 subd. 1, 2, and 3.” MDH adds that there is no requirement to submit a plan of correction for violations of Minnesota state statutes.
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.
License and ownershipActive license, licensee PERSONAL CARE SENIOR LIVING LLC
- License type
- Assisted Living Facility Dementia Care
- License number
- 423041
- License status
- Active
- Current license dated
- 2025-11-16
- Licensed capacity
- 32
- Licensee
- PERSONAL CARE SENIOR LIVING LLC
- County
- Anoka County
- Administrator/Authorized Agent
- Kurt Haring
Source: Minnesota state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator/Authorized Agent name from the Minnesota licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Minnesota, and other programs
How Medicaid pays for care in Minnesota
- Elderly Waiver (EW), customized living services. Minnesota's Elderly Waiver, part of Medical Assistance (Minnesota Medicaid), can pay for "customized living" services, and a provider of those services must hold an assisted living license (or meet certain exceptions). You must qualify for Medical Assistance and need a nursing-home level of care. (state page)
Ask the community whether it accepts Medicaid.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in March 2026. What was it, and how was it fixed?
- The current license dates from 2025. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- How many caregivers work in memory care during the day, the evening and overnight, and for how many residents?
- What dementia training does each caregiver get before working alone, and every year after?
- How do staff respond when a resident is agitated, frightened or tries to leave?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
What we checked7 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Minnesota Department of Health, Health Regulation Division inspection records | Sep 28, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Personal Care Senior Living Ll provide?
Personal Care Senior Living Ll is licensed by the state of Minnesota for assisted living, memory care in Andover, Minnesota. Its licensed capacity is 32 residents.
Does Lilisity rate Personal Care Senior Living Ll?
No. We publish state licensing details for Personal Care Senior Living Ll but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Personal Care Senior Living Ll cost?
Assisted Living in Minnesota typically starts at $2,200 to $4,800 a month. Based on 74 communities that publish prices. These are area figures, not this community's price. Personal Care Senior Living Ll does not publish its prices.
How do I contact Personal Care Senior Living Ll?
Visit Personal Care Senior Living Ll at 14209 Inca Street Nw, Andover, MN 55304.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid