South Grove Lodge Senior Livin

Last evaluation

January 14, 2026

Evaluations on record

2

Investigations substantiated

1 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

1 kept 3 years

Most recent evaluation (January 14, 2026, state report 7RO111)

MDH: “On January 12, 2026, through January 14, 2026, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”

Survey completed January 14, 2026: 10 correction orders

• Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure the staffing schedule was posted with the required content as indicated in Minnesota Administrative Rule 4659.0180.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the staffing schedule was posted with the required content as indicated in Minnesota Administrative Rule 4659.0180. This had the potential to affect all residents, staff, and visitors. [...]”

  Rule cited: “(11) develop and implement a staffing plan for determining its staffing level that: (i) includes an evaluation, to be conducted at least twice a year, of the appropriateness of staffing levels in the facility; (ii) ensures sufficient staffing at all times to [...]”

• 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 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 evaluate it's missing person policy at least quarterly as per Minnesota Rules Chapter 4659.0110 Subp. 4.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to evaluate it's missing person policy at least quarterly as per Minnesota Rules Chapter 4659.0110 Subp. 4. This had the potential to affect all residents, staff, and visitors of the facility. [...]”

  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 775: 144G.45 Subd. 2. (a) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days · fine: $500.00 assessed
  Details

  Summary: MDH found the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the physical environment of the facility was maintained in compliance with the requirements of Minnesota Statute 144G. [...]”

  Rule cited: “Each assisted living facility must comply with the State Fire Code in Minnesota Rules, chapter 7511, and:”

• Tag 1290: 144G.60 Subdivision 1 Background studies required Level 2, isolated scope, scope/level letter D · correction period: Two (2) days
  Details

  Summary: MDH found the licensee failed to ensure a background study was submitted and received in affiliation with the assisted living license health facility identification number (HFID) for one of three employees (unlicensed personnel (ULP)-B).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure a background study was submitted and received in affiliation with the assisted living license health facility identification number (HFID) for one of three employees (unlicensed personnel (ULP)-B). [...]”

  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. [...]”

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 775 (144g.45 Subd. 2. (a) - Fire Protection And Physical Environment): $500.00

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

Substantiated investigations (state reports)

• February 16, 2023 · report HL308192908M · MDH finding: Substantiated, facility responsibility
  Details

  Action taken by facility: “The facility hired nurses to direct the cares and provided retraining for unlicensed staff members.”

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

  Survey completed November 10, 2022: 8 correction orders

  • Tag 620: 144G.42 Subd. 6 (a) 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 allegation of maltreatment was reported to Minnesota Adult Abuse Reporting Center (MARRC) timely for one of two residents (R1) with records reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure an allegation of maltreatment was reported to Minnesota Adult Abuse Reporting Center (MARRC) timely for one of two residents (R1) with records reviewed. R1 's morphine supply was short by approximately 13.5 milliliters (mL) during a medication count. [...]”

    Rule cited: “(a) The assisted living facility must comply with the requirements for the reporting of maltreatment of vulnerable adults in section 626.557. [...]”

  • Tag 690: 144G.43 Subdivision 1 Resident record Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
    Details

    Summary: MDH found the licensee failed to ensure entries in the resident's records were authenticated by the name and title of the person making the entry for four of four residents (R1, R2, R5, R6) with records reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure entries in the resident's records were authenticated by the name and title of the person making the entry for four of four residents (R1, R2, R5, R6) with records reviewed. [...]”

    Rule cited: “(a) Assisted living facilities must maintain records for each resident for whom it is providing services. [...]”

  • Tag 720: 144G.43 Subd. 2 Access to records Level 2, widespread scope, scope/level letter F
    Details

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure resident records were maintained and MDH surveyor had access to the requested records. The licensee was unable to produce the requested facility records for five of five residents (R1, R2, R3, R4, R5) with records reviewed. [...]”

    Rule cited: “The facility must ensure that the appropriate records are readily available to employees and contractors authorized to access the records. Resident records must be maintained in a manner that allows for timely access, printing, or transmission of the records. [...]”

  • Tag 730: 144G.43 Subd. 3 Contents of resident record Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
    Details

    Summary: MDH found the licensee failed to ensure the resident record included documentation of incidents involving the resident and actions taken in response to the needs of the resident for one of one resident (R1) with record reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the resident record included documentation of incidents involving the resident and actions taken in response to the needs of the resident for one of one resident (R1) with record reviewed. [...]”

    Rule cited: “Contents of a resident record include the following for each resident: (1) identifying information, including the resident's name, date of birth, address, and telephone number; (2) the name, address, and telephone number of the resident's emergency contact, [...]”

  • Tag 1310: 144G.60 Subd. 3 Licensed health professionals and nurses Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure a Minnesota licensed registered nurse (RN) was available to provide oversight to staff and residents.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure a Minnesota licensed registered nurse (RN) was available to provide oversight to staff and residents. Also, the licensee failed to document RN-N's training and orientation. This had the potential to affect all residents, staff and families. [...]”

    Rule cited: “(a) Licensed health professionals and nurses providing services as employees of a licensed facility must possess a current Minnesota license or registration to practice. [...]”

  Show all 8

  • Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 3, pattern scope, scope/level letter H
    Details

    Summary: MDH found the licensee failed to ensure each medication administered by the facility was appropriately documented in the medication administration record (MAR), administered as prescribed, reordered timely to ensure availability, and when not administered as prescribed, documentation included the reason why and follow-up procedures that were provided to meet the resident's needs for three of four residents (R1, R2, R5) with records reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure each medication administered by the facility was appropriately documented in the medication administration record (MAR), administered as prescribed, reordered timely to ensure availability, and when not administered as prescribed, documentation included the reason why and follow-up procedures that were provided to meet the resident's needs for three of four residents (R1, R2, R5) with records reviewed. [...]”

    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(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. 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 3000: 626.557 Subd. 3 Timing of report Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure an allegation of maltreatment was reported to Minnesota Adult Abuse Reporting Center (MARRC) timely for one of two residents (R1) with records reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure an allegation of maltreatment was reported to Minnesota Adult Abuse Reporting Center (MARRC) timely for one of two residents (R1) with records reviewed. R1 's morphine supply was short by approximately 13.5 milliliters (mL) during a medication count. [...]”

    Rule cited: “(a) A mandated reporter who has reason to believe that a vulnerable adult is being or has been maltreated, or who has knowledge that a vulnerable adult has sustained a physical injury which is not reasonably explained shall immediately report the information [...]”

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 85 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.