Talamore Senior Living Plymth

Last evaluation

May 21, 2025

Evaluations on record

2

Investigations substantiated

3 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

3 kept 3 years

Most recent evaluation (May 21, 2025, state report 9LO611)

MDH: “On May 19, 2025, through May 21, 2025, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”

Survey completed May 21, 2025: 12 correction orders

• Tag 430: 144G.40 Subd. 2 Uniform checklist disclosure of services Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to provide a copy of the Uniform Checklist Disclosure of Assisted Living Services and Amenities (UDALSA) with the required content for two of two residents (R2, R3).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide a copy of the Uniform Checklist Disclosure of Assisted Living Services and Amenities (UDALSA) with the required content for two of two residents (R2, R3). [...]”

  Rule cited: “(a) All assisted living facilities must provide to prospective residents: (1) a disclosure of the categories of assisted living licenses available and the category of license held by the facility; (2) a written checklist listing all services permitted under [...]”

• Tag 450: 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 provide the current assisted living bill of rights (BOR) to two of two residents (R2, R3).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide the current assisted living bill of rights (BOR) to two of two residents (R2, R3). This practice resulted in a level one violation (a violation that has no potential to cause more than a minimal impact on the resident and does not affect health or safety) and was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has affected or has potential to affect a large portion or all of the [...]”

  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 510: 144G.41 Subd. 3 Infection control program 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 establish and maintain an infection control program that

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to establish and maintain an infection control program that complied with accepted health care, medical and nursing standards for infection control related to hand hygiene. The deficient practice had the potential to affect all residents, employees, and visitors. [...]”

  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 775: 144G.45 Subd. 2. (a) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days · fine: $500.00 assessed
  Details

  Summary: MDH found the licensee failed comply with Minnesota State Fire Code in Minnesota Rules chapter 7511.

  MDH’s finding, as written: “Based on observation and interview, the licensee failed comply with Minnesota State Fire Code in Minnesota Rules chapter 7511. This deficient condition had the ability to affect all staff and residents. [...]”

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

• 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 provide the required training and drills.

  MDH’s finding, as written: “Based on interview, and record review, the licensee failed to provide the required training and 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. [...]”

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

Food and beverage inspection (included in this report): No orders were issued for this inspection report.

Fines assessed by MDH

• Tag 510 (144g.41 Subd. 3 - Infection Control Program): $500.00
• Tag 775 (144g.45 Subd. 2. (a) - Fire Protection And Physical Environment): $500.00

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

Substantiated investigations (state reports)

• July 29, 2025 · report HL378692042M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “The facility neglected the resident when the nurse failed to perform a full head-to-toe assessment, and the unlicensed personnel (ULP) failed to notify the nurse about the scab on the resident's toes.”

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

  Summary: MDH looked into an allegation and found: neglect substantiated (facility responsibility).

  MDH’s conclusion, as written: “The Minnesota Department of Health determined neglect was substantiated. The facility was responsible for maltreatment. The facility failed to ensure proper care and communication among staff. The nurse did not perform a full head-to-toe assessment, which is essential for identifying potential health issues early. Additionally, the ULP failed to report a visible scab on the resident's toes, preventing timely medical attention.”

  Action taken by facility: “After the resident reported pain, the nurse assessed the wound and implemented appropriate interventions.”

  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 June 2, 2025: 2 correction orders

  • Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 3, isolated scope, scope/level letter G · correction period: Seven (7) days
    Details

    Summary: MDH found the licensee failed to ensure a registered nurse (RN) completed a comprehensive head-to-toe reassessment for one of one resident (R1) reviewed.

    MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure a registered nurse (RN) completed a comprehensive head-to-toe reassessment for one of one resident (R1) reviewed. Additionally, the licensee failed to ensure unlicensed personnel (ULP) notified the nurse of any observed skin abnormalities, for an RN to assess a change. R1's existing toe wounds worsened, developing gangrene and R1 was hospitalized. [...]”

    Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”

  • 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 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.”

• April 28, 2025 · report HL378691462M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “The alleged perpetrator financially exploited the resident when he cashed two $1,000.00 checks from the resident's bank account for his own use.”

  “The Minnesota Department of Health determined financial exploitation was substantiated.”

  “The AP was responsible for the maltreatment.”

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

  MDH’s conclusion, as written: “The Minnesota Department of Health determined financial exploitation was substantiated. The AP was responsible for the maltreatment. The AP accepted and cashed two $1,000.00 checks from the resident. The AP failed to refuse the checks and failed to report the incidents to management despite his training on maltreatment and not accepting gifts.”

  Action taken by facility: “The facility contacted law enforcement. The facility contacted the AP about the incident and he is no longer employed there.”

  Action taken by MDH: “The facility was issued a correction order regarding the vulnerable adult's right to be free from maltreatment.”

  Survey completed April 9, 2025: 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 person 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.”

• February 28, 2025 · report HL378697502M · MDH finding: Substantiated, individual responsibility
  Details

  Allegation, as written: “The alleged perpetrator (AP) neglected the resident when the AP failed to notify a nurse after the resident fell and sustained an injury. This resulted in delayed care, as the resident was later hospitalized.”

  “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. After the resident had a fall, the AP failed to call the nurse triage line. The AP did not report the resident had a bruise on her forehead, indicating a possible head injury. This resulted in a delay of care for the resident, who was later transported to the hospital and diagnosed with a stroke.”

  Action taken by facility: “Facility leadership provided staff with refresher training regarding the falls protocol, including calling the nurse triage line for guidance, and calling 911 if there is a possible head injury.”

  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 28, 2025: 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 person 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 130 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.