Regina Assisted Living

Survey completed March 3, 2022: 6 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 comply with Minnesota Food Code, Chapter 4626.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to comply with Minnesota Food Code, Chapter 4626. This had the potential to affect all 92 residents residing at the facility. [...]”

  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 510: 144G.41 Subd. 3 Infection control program Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to establish and maintain an infection control program that complies with accepted health care, medical and nursing standards for infection control, including hand washing and glucometer cleaning, for one of three employees (unlicensed personnel (ULP)-M with employee record reviewed.

  MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to establish and maintain an infection control program that complies with accepted health care, medical and nursing standards for infection control, including hand washing and glucometer cleaning, for one of three employees (unlicensed personnel (ULP)-M with employee record reviewed. This had the potential to affect four of four residents (R2, R6, R7, R8) observed to receive glucometer checks. [...]”

  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 780: 144G.45 Subd. 2 (a) (1) 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 provide smoke alarms in resident bedrooms in the first-floor memory care suite and failed to ensure smoke alarms are interconnected so that actuation of one alarm causes all alarms in the dwelling to actuate as required.

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide smoke alarms in resident bedrooms in the first-floor memory care suite and failed to ensure smoke alarms are interconnected so that actuation of one alarm causes all alarms in the dwelling to actuate as required. This had the potential to directly affect all memory care residents, staff, and visitors in that suite. [...]”

  Rule cited: “(a) Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and: (1) for dwellings or sleeping units, as defined in the State Fire Code: (i) provide smoke alarms in each room used for sleeping purposes; (ii) [...]”

• Tag 1880: 144G.71 Subd. 19 Storage of medications Level 2, widespread scope, scope/level letter E · correction period: Seven (7) days
  Details

  Summary: MDH found the licensee failed to ensure medications were stored according to manufacturer's recommendations.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure medications were stored according to manufacturer's recommendations. 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 was issued at a widespread scope (when problems are pervasive or represent a systemic failure that [...]”

  Rule cited: “An assisted living facility must store all prescription medications in securely locked and substantially constructed compartments according to the manufacturer's directions and permit only authorized personnel to have access.”

• Tag 2040: 144G.81 Subdivision 1 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 conduct a hazard vulnerability or safety risk assessment on or around the facility property.

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to conduct a hazard vulnerability or safety risk assessment on or around the facility property. This had the potential to directly affect all residents, staff, and visitors. [...]”

  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 2350: 144G.91 Subd. 7 Courteous treatment Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the facility failed to ensure one of one resident (R6) reviewed, was treated with dignity and respect when (unlicensed personnel (ULP)-J, ULP-K) did not respond to repeated requests for assistance.

  MDH’s finding, as written: “Based on observation, interviews, and record review, the facility failed to ensure one of one resident (R6) reviewed, was treated with dignity and respect when (unlicensed personnel (ULP)-J, ULP-K) did not respond to repeated requests for assistance. [...]”

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

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

Allegation, as written: “The alleged perpetrator (AP) abused the resident when the AP kissed the resident on her lips, rubbed his genital area against her, and made sexually inappropriate hand gestures and comments.”

“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. While kissing does not meet the definition of sexual contact, the resident and the AP reported the same story that they were dancing, close enough to touch bodies. Both the resident and AP reported the AP kissed her on the cheek. The resident and the AP had conflicting stories about the abruptness of the AP leaving the resident's apartment. The resident said the AP kissed her on the lips. The AP reported the resident kissed him on the lips that made him uncomfortable, he pulled away and left her apartment immediately. The resident reported the AP rubbed his genitals against her while dancing closely and made a comment about having an erection. The resident said he adjusted his pants and left the room.”

Action taken by facility: “The facility conducted an internal investigation and provided additional training for the AP.”

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

Survey completed April 10, 2026: no correction orders issued.

Allegation, as written: “The facility neglected the resident when the facility failed to administer the resident's blood pressure and anxiety medications for several days causing the resident increased anxiety and high blood pressure.”

“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 recognized the medications were not delivered by pharmacy and made numerous attempts to obtain the medications. The facility worked with the pharmacy and contacted the resident's primary care provider for medication renewals. The pharmacy also contacted the resident's primary care provider and requested prescription renewals as four medications, including medications for depression, anxiety and blood pressure, as the expiration date approached. The primary care provider denied the renewal requests indicating "change not appropriate" although the medications requested were the same as previously ordered. Also, at the time of the incident the resident had Covid-19 which may have caused the resident's increased blood pressure and anxiety. [...]”

Action taken by facility: “The facility reviewed the incident and adjusted their medication renewal process. The facility attempted to obtain the medications.”

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

Survey completed April 10, 2026: no correction orders issued.

Allegation, as written: “The facility neglected the resident when the facility did not address the resident's risk for falls.”

“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 did fall and sustain a broken hip and a subdural hematoma (bleeding in the brain), the facility had taken reasonable steps to prevent falls. Additionally, when the resident was injured, the facility acted appropriately by transferring the resident to the hospital to address his injuries and increased pain.”

Action taken by facility: “The facility provided re-training regarding communication regarding fall follow-up, providing records and communications to hospitals during training, and contacting family members with updates for both licensed and unlicensed caregivers.”

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

Survey completed January 31, 2024: no correction orders issued.