Assisted Living
Total Home Health Services
6949 Idaho Avenue North, Brooklyn Park, MN 55428 · Map
Licensed for 4 residents · TOTAL HOME HEALTH SERVICES LLC
Total Home Health Services is a state-licensed assisted living community in Brooklyn Park, Minnesota. It is licensed for 4 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
License
Active, 4 residents
Assisted Living Facility 425749, current license dated Sep 1, 2026. Licensee TOTAL HOME HEALTH SERVICES LLC.
Nearest emergency room
5.2 miles
North Memorial Health Hospital, rated 1 of 5 stars by CMS.
Side by side with nearby communities
The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.
| Community | Distance | Licensed capacity | Published starting price | License | Inspection citations |
|---|---|---|---|---|---|
| Total Home Health Services this community | 4 | Not published | Active | 1 substantiated | |
| Pleasant Assisted Living, Jersey Avenue North | 0.1 mi | 5 | Not published | Active | 0 substantiated |
| Joy Care Homes, 71st Avenue North | 0.2 mi | 4 | Not published | Active | 0 substantiated |
| A Blooming Grace | 0.2 mi | 5 | Not published | Active | No record |
| Living Well Home Care | 0.2 mi | 5 | Not published | Active | 0 substantiated |
State inspection record1 substantiated
- Last evaluation
- August 13, 2026
- Evaluations on record
- 2
- Investigations substantiated
- 1 kept 7 years
- Inconclusive
- 0 kept 4 years
- Unsubstantiated
- 0 kept 3 years
Most recent evaluation (August 13, 2026, state report S56B11)
MDH: “On August 10, 2026, through August 13, 2026, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”
Survey completed August 13, 2026: 14 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 510: 144G.41 Subd. 3 Infection control program Level 2, widespread scope, scope/level letter F · correction period: Two (2) days · fine: $500.00 assessed
Details
Summary: MDH found the licensee failed to establish and maintain an infection control program that complied with accepted health care, medical, and nursing standards for infection control.
MDH’s finding, as written: “Based on 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. 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 650: 144G.42 Subd. 8 (a) Staff records Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employee records included all required content for three of three employees (unlicensed personnel (ULP)-B, ULP-C, and registered nurse (RN)-D).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employee records included all required content for three of three employees (unlicensed personnel (ULP)-B, ULP-C, and registered nurse (RN)-D). [...]”
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 660: 144G.42 Subd. 9 Tuberculosis prevention and control Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC), which included TB history and symptom screen, baseline screening, and TB training for two of three employees (unlicensed personnel (ULP)-C, registered nurse (RN)-D).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC), which included TB history and symptom screen, baseline screening, and TB training for two of three employees (unlicensed personnel (ULP)-C, registered nurse (RN)-D). [...]”
Rule cited: “(a) The facility must establish and maintain a comprehensive tuberculosis infection control program according to the most current tuberculosis infection control guidelines issued by the United States Centers for Disease Control and Prevention (CDC), Division [...]”
- 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 have a written emergency preparedness plan (EPP) with all the required content.
MDH’s finding, as written: “Based on interview, and record review, the licensee failed to have a written emergency preparedness plan (EPP) with all the required content. This had the potential to affect all residents receiving services under the provisional assisted living license. [...]”
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 [...]”
Show all 14
- Tag 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) · 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: “(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 790: 144G.45 Subd. 2 (a) (2-3) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
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: “(2) install and maintain portable fire extinguishers in accordance with the State Fire Code; (3) install portable fire extinguishers having a minimum 2-A:10-B:C rating within Group R-3 occupancies, as defined by the State Fire Code, located so that the travel [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
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: “(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 [...]”
- Tag 810: 144G.45 Subd. 2 (b-f) 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: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”
- Tag 970: 144G.50 Subd. 5 Waivers of liability prohibited Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the assisted living contract did not include language waiving the facility's liability for health, safety, or personal property of a resident.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the assisted living contract did not include language waiving the facility's liability for health, safety, or personal property of a resident. This had the potential to affect all residents living within the assisted living facility. [...]”
Rule cited: “The contract must not include a waiver of facility liability for the health and safety or personal property of a resident. [...]”
- Tag 1500: 144G.63 Subd. 5 Required annual training Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure annual training included all required topics for each 12 months of employment for two of three employees (unlicensed personnel (ULP)-B, ULP-C).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure annual training included all required topics for each 12 months of employment for two of three employees (unlicensed personnel (ULP)-B, ULP-C). [...]”
Rule cited: “(a) All staff that perform direct services must complete at least eight hours of annual training for each 12 months of employment. [...]”
- Tag 1650: 144G.70 Subd. 4 (f) Service plan, implementation and revisions to Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the service plan included all required content for two of two residents (R1, R2).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the service plan included all required content for two of two residents (R1, R2). 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: “(f) The service plan must include: (1) a description of the services to be provided, the fees for services, and the frequency of each service, according to the resident's current assessment and resident preferences; (2) the identification of staff or [...]”
- Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure documentation for medication administration included the signature and title of the person who administered medications for two of two residents
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure documentation for medication administration included the signature and title of the person who administered medications for two of two residents (R1, R2). In addition, the licensee failed to ensure prescriber orders were accurately transcribed for one of two residents (R1) receiving medication services. [...]”
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 1820: 144G.71 Subd. 13 Prescriptions Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure written or electronically recorded prescriptions were obtained for one of two residents (R2).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure written or electronically recorded prescriptions were obtained for one of two residents (R2). 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 an isolated scope (when one or a limited number of residents are affected [...]”
Rule cited: “There must be a current written or electronically recorded prescription as defined in section 151.01, subdivision 16a, for all prescribed medications that the assisted living facility is managing for the resident.”
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 510 (144g.41 Subd. 3 - Infection Control Program): $500.00
- Tag 780 (144g.45 Subd. 2 (a) (1) - Fire Protection And Physical Environment): $500.00
- Tag 810 (144g.45 Subd. 2 (b-F) - Fire Protection And Physical Environment): $500.00
Total fines assessed, as printed in the letter: $1,500.00.
Earlier evaluations (1)
- July 11, 2024: report ZFXZ11 · 26 correction orders
Details
Survey completed July 11, 2024: 26 correction orders
- Tag 110: 144G.10 Subdivision 1a Assisted living director license required Level 1, widespread scope, scope/level letter C · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to ensure the licensed assisted living director (LALD) was listed as the Director of Record for the licensee.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the licensed assisted living director (LALD) was listed as the Director of Record for the licensee. This had the potential to affect all the licensee's residents, staff, and visitors. [...]”
Rule cited: “Each assisted living facility must employ an assisted living director licensed or permitted by the Board of Executives for Long Term Services and Supports.”
- Tag 250: 144G.20 Subdivision 1 Conditions Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations
MDH’s finding, as written: “Based on interview and record review, the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations understood applicable statutes and rules; nor developed and/or implemented current policies and procedures as required with records reviewed. This had the potential to affect all residents, staff, and visitors. [...]”
Rule cited: “(a) The commissioner may refuse to grant a provisional license, refuse to grant a license as a result of a change in ownership, refuse to renew a license, suspend or revoke a license, or impose a conditional license if the owner, controlling individual, or [...]”
- Tag 460: 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 provide a means for residents to request assistance for health and safety needs 24 hours a day, seven days a week.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide a means for residents to request assistance for health and safety needs 24 hours a day, seven days a week. [...]”
Rule cited: “(5) provide a means for residents to request assistance for health and safety needs 24 hours per day, seven days per week; (6) allow residents the ability to furnish and decorate the resident's unit within the terms of the assisted living contract; (7) permit [...]”
- Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 3, isolated scope, scope/level letter G · correction period: IMMEDIATE · fine: $3,000.00 assessed
Details
Summary: MDH found the licensee failed to ensure that one or more persons were available 24 hours per day, seven days per week, who are responsible for responding to the requests of residents for assistance with health or safety needs.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure that one or more persons were available 24 hours per day, seven days per week, who are responsible for responding to the requests of residents for assistance with health or safety needs. This impacted one of three residents (R1) who received care from the licensee. [...]”
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 Subd 1 (13) (i) (B) Minimum requirements 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) and was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has affected or has the potential to affect a large portion or all the [...]”
Rule cited: “(13) offer to provide or make available at least the following services to residents: (B) food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626; and”
Show all 26
- Tag 485: 144G.41 Subdivision 1. (13)(i)(A)and(C) 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 at least three nutritious meals daily were served according to the recommended dietary allowances in the United States Department of Agriculture (USDA) guidelines.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure at least three nutritious meals daily were served according to the recommended dietary allowances in the United States Department of Agriculture (USDA) guidelines. This had the potential to affect all residents. [...]”
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 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 required information related to the licensee's grievance procedure to include contact information for the Office of Ombudsman for Long-Term Care (OOLTC) and Mental Health and Developmental Disabilities (OOMHDD).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to post required information related to the licensee's grievance procedure to include contact information for the Office of Ombudsman for Long-Term Care (OOLTC) and Mental Health and Developmental Disabilities (OOMHDD). This had the potential to affect all residents, staff, and visitors. [...]”
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 580: 144G.42 Subd. 2 Quality management Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to implement and maintain a quality management program (QMP) appropriate to the size of the facility and relevant to the type of services provided.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to implement and maintain a quality management program (QMP) appropriate to the size of the facility and relevant to the type of services provided. This had the potential to affect all residents, staff, and visitors. [...]”
Rule cited: “The facility shall engage in quality management appropriate to the size of the facility and relevant to the type of services provided. [...]”
- Tag 650: 144G.42 Subd. 8 Employee records Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the employee record contained the required content for three of three employees (unlicensed personnel (ULP-A, ULP-B, registered nurse (RN)-D).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the employee record contained the required content for three of three employees (unlicensed personnel (ULP-A, ULP-B, registered nurse (RN)-D). [...]”
Rule cited: “(a) The facility must maintain current records of each paid employee, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”
- Tag 660: 144G.42 Subd. 9 Tuberculosis prevention and control Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC), which included a two-step tuberculin skin test (TST) or other evidence of TB screening such as a blood test for two of three employees (unlicensed personnel (ULP)-A, ULP-B).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC), which included a two-step tuberculin skin test (TST) or other evidence of TB screening such as a blood test for two of three employees (unlicensed personnel (ULP)-A, ULP-B). [...]”
Rule cited: “(a) The facility must establish and maintain a comprehensive tuberculosis infection control program according to the most current tuberculosis infection control guidelines issued by the United States Centers for Disease Control and Prevention (CDC), Division [...]”
- 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. This had the potential to affect all residents, staff, and visitors.
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. 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 700: 144G.43 Subdivision 1 Resident record Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure personal health and medical information was kept private for two of three residents (R1, R3) and three home care clients (C4, C5, C6).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure personal health and medical information was kept private for two of three residents (R1, R3) and three home care clients (C4, C5, C6). [...]”
Rule cited: “(b) Resident records, whether written or electronic, must be protected against loss, tampering, or unauthorized disclosure in compliance with chapter 13 and other applicable relevant federal and state laws. [...]”
- Tag 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to provide interconnected smoke alarms and a smoke alarm outside in the immediate vicinity of all sleeping rooms throughout the facility.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide interconnected smoke alarms and a smoke alarm outside in the immediate vicinity of all sleeping rooms throughout the facility. This had the potential to directly affect all residents, staff, and visitors. [...]”
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 790: 144G.45 Subd. 2 (a) (2)-(3) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to provide or maintain fire extinguishers as required throughout the facility.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide or maintain fire extinguishers as required throughout the facility. This deficient condition had the ability to affect all staff, visitors, and residents. [...]”
Rule cited: “(2) install and maintain portable fire extinguishers in accordance with the State Fire Code; (3) install portable fire extinguishers having a minimum 2-A:10-B:C rating within Group R-3 occupancies, as defined by the State Fire Code, located so that the travel [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to maintain the facility's physical environment in a continuous state of good repair
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the facility's physical environment in a continuous state of good repair and operation regarding the health, safety, and well-being of the residents. This had the potential to directly affect all residents, staff, 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 [...]”
- 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 develop the fire safety and evacuation plan with required content, make the plan readily available, provide required training and drills.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to develop the fire safety and evacuation plan with required content, make the plan readily available, provide 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. [...]”
- Tag 820: 144G.45 Subd. 2 (g) Fire protection and physical environment Level 3, isolated scope, scope/level letter G · correction period: Immediate
Details
Summary: MDH found the licensee failed to provide facilities that were not a distinct hazard to life.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide facilities that were not a distinct hazard to life. This had the potential to directly affect a limited number of residents and staff. [...]”
Rule cited: “(g) Existing construction or elements, including assisted living facilities that were registered as housing with services establishments under chapter 144D prior to August 1, 2021, shall be permitted to continue in use provided such use does not constitute a [...]”
- Tag 1500: 144G.63 Subd. 5 Required annual training Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employees received at least eight (8) hours of training for each 12 months of employment for one of one employee (registered nurse (RN)-D).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employees received at least eight (8) hours of training for each 12 months of employment for one of one employee (registered nurse (RN)-D). [...]”
Rule cited: “(a) All staff that perform direct services must complete at least eight hours of annual training for each 12 months of employment. [...]”
- Tag 1530: 144G.64 TRAINING IN DEMENTIA CARE REQUIRED Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure direct-care staff received at least eight hours of initial training on topics specified under paragraph (b) within 160 working hours of the employment start date for two of two direct care employees (unlicensed personnel (ULP)-A, ULP-B).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure direct-care staff received at least eight hours of initial training on topics specified under paragraph (b) within 160 working hours of the employment start date for two of two direct care employees (unlicensed personnel (ULP)-A, ULP-B). [...]”
Rule cited: “(a) All assisted living facilities must meet the following training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on topics specified under paragraph (b) within 120 working hours of the employment start [...]”
- Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) conducted ongoing resident monitoring and reassessment to include all areas required on the uniform assessment tool per Minnesota Rule 4659.0150 for one of one resident (R1).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) conducted ongoing resident monitoring and reassessment to include all areas required on the uniform assessment tool per Minnesota Rule 4659.0150 for one of one resident (R1). [...]”
Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”
- Tag 1730: 144G.71 Subd. 5 Individualized medication management plan Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to develop and maintain a current individualized medication management record for each resident to include all required content for three of three residents (R1, R2, R3).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop and maintain a current individualized medication management record for each resident to include all required content for three of three residents (R1, R2, R3). [...]”
Rule cited: “(a) For each resident receiving medication management services, the assisted living facility must prepare and include in the service plan a written statement of the medication management services that will be provided to the resident. [...]”
- Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to accurately document the time medications were administered for two of two residents (R1, R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to accurately document the time medications were administered for two of two residents (R1, R2). [...]”
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 1820: 144G.71 Subd. 13 Prescriptions Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure written or electronically recorded prescriptions were obtained for two of three residents (R1, R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure written or electronically recorded prescriptions were obtained for two of three residents (R1, R2). [...]”
Rule cited: “There must be a current written or electronically recorded prescription as defined in section 151.01, subdivision 16a, for all prescribed medications that the assisted living facility is managing for the resident.”
- Tag 1880: 144G.71 Subd. 19 Storage of medications Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure prescription medications were securely locked in a substantially constructed compartment and permitted only authorized personnel to have access.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure prescription medications were securely locked in a substantially constructed compartment and permitted only authorized personnel to have access. [...]”
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 1890: 144G.71 Subd. 20 Prescription drugs Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
MDH’s finding, as written: “Based on observation, interview, and record review the licensee failed to discard expired medication for one of three residents (R2). 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 an isolated scope (when one or a limited number of residents are affected or one or a limited number of [...]”
Rule cited: “A prescription drug, prior to being set up for immediate or later administration, must be kept in the original container in which it was dispensed by the pharmacy bearing the original prescription label with legible information including the expiration or [...]”
- Tag 2320: 144G.91 Subd. 4 (b) Appropriate care and services Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure unlicensed personnel (ULP)-B followed appropriate medication administration procedures for one of one resident (R1).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure unlicensed personnel (ULP)-B followed appropriate medication administration procedures for one of one resident (R1). [...]”
Rule cited: “(b) Residents have the right to receive health care and other assisted living services with continuity from people who are properly trained and competent to perform their duties and in sufficient numbers to adequately provide the services agreed to in the [...]”
From MDH’s letter: the letter says the facility is in substantial compliance.
Fines assessed by MDH
- Tag 470 (144g.41 Subdivision 1 - Minimum Requirements): $3,000.00
Total fines assessed, as printed in the letter: $3,000.00.
- Tag 110: 144G.10 Subdivision 1a Assisted living director license required Level 1, widespread scope, scope/level letter C · correction period: Two (2) days
Substantiated investigations (state reports)
- July 11, 2024 · report HL366484414C
Details
Survey completed July 11, 2024: 26 correction orders
- Tag 110: 144G.10 Subdivision 1a Assisted living director license required Level 1, widespread scope, scope/level letter C · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to ensure the licensed assisted living director (LALD) was listed as the Director of Record for the licensee.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the licensed assisted living director (LALD) was listed as the Director of Record for the licensee. This had the potential to affect all the licensee's residents, staff, and visitors. [...]”
Rule cited: “Each assisted living facility must employ an assisted living director licensed or permitted by the Board of Executives for Long Term Services and Supports.”
- Tag 250: 144G.20 Subdivision 1 Conditions Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations
MDH’s finding, as written: “Based on interview and record review, the licensee failed to show they met the requirements of licensure, by attesting the managerial officials who oversaw the day-to-day operations understood applicable statutes and rules; nor developed and/or implemented current policies and procedures as required with records reviewed. This had the potential to affect all residents, staff, and visitors. [...]”
Rule cited: “(a) The commissioner may refuse to grant a provisional license, refuse to grant a license as a result of a change in ownership, refuse to renew a license, suspend or revoke a license, or impose a conditional license if the owner, controlling individual, or [...]”
- Tag 460: 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 provide a means for residents to request assistance for health and safety needs 24 hours a day, seven days a week.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide a means for residents to request assistance for health and safety needs 24 hours a day, seven days a week. [...]”
Rule cited: “(5) provide a means for residents to request assistance for health and safety needs 24 hours per day, seven days per week; (6) allow residents the ability to furnish and decorate the resident's unit within the terms of the assisted living contract; (7) permit [...]”
- Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 3, isolated scope, scope/level letter G · correction period: IMMEDIATE
Details
Summary: MDH found the licensee failed to ensure that one or more persons were available 24 hours per day, seven days per week, who are responsible for responding to the requests of residents for assistance with health or safety needs.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure that one or more persons were available 24 hours per day, seven days per week, who are responsible for responding to the requests of residents for assistance with health or safety needs. This impacted one of three residents (R1) who received care from the licensee. [...]”
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 Subd 1 (13) (i) (B) Minimum requirements 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) and was issued at a widespread scope (when problems are pervasive or represent a systemic failure that has affected or has the potential to affect a large portion or all the [...]”
Rule cited: “(13) offer to provide or make available at least the following services to residents: (B) food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626; and”
Show all 26
- Tag 485: 144G.41 Subdivision 1. (13)(i)(A)and(C) 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 at least three nutritious meals daily were served according to the recommended dietary allowances in the United States Department of Agriculture (USDA) guidelines.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure at least three nutritious meals daily were served according to the recommended dietary allowances in the United States Department of Agriculture (USDA) guidelines. This had the potential to affect all residents. [...]”
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 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 required information related to the licensee's grievance procedure to include contact information for the Office of Ombudsman for Long-Term Care (OOLTC) and Mental Health and Developmental Disabilities (OOMHDD).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to post required information related to the licensee's grievance procedure to include contact information for the Office of Ombudsman for Long-Term Care (OOLTC) and Mental Health and Developmental Disabilities (OOMHDD). This had the potential to affect all residents, staff, and visitors. [...]”
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 580: 144G.42 Subd. 2 Quality management Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to implement and maintain a quality management program (QMP) appropriate to the size of the facility and relevant to the type of services provided.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to implement and maintain a quality management program (QMP) appropriate to the size of the facility and relevant to the type of services provided. This had the potential to affect all residents, staff, and visitors. [...]”
Rule cited: “The facility shall engage in quality management appropriate to the size of the facility and relevant to the type of services provided. [...]”
- Tag 650: 144G.42 Subd. 8 Employee records Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the employee record contained the required content for three of three employees (unlicensed personnel (ULP-A, ULP-B, registered nurse (RN)-D).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the employee record contained the required content for three of three employees (unlicensed personnel (ULP-A, ULP-B, registered nurse (RN)-D). [...]”
Rule cited: “(a) The facility must maintain current records of each paid employee, each regularly scheduled volunteer providing services, and each individual contractor providing services. [...]”
- Tag 660: 144G.42 Subd. 9 Tuberculosis prevention and control Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC), which included a two-step tuberculin skin test (TST) or other evidence of TB screening such as a blood test for two of three employees (unlicensed personnel (ULP)-A, ULP-B).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to maintain a tuberculosis (TB) prevention and control program, based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC), which included a two-step tuberculin skin test (TST) or other evidence of TB screening such as a blood test for two of three employees (unlicensed personnel (ULP)-A, ULP-B). [...]”
Rule cited: “(a) The facility must establish and maintain a comprehensive tuberculosis infection control program according to the most current tuberculosis infection control guidelines issued by the United States Centers for Disease Control and Prevention (CDC), Division [...]”
- 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. This had the potential to affect all residents, staff, and visitors.
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. 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 700: 144G.43 Subdivision 1 Resident record Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure personal health and medical information was kept private for two of three residents (R1, R3) and three home care clients (C4, C5, C6).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure personal health and medical information was kept private for two of three residents (R1, R3) and three home care clients (C4, C5, C6). [...]”
Rule cited: “(b) Resident records, whether written or electronic, must be protected against loss, tampering, or unauthorized disclosure in compliance with chapter 13 and other applicable relevant federal and state laws. [...]”
- Tag 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to provide interconnected smoke alarms and a smoke alarm outside in the immediate vicinity of all sleeping rooms throughout the facility.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide interconnected smoke alarms and a smoke alarm outside in the immediate vicinity of all sleeping rooms throughout the facility. This had the potential to directly affect all residents, staff, and visitors. [...]”
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 790: 144G.45 Subd. 2 (a) (2)-(3) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to provide or maintain fire extinguishers as required throughout the facility.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide or maintain fire extinguishers as required throughout the facility. This deficient condition had the ability to affect all staff, visitors, and residents. [...]”
Rule cited: “(2) install and maintain portable fire extinguishers in accordance with the State Fire Code; (3) install portable fire extinguishers having a minimum 2-A:10-B:C rating within Group R-3 occupancies, as defined by the State Fire Code, located so that the travel [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to maintain the facility's physical environment in a continuous state of good repair
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the facility's physical environment in a continuous state of good repair and operation regarding the health, safety, and well-being of the residents. This had the potential to directly affect all residents, staff, 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 [...]”
- 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 develop the fire safety and evacuation plan with required content, make the plan readily available, provide required training and drills.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to develop the fire safety and evacuation plan with required content, make the plan readily available, provide 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. [...]”
- Tag 820: 144G.45 Subd. 2 (g) Fire protection and physical environment Level 3, isolated scope, scope/level letter G · correction period: Immediate
Details
Summary: MDH found the licensee failed to provide facilities that were not a distinct hazard to life.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide facilities that were not a distinct hazard to life. This had the potential to directly affect a limited number of residents and staff. [...]”
Rule cited: “(g) Existing construction or elements, including assisted living facilities that were registered as housing with services establishments under chapter 144D prior to August 1, 2021, shall be permitted to continue in use provided such use does not constitute a [...]”
- Tag 1500: 144G.63 Subd. 5 Required annual training Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employees received at least eight (8) hours of training for each 12 months of employment for one of one employee (registered nurse (RN)-D).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure employees received at least eight (8) hours of training for each 12 months of employment for one of one employee (registered nurse (RN)-D). [...]”
Rule cited: “(a) All staff that perform direct services must complete at least eight hours of annual training for each 12 months of employment. [...]”
- Tag 1530: 144G.64 TRAINING IN DEMENTIA CARE REQUIRED Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure direct-care staff received at least eight hours of initial training on topics specified under paragraph (b) within 160 working hours of the employment start date for two of two direct care employees (unlicensed personnel (ULP)-A, ULP-B).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure direct-care staff received at least eight hours of initial training on topics specified under paragraph (b) within 160 working hours of the employment start date for two of two direct care employees (unlicensed personnel (ULP)-A, ULP-B). [...]”
Rule cited: “(a) All assisted living facilities must meet the following training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on topics specified under paragraph (b) within 120 working hours of the employment start [...]”
- Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) conducted ongoing resident monitoring and reassessment to include all areas required on the uniform assessment tool per Minnesota Rule 4659.0150 for one of one resident (R1).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) conducted ongoing resident monitoring and reassessment to include all areas required on the uniform assessment tool per Minnesota Rule 4659.0150 for one of one resident (R1). [...]”
Rule cited: “(c) Resident reassessment and monitoring must be conducted no more than 14 calendar days after initiation of services. [...]”
- Tag 1730: 144G.71 Subd. 5 Individualized medication management plan Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to develop and maintain a current individualized medication management record for each resident to include all required content for three of three residents (R1, R2, R3).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop and maintain a current individualized medication management record for each resident to include all required content for three of three residents (R1, R2, R3). [...]”
Rule cited: “(a) For each resident receiving medication management services, the assisted living facility must prepare and include in the service plan a written statement of the medication management services that will be provided to the resident. [...]”
- Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to accurately document the time medications were administered for two of two residents (R1, R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to accurately document the time medications were administered for two of two residents (R1, R2). [...]”
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 1820: 144G.71 Subd. 13 Prescriptions Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure written or electronically recorded prescriptions were obtained for two of three residents (R1, R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure written or electronically recorded prescriptions were obtained for two of three residents (R1, R2). [...]”
Rule cited: “There must be a current written or electronically recorded prescription as defined in section 151.01, subdivision 16a, for all prescribed medications that the assisted living facility is managing for the resident.”
- Tag 1880: 144G.71 Subd. 19 Storage of medications Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure prescription medications were securely locked in a substantially constructed compartment and permitted only authorized personnel to have access.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure prescription medications were securely locked in a substantially constructed compartment and permitted only authorized personnel to have access. [...]”
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 1890: 144G.71 Subd. 20 Prescription drugs Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
MDH’s finding, as written: “Based on observation, interview, and record review the licensee failed to discard expired medication for one of three residents (R2). 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 an isolated scope (when one or a limited number of residents are affected or one or a limited number of [...]”
Rule cited: “A prescription drug, prior to being set up for immediate or later administration, must be kept in the original container in which it was dispensed by the pharmacy bearing the original prescription label with legible information including the expiration or [...]”
- Tag 2320: 144G.91 Subd. 4 (b) Appropriate care and services Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure unlicensed personnel (ULP)-B followed appropriate medication administration procedures for one of one resident (R1).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure unlicensed personnel (ULP)-B followed appropriate medication administration procedures for one of one resident (R1). [...]”
Rule cited: “(b) Residents have the right to receive health care and other assisted living services with continuity from people who are properly trained and competent to perform their duties and in sufficient numbers to adequately provide the services agreed to in the [...]”
- Tag 110: 144G.10 Subdivision 1a Assisted living director license required Level 1, widespread scope, scope/level letter C · correction period: Two (2) days
What the levels and scopes mean (MDH’s words)
Level 1: “a violation that has no potential to cause more than a minimal impact on the resident and does not affect health or safety”
Level 2: “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”
Level 3: “a violation that harmed a resident's health or safety, not including serious injury, impairment, or death, or a violation that has the potential to lead to serious injury, impairment, or death”
Isolated scope: “when one or a limited number of residents are affected or one or a limited number of staff are involved, or the situation has occurred only occasionally”
Pattern scope: “when more than a limited number of residents are affected, more than a limited number of staff are involved, or the situation has occurred repeatedly; but is not found to be pervasive”
Widespread scope: “when problems are pervasive or represent a systemic failure that has affected or has the potential to affect a large portion or all of the residents”
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.
What these terms mean
MDH: “An evaluation is a process regulated by the division to ensure licensees comply with the laws, rules, and certifications for the type of care and services authorized under their license/certification.”
“An investigation may occur when the division is notified that care and services are not being provided by licensees as required by law. This may include allegations of abuse, neglect, or financial misuse.”
For maltreatment, Minnesota law defines substantiated as “a preponderance of the evidence shows that an act that meets the definition of maltreatment occurred” and inconclusive as “less than a preponderance of evidence to show that maltreatment did or did not occur” (Minn. Stat. 626.5572).
Correction orders, as MDH explains on each state form: “Tag numbers have been assigned to Minnesota State Statutes for Assisted Living Facilities.” “The letter in the left column is used for tracking purposes and reflects the scope and level issued pursuant to 144G.31 subd. 1, 2, and 3.” MDH adds that there is no requirement to submit a plan of correction for violations of Minnesota state statutes.
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 4 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.
License and ownershipActive license, licensee TOTAL HOME HEALTH SERVICES LLC
- License type
- Assisted Living Facility
- License number
- 425749
- License status
- Active
- Current license dated
- 2026-09-01
- Licensed capacity
- 4
- Licensee
- TOTAL HOME HEALTH SERVICES LLC
- County
- Hennepin County
- Administrator/Authorized Agent
- Ginni Ali
Source: Minnesota state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Administrator/Authorized Agent name from the Minnesota licensing record, as of Sep 9, 2026.
Paying with Medicaid and other programsHow Medicaid pays for care in Minnesota, and other programs
How Medicaid pays for care in Minnesota
- Elderly Waiver (EW), customized living services. Minnesota's Elderly Waiver, part of Medical Assistance (Minnesota Medicaid), can pay for "customized living" services, and a provider of those services must hold an assisted living license (or meet certain exceptions). You must qualify for Medical Assistance and need a nursing-home level of care. (state page)
Ask the community whether it accepts Medicaid.
Location and nearby careNearest hospital 5.2 mi, nursing home 0.9 mi, pharmacy 1.0 mi
- Nearest hospital with an emergency room
- North Memorial Health Hospital, Robbinsdale. 5.2 miles away, straight line. CMS overall hospital rating: 1 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Maranatha Care Center, Brooklyn Center. 0.9 miles away, straight line.
- Nearest home health agency office
- Centerwell Home Health, Brooklyn Park. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55428 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita New Hope Dialysis Center, New Hope, 1.5 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Kidney Care Brooklyn Center, Brooklyn Center, 3.2 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Maple Grove Dialysis, Maple Grove, 3.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 24 Medicare hospices tell CMS they serve ZIP code 55428.
North Memorial Home Hlth Hospc, office in Robbinsdale, 4.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Moments Hospice, office in Golden Valley, 6.5 miles away, straight line (CMS family survey rating 1 of 5 stars)
Superior Hospice Inc., office in Golden Valley, 6.6 miles away, straight line - Nearest geriatric medicine practice
- Hennepin Healthcare System Inc, Brooklyn Park. 0.9 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The current license dates from 2026. Has the owner or operator changed recently?
- What does the base rate include, and when did rates last go up?
- Who is here at night? Are they awake, or asleep and on call?
- Who covers when the owner is sick, on vacation, or away for the day? Can we meet them?
- Is it one flat rate, or does it rise with care needs?
- Can you help someone who needs two people to move, or a mechanical lift?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
What we checked11 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| Minnesota Department of Health, Health Regulation Division inspection records | Sep 28, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Total Home Health Services provide?
Total Home Health Services is licensed by the state of Minnesota for assisted living in Brooklyn Park, Minnesota. Its licensed capacity is 4 residents.
Does Lilisity rate Total Home Health Services?
No. We publish state licensing details for Total Home Health Services but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Total Home Health Services cost?
Assisted Living in Hennepin County typically starts at $2,500 to $4,400 a month. Based on 18 communities that publish prices. These are area figures, not this community's price. Total Home Health Services does not publish its prices.
How do I contact Total Home Health Services?
Visit Total Home Health Services at 6949 Idaho Avenue North, Brooklyn Park, MN 55428.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid