Towerlight on Wooddale Avenue

Last evaluation

December 5, 2024

Evaluations on record

2

Investigations substantiated

1 kept 7 years

Inconclusive

0 kept 4 years

Unsubstantiated

0 kept 3 years

Most recent evaluation (December 5, 2024, state report 9SQN11)

MDH: “On December 2, 2024, through December 5, 2024, the Minnesota Department of Health conducted a full survey at the above provider.”

Survey completed December 5, 2024: 7 correction orders

• Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
  Details

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee's written staffing plan failed to include an evaluation completed by a registered nurse at least twice a year. This had the potential to affect all residents, staff, and visitors. [...]”

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

• Tag 480: 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum requirements; required food services Level 2, widespread scope, scope/level letter F · correction period: Please refer to the FBEIR for any compliance dates
  Details

  Summary: MDH found the licensee failed to ensure food was prepared and served according to the Minnesota Food Code.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure food was prepared and served according to the Minnesota Food Code. This practice resulted in a level two violation (a violation that did not harm a resident's health or safety but had the potential to have harmed a resident's health or safety, but was not likely to cause serious injury, impairment, or death), and is issued at a widespread scope (when problems are pervasive or represent a systemic failure that has [...]”

  Rule cited: “(a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. [...]”

• Tag 780: 144G.45 Subd. 2 (a) (1) 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 comply with the current State Fire Code

  MDH’s finding, as written: “Based on observation and interview, the licensee failed to comply with the current State Fire Code in Minnesota Rules, chapter 7511. 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 810: 144G.45 Subd. 2 (b-f) Fire protection and physical environment Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to provide the required employee training.

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide the required employee training. 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 1440: 144G.62 Subd. 4 Supervision of staff providing delegated nurs Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure supervision was completed within 30 calendar days after hire and beginning to provide the delegated to tasks to residents for two of two unlicensed personnel (ULP)-C, ULP-D).

  MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure supervision was completed within 30 calendar days after hire and beginning to provide the delegated to tasks to residents for two of two unlicensed personnel (ULP)-C, ULP-D). [...]”

  Rule cited: “(a) Staff who perform delegated nursing or therapy tasks must be supervised by an appropriate licensed health professional or a registered nurse according to the assisted living facility's policy where the services are being provided to verify that the work [...]”

• Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, scope/level letter E · 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 no more than 90 days after the previous assessment for two of two residents (R2, R5).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) conducted ongoing resident monitoring and reassessment no more than 90 days after the previous assessment for two of two residents (R2, R5). [...]”

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

• Tag 1640: 144G.70 Subd. 4 (a-e) Service plan, implementation and revisions to Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
  Details

  Summary: MDH found the licensee failed to ensure revised service plans were authenticated by the resident or resident's representative for one of three residents (R4).

  MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure revised service plans were authenticated by the resident or resident's representative for one of three residents (R4). [...]”

  Rule cited: “(a) No later than 14 calendar days after the date that services are first provided, an assisted living facility shall finalize a current written service plan. [...]”

From MDH’s letter: the letter says the facility is in substantial compliance; no immediate fines.

Substantiated investigations (state reports)

• June 17, 2024 · report HL287909645M · MDH finding: Substantiated, facility responsibility
  Details

  Allegation, as written: “It is alleged: The facility neglected the resident when staff failed to identify a toe infection. The infection progressed and the resident's toe was amputated.”

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

  “The facility was responsible for the maltreatment.”

  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 the maltreatment. Facility staff failed to document, report, and assess necrotic (dead) tissue on the resident's left great toe. An infection in the resident's bone had already developed and the toe required partial amputation to manage the tissue death and bone infection.”

  Action taken by facility: “The facility provided and documented wound care as prescribed after the resident returned from the TCU.”

  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 May 14, 2024: 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 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.”

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.