Prelude Homes & Services, Mount Vernon Court

Last evaluation

September 4, 2025

Evaluations on record

2

Investigations substantiated

3 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

2 kept 3 years

Most recent evaluation (September 4, 2025, state report TQZL11)

MDH: “On September 2, 2024, through September 4, 2024, the Minnesota Department of Health conducted a change of ownership (CHOW) survey at the above provider.”

Survey completed September 4, 2025: 11 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 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 three residents (R3).

  MDH’s finding, as written: “Based on 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 three 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, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure training documentation was maintained for one of two unlicensed personnel ((ULP)-E) to include all required content.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure training documentation was maintained for one of two unlicensed personnel ((ULP)-E) to include all required content. [...]”

  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 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

  Summary: MDH found the licensee failed to maintain a written emergency preparedness plan (EPP) with all the required content as defined in Appendix Z and failed to post an EPP prominently.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to maintain a written emergency preparedness plan (EPP) with all the required content as defined in Appendix Z and failed to post an EPP prominently. This had the potential to affect all residents, staff, and visitors. [...]”

  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 [...]”

• Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 1, isolated scope, scope/level letter A · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to maintain 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.

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain 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. This deficient condition had the potential to affect all staff, residents, 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 [...]”

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

Food and beverage inspection (included in this report): Food and beverage inspection report included

Fines assessed by MDH

• Tag 1290 (144g.60 Subdivision1 - BackgroundStudiesRequired): $1,000.00

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

Substantiated investigations (state reports)

• February 20, 2025 · report HL282047483M · MDH finding: Substantiated, facility and 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. The resident fell and sustained a fracture. In addition, the AP failed to notify the nurse of the fall and failed to report the resident's complaints of pain after the fall.”

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

  “The AP and facility staff were responsible for the maltreatment.”

  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 AP and facility staff were responsible for the maltreatment. Although the AP did not transfer the resident with a gait belt according to the service plan, the resident's fall occurred after the transfer when the resident was seated in the wheelchair. Following the fall, the AP failed to notify the nurse of the resident's fall and had complaints of shoulder pain. After the fall, facility staff also failed to call the nurse to report the resident's pain. A day after the fall occurred, facility nursing learned about the resident's fall by the resident's family member. Records indicated the resident complained of left shoulder pain and laid in bed most of the day following the fall.”

  Action taken by facility: “The facility obtained orders for an x-ray and communicated with the resident's provider. The facility conducted an internal investigation. The AP is no longer employed by the facility.”

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

  Survey completed January 29, 2025: 1 correction order

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

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

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

• December 18, 2024 · report HL282048402C
  Details

  Survey completed November 7, 2024: 2 correction orders

  • Tag 450: 144G.41 Subdivision 1 Minimum requirements Level 3, isolated scope, scope/level letter G · correction period: Seven (7) days
    Details

    MDH’s finding, as written: “Based on observation, interview and record review the licensee failed to utilize person-centered planning and service delivery process for one of two (R2) residents reviewed. R2's choices and preferences were not honored when the licensee removed R2's bed rails without R2's consent. [...]”

    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 2350: 144G.91 Subd. 7 Courteous treatment Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure residents and their property were treated with courtesy and respect for one of two residents (R1) when bedrails were removed from R1's bed without his consent.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure residents and their property were treated with courtesy and respect for one of two residents (R1) when bedrails were removed from R1's bed without his consent. [...]”

    Rule cited: “Residents have the right to be treated with courtesy and respect, and to have the resident's property treated with respect”

• July 3, 2023 · report HL282044524M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “The alleged perpetrator (AP) physically abused a resident when the AP hit the resident in the face twice, resulting in bruising to the resident's left eye and cheekbone.”

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

  “The AP was responsible for the maltreatment.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined abuse was substantiated. The AP was responsible for the maltreatment. The AP was witnessed on recorded video hitting the resident two times in the face when providing cares. The resident developed bruising around his left eye and cheekbone.”

  Action taken by facility: “The AP no longer works 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 June 13, 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 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 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.”

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 30 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.