Stanton House W Services, Bryant Avenue North

Last evaluation

September 4, 2025

Evaluations on record

2

Investigations substantiated

3 kept 7 years

Inconclusive

1 kept 4 years

Unsubstantiated

2 kept 3 years

Most recent evaluation (September 4, 2025, state report LWRF11)

MDH: “On November 25, 2025, through December 3, 2025, the Minnesota Department of Health conducted a license order follow up survey at the above provider, and the following correction orders are reissued.”

Survey completed December 3, 2025: 20 correction orders

• Tag 420: 144G.40 Subdivision 1 Responsibility for housing and services (re-issued) scope/level letter F
  Details

  Rule cited: “The facility is directly responsible to the resident for all housing and service-related matters provided, irrespective of a management contract. [...]”

• Tag 450: 144G.41 Subdivision 1 Minimum requirements (re-issued) scope/level letter F
  Details

  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 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services (re-issued) scope/level letter F
  Details

  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 550: 144G.41 Subd. 7 Resident grievances; reporting maltreatment (re-issued) scope/level letter F
  Details

  Rule cited: “All facilities must post in a conspicuous place information about the facilities' grievance procedure, and the name, telephone number, and email contact information for the individuals who are responsible for handling resident grievances. [...]”

• Tag 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma (re-issued) scope/level letter E
  Details

  Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”

Survey completed September 4, 2025: 22 correction orders

• Tag 420: 144G.40 Subdivision 1 Responsibility for housing and services Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to provide sufficient management, control, and operation of the housing and services provided by the facility.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide sufficient management, control, and operation of the housing and services provided by the facility. This had the potential to affect all residents. [...]”

  Rule cited: “The facility is directly responsible to the resident for all housing and service-related matters provided, irrespective of a management contract. [...]”

• Tag 450: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure services were provided within the scope of practice of staff identified by the nurse practice act for one of three employees (unlicensed personnel (ULP)-F).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure services were provided within the scope of practice of staff identified by the nurse practice act for one of three employees (unlicensed personnel (ULP)-F). [...]”

  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 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 was 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 550: 144G.41 Subd. 7 Resident grievances; reporting maltreatment Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to post the required information related to the grievance procedure and reporting contact information for the Office of Ombudsman for Mental Health and Developmental Disabilities (OMHDD), and Minnesota Adult Abuse Reporting Center (MAARC).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to post the required information related to the grievance procedure and reporting contact information for the Office of Ombudsman for Mental Health and Developmental Disabilities (OMHDD), and Minnesota Adult Abuse Reporting Center (MAARC). [...]”

  Rule cited: “All facilities must post in a conspicuous place information about the facilities' grievance procedure, and the name, telephone number, and email contact information for the individuals who are responsible for handling resident grievances. [...]”

• Tag 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma Level 2, pattern scope, scope/level letter E · 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 two of three residents (R1, 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 two of three residents (R1, R3). [...]”

  Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”

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 810 (144g.45 Subd.2 (b-F) - Fire Protection And PhysicalEnvironment): $1,000.00
• Tag 1290 (144g.60 Subdivision1 - BackgroundStudiesRequired): $1,000.00
• Tag 2310 (144g.91 Subd.4 (a) - Appropriate CareAnd Services): $1,000.00

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

Total fines assessed, as printed in the letter: $3,000.00.

Substantiated investigations (state reports)

• August 24, 2023 · report HL327304807C
  Details

  Survey completed August 23, 2023: 1 correction order

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

    Summary: MDH found the licensee failed to complete background studies on five of fourteen employees (registered nurse (RN)-C, unlicensed personnel (ULP)-B, ULP-H, ULP-I, ULP-J).

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to complete background studies on five of fourteen employees (registered nurse (RN)-C, unlicensed personnel (ULP)-B, ULP-H, ULP-I, ULP-J). This had the potential to affect all five (5) residents. [...]”

    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. [...]”

• March 28, 2023 · report HL327304704M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “It is alleged the alleged perpetrator (AP), facility staff, neglected the resident when the AP administered the resident another residents' medications and the resident required hospitalization.”

  “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 administered the resident another resident's medication which required the resident to be transferred to the hospital.”

  Action taken by facility: “The facility provided reeducation to the AP.”

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

  Survey completed January 26, 2023: 5 correction orders

  • Tag 620: 144G.42 Subd. 6 (a) Compliance with requirements for reporting ma Level 3, widespread scope, scope/level letter I
    Details

    Summary: MDH found the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment according to the facility policy for one of one resident (R1) reviewed on two separate occasions for medication errors, both required hospitalizations.

    MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment according to the facility policy for one of one resident (R1) reviewed on two separate occasions for medication errors, both required hospitalizations. This had the potential to affect all six residents residing in the facility. [...]”

    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 1290: 144G.60 Subdivision 1 Background studies required Level 3, widespread scope, scope/level letter I · correction period: Two (2) days
    Details

    Summary: MDH found the licensee failed to complete employee background studies prior to providing direct care services for 17 of 17 staff employed by the licensee.

    MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to complete employee background studies prior to providing direct care services for 17 of 17 staff employed by the licensee. This had potential to affect all six residents receiving services from the licensee. [...]”

    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 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, isolated scope, scope/level letter G · correction period: Seven (7) days
    Details

    Summary: MDH found the facility failed to provide care and services according to acceptable health care standards

    MDH’s finding, as written: “Based on interview and document review, the facility failed to provide care and services according to acceptable health care standards and medical or nursing standards, for one of one resident (R1) reviewed for significant medication errors. R1 was administered another resident's medication in error on two separate occasions, both requiring emergency medical treatment. [...]”

    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 1 of 1 resident reviewed (R1) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure 1 of 1 resident reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and an individual staff person was responsible for the maltreatment, in connection with incidents which occurred at the facility. Please refer to the public maltreatment report for details. No plan of correction is required for this tag.”

    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 3, widespread scope, scope/level letter I
    Details

    MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment according to the facility policy for one of one resident (R1) reviewed on two separate occasions for medication errors, both required hospitalizations. This had the potential to affect all six residents residing in the facility. [...]”

    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 [...]”

• March 20, 2023 · report HL327301763M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “It is alleged the alleged perpetrator (AP), facility staff, neglected the resident when the AP administered the resident another residents' medications and the resident required hospitalization.”

  “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 resident ingested another residents prescribed medication when the AP left the other residents' medications unattended at the dining table. As a result, the resident was hospitalized for two days with hypoglycemia (low blood sugar) and hypokalemia (low sodium).”

  Action taken by facility: “Staff reeducated not to leave medication with a resident until medication is swallowed”

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

  Survey completed January 26, 2023: 5 correction orders

  • Tag 620: 144G.42 Subd. 6 (a) Compliance with requirements for reporting ma Level 3, widespread scope, scope/level letter I
    Details

    Summary: MDH found the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment according to the facility policy for one of one resident (R1) reviewed on two separate occasions for medication errors, both required hospitalizations.

    MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment according to the facility policy for one of one resident (R1) reviewed on two separate occasions for medication errors, both required hospitalizations. This had the potential to affect all six residents residing in the facility. [...]”

    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 1290: 144G.60 Subdivision 1 Background studies required Level 3, widespread scope, scope/level letter I · correction period: Two (2) days
    Details

    Summary: MDH found the licensee failed to complete employee background studies prior to providing direct care services for 17 of 17 staff employed by the licensee.

    MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to complete employee background studies prior to providing direct care services for 17 of 17 staff employed by the licensee. This had potential to affect all six residents receiving services from the licensee. [...]”

    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 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 3, isolated scope, scope/level letter G · correction period: Seven (7) days
    Details

    Summary: MDH found the facility failed to provide care and services according to acceptable health care standards

    MDH’s finding, as written: “Based on interview and document review, the facility failed to provide care and services according to acceptable health care standards and medical or nursing standards, for one of one resident (R1) reviewed for significant medication errors. R1 was administered another resident's medication in error on two separate occasions, both requiring emergency medical treatment. [...]”

    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 1 of 1 resident reviewed (R1) was free from maltreatment.

    MDH’s finding, as written: “The facility failed to ensure 1 of 1 resident reviewed (R1) was free from maltreatment. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and an individual staff person was responsible for the maltreatment, in connection with incidents which occurred at the facility. Please refer to the public maltreatment report for details. No plan of correction is required for this tag.”

    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 3, widespread scope, scope/level letter I
    Details

    MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to immediately report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment according to the facility policy for one of one resident (R1) reviewed on two separate occasions for medication errors, both required hospitalizations. This had the potential to affect all six residents residing in the facility. [...]”

    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 6 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.