Assisted Living
Unique Homes
3940 46th Avenue North, Robbinsdale, MN 55422 · Map
Licensed for 4 residents · UNIQUE HOMES LLC
Unique Homes is a state-licensed assisted living community in Robbinsdale, 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 421895, current license dated Jul 1, 2025. Licensee UNIQUE HOMES LLC.
Nearest emergency room
2.1 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 |
|---|---|---|---|---|---|
| Unique Homes this community | 4 | Not published | Active | 2 substantiated | |
| Ozif Healthcare Services | 0.2 mi | 5 | Not published | Active | 0 substantiated |
| Prestigious Care Homes, Ewing Avenue North | 0.3 mi | 5 | Not published | Active | 0 substantiated |
| Nuvision Homecare Services, Chowen Avenue North | 0.4 mi | 5 | Not published | Active | 0 substantiated |
| Totalcare Assisted Living Services | 0.4 mi | 6 | Not published | Active | 0 substantiated |
State inspection record2 substantiated
- Last evaluation
- September 10, 2025
- Evaluations on record
- 2
- Investigations substantiated
- 2 kept 7 years
- Inconclusive
- 0 kept 4 years
- Unsubstantiated
- 0 kept 3 years
Most recent evaluation (September 10, 2025, state report NS3O11)
MDH: “On September 8, 2025, through September 10, 2025, the Minnesota Department of Health conducted a full survey at the above provider and the following correction orders are issued.”
Survey completed September 10, 2025: 25 correction orders
- Tag 330: 144G.30 Subd. 4 Information provided by facility 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 provide the Minnesota Department of Health (the Department) with accurate and truthful information during a survey.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to provide the Minnesota Department of Health (the Department) with accurate and truthful information during a survey. [...]”
Rule cited: “(a) The assisted living facility shall provide accurate and truthful information to the department during a survey, investigation, or other licensing activities. [...]”
- Tag 340: 144G.30 Subd. 5 Correction orders 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 provide sufficient documentation taken to comply with the correction orders from a survey completed December 2, 2022.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to provide sufficient documentation taken to comply with the correction orders from a survey completed December 2, 2022. The lack of action to ensure compliance with regulations had the potential to affect all residents receiving services from the licensee. [...]”
Rule cited: “(a) A correction order may be issued whenever the commissioner finds upon survey or during a complaint investigation that a facility, a managerial official, an agent of the facility, or staff of the facility is not in compliance with this chapter. [...]”
- Tag 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to develop and implement a written staffing plan that included an evaluation completed by the clinical nurse supervisor (CNS) (as indicated in Minnesota Administrative Rule 4659.0180) at least twice a year.
MDH’s finding, as written: “Based on interview, and record review, the licensee failed to develop and implement a written staffing plan that included an evaluation completed by the clinical nurse supervisor (CNS) (as indicated in Minnesota Administrative Rule 4659.0180) at least twice a year. This had the potential to affect all residents and staff. [...]”
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 490: 144G.41 Subdivision 1b Minimum requirements; other required services Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to have a daily program of social and recreational activities based on individual and group interests, or physical, mental and psychosocial needs for three of three residents (R1, R2, R3).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to have a daily program of social and recreational activities based on individual and group interests, or physical, mental and psychosocial needs for three of three residents (R1, R2, R3). [...]”
Rule cited: “All assisted living facilities must offer to provide or make available the following services to residents: (1) weekly housekeeping; (2) weekly laundry service; (3) upon the request of the resident, provide direct or reasonable assistance with arranging for [...]”
Show all 25
- Tag 495: 144G.41 Subdivision. 1 (13) Minimum Requirements Level 3, widespread scope, scope/level letter I · correction period: Immediate · fine: $1,000.00 assessed
Details
Summary: MDH found the licensee failed to ensure that a registered nurse (RN) was available on-call 24 hours a day, seven days per week.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure that a registered nurse (RN) was available on-call 24 hours a day, seven days per week. This had the potential to affect all residents and staff of the facility. [...]”
Rule cited: “(13) provide staff access to an on-call registered nurse 24 hours per day, seven days per week.”
- Tag 510: 144G.41 Subd. 3 Infection control program Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to establish and maintain an effective infection control program that complied with accepted health care, medical, and nursing standards for infection control related to gloving and hand hygiene for one of four employees (housing manager (HM)-A).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to establish and maintain an effective infection control program that complied with accepted health care, medical, and nursing standards for infection control related to gloving and hand hygiene for one of four employees (housing manager (HM)-A). [...]”
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 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma Level 3, pattern scope, scope/level letter H · correction period: Two (2) days · fine: $1,000.00 assessed
Details
Summary: MDH found the licensee failed to have an accurate individual abuse prevention plan (IAPP) for two of three residents (R2, R3) and failed to have statement of specific measures to be taken to minimize the risk of abuse to that person and other vulnerable adults for one of three residents (R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to have an accurate individual abuse prevention plan (IAPP) for two of three residents (R2, R3) and failed to have statement of specific measures to be taken to minimize the risk of abuse to that person and other vulnerable adults for one of three residents (R2). [...]”
Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”
- 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 one of one employee (housing manager (HM)-A).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employee records included all required content for one of one employee (housing manager (HM)-A). 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 [...]”
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 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 775: 144G.45 Subd. 2. (a) Fire protection and physical environment Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days · fine: $500.00 assessed
Details
Summary: MDH found the licensee failed to comply with the provisions of Minnesota State Fire Code under MN Rules chapter 7511.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to comply with the provisions of Minnesota State Fire Code under MN 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 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 · fine: $500.00 assessed
Details
Summary: MDH found the licensee failed provide interconnected smoke alarms in required locations.
MDH’s finding, as written: “Based on observation and interview, the licensee failed provide interconnected smoke alarms in required locations. These deficient conditions had the ability to affect all staff and residents. [...]”
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 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 physical environment, in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the physical environment, in a continuous state of good repair and operation with regard to the health, safety, comfort, and well-being of the residents. This deficient condition had the potential to affect all staff, residents, 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 the required training.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to develop the fire safety and evacuation plan with the required 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 900: 144G.50 Subdivision 1 Contract required Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to develop and execute a written assisted living contract with the required content for one of three residents (R2).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop and execute a written assisted living contract with the required content for one of three residents (R2). [...]”
Rule cited: “(a) An assisted living facility may not offer or provide housing or assisted living services to any individual unless it has executed a written contract with the resident. [...]”
- Tag 1530: 144G.64 (a) (1-2) Training in Dementia, Mental Illness, and De- Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
MDH’s finding, as written: “Based on interview and record review, the license failed to ensure employees completed two hours of initial training on mental illness and de-escalation for employees hired prior to July 1, 2025, for two of two employees (housing manager (HM)-A, clinical nurse supervisor (CNS)-C). [...]”
Rule cited: “(a) All assisted living facilities must meet the following dementia care, mental illness, and de-escalation training requirements: (1) supervisors of direct-care staff must have at least eight hours of initial training on dementia topics specified under [...]”
- Tag 1600: 144G.70 Subdivision 1 Acceptance of residents Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure the facility had staff, sufficient in numbers, training, and qualifications to adequately provide the agreed upon services.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the facility had staff, sufficient in numbers, training, and qualifications to adequately provide the agreed upon services. Although the facility was aware of R2's behaviors prior to admission, they did not ensure staff were properly trained or implement a behavioral management plan. This had the potential to harm all residents and staff of the licensee. [...]”
Rule cited: “An assisted living facility may not accept a person as a resident unless the facility has staff, sufficient in qualifications, competency, and numbers, to adequately provide the services agreed to in the assisted living contract.”
- Tag 1620: 144G.70 Subd. 2 (c-e) Initial reviews, assessments, and monitoring Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) completed ongoing resident reassessments that did not exceed 90 days for one of three residents (R3).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) completed ongoing resident reassessments that did not exceed 90 days for one of three residents (R3). In addition, the licensee failed to complete an accurate assessment related to resident's activities of daily living (ADL) needs for one of three residents (R1). [...]”
Rule cited: “(a) Residents who are not receiving any assisted living services shall not be required to undergo an initial nursing assessment. [...]”
- 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 finalize a current written service plan that included a signature or other authentication by the facility and by the resident documenting an agreement on the services to be provided for one of three residents (R2).
MDH’s finding, as written: “Based on interview, and record review, the licensee failed to finalize a current written service plan that included a signature or other authentication by the facility and by the resident documenting an agreement on the services to be provided for one of three residents (R2). [...]”
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. [...]”
- 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 three of three residents (R1, R3, R4).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the service plan included all required content for three of three residents (R1, R3, R4). [...]”
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 1700: 144G.71 Subd. 2 Provision of medication management services Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) conducted an accurate face-to-face medication management assessment to include all required content, prior to providing medication management services,
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure the registered nurse (RN) conducted an accurate face-to-face medication management assessment to include all required content, prior to providing medication management services, for one of two residents (R2). [...]”
Rule cited: “(a) For each resident who requests medication management services, the facility shall, prior to providing medication management services, have a registered nurse, licensed health professional, or authorized prescriber under section 151.37 conduct an [...]”
- Tag 1720: 144G.71 Subd. 4 Resident refusal Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to discuss with the resident the possible consequences of the resident's medication refusal and document the discussion in the resident's record for two of two residents (R1, R2).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to discuss with the resident the possible consequences of the resident's medication refusal and document the discussion in the resident's record for two of two residents (R1, R2). [...]”
Rule cited: “The assisted living facility must document in the resident's record any refusal for an assessment for medication management by 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 document the reason why medication administration was not completed as prescribed for two of two residents (R1, R2).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to document the reason why medication administration was not completed as prescribed 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, 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 observation, interview, and record review, the licensee failed to ensure written or electronically recorded prescriptions were obtained for one of two residents (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 1910: 144G.71 Subd. 22 Disposition of medications Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to dispose of medications being managed by the licensee when the resident's medication management services ended for three of three residents (R5, R6, R7).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to dispose of medications being managed by the licensee when the resident's medication management services ended for three of three residents (R5, R6, R7). [...]”
Rule cited: “(a) Any current medications being managed by the assisted living facility must be provided to the resident when the resident's service plan ends or medication management services are no longer part of the service plan. [...]”
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 330 (144g.30 Subd.4 - Information ProvidedBy Facility): $500.00
- Tag 340 (144g.30 Subd.5 - CorrectionOrders): $500.00
- Tag 495 (144g.41 Subdivision.1 (13) - Minimum Requirements): $1,000.00
- Tag 630 (144g.42 Subd.6 (b) - ComplianceWith RequirementsFor ReportingMa): $1,000.00
- Tag 775 (144g.45 Subd.2. (a) - Fire Protection And PhysicalEnvironment): $500.00
- Tag 780 (144g.45 Subd.2 (a) (1) - Fire Protection And PhysicalEnvironment): $500.00
Total fines assessed, as printed in the letter: $4,000.00.
Earlier evaluations (1)
- July 14, 2022: report SRF711 · 59 correction orders
Details
Survey completed December 2, 2022: 9 correction orders
- Tag 250: 144G.20 Subdivision 1 Conditions (re-issued) Level 2, widespread scope, scope/level letter F
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 understood applicable statutes and rules; nor developed and/or implemented current policies and procedures as required with records reviewed.
MDH’s finding, as written: “Based on observation, 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 680: 144G.42 Subd. 10 Disaster planning and emergency preparedness (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to develop a written emergency preparedness plan with all the required content.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop a written emergency preparedness plan with all the required content. This had the potential to affect all five current residents, staff, and any visitors to the facility. [...]”
Rule cited: “(a) The facility must meet the following requirements: (1) have a written emergency disaster plan that contains a plan for evacuation, addresses elements of sheltering in place, identifies temporary relocation sites, and details staff assignments in the event [...]”
- Tag 800: 144G.45 Subd. 2 (a) (4) Fire protection and physical environment (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to maintain the facility's physical
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 930: 144G.50 Subd. 2 (d-e; 1-4) Contract information (re-issued) Level 1, widespread scope, scope/level letter C
Details
Summary: MDH found the licensee failed to execute a written assisted living contract with required content for three of three residents (R1, R2, R5).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to execute a written assisted living contract with required content for three of three residents (R1, R2, R5). [...]”
Rule cited: “(d) The contract must include a description of the facility's complaint resolution process available to residents, including the name and contact information of the person representing the facility who is designated to handle and resolve complaints. [...]”
- Tag 940: 144G.50 Subd. 2 (e; 5-7) Contract information (re-issued) Level 1, widespread scope, scope/level letter C
Details
Summary: MDH found the licensee failed to execute a written assisted living contract with the required content for three of three residents (R1, R2, R5).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to execute a written assisted living contract with the required content for three of three residents (R1, R2, R5). [...]”
Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”
Show all 9
- Tag 970: 144.50 Subd. 5 Waivers of liability prohibited (re-issued) Level 2, widespread scope, scope/level letter F
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 for three of three residents (R1, R2, R5).
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 for three of three residents (R1, R2, R5). This had the potential to affect all residents. [...]”
Rule cited: “The contract must not include a waiver of facility liability for the health and safety or personal property of a resident. [...]”
- Tag 1290: 144G.60 Subdivision 1 Background studies required Level 3, widespread scope, scope/level letter I · correction period: Immediate
Details
Summary: MDH found the licensee failed to ensure a background study was completed as required for two of two employees (unlicensed personal (ULP)-A and ULP-B).
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to ensure a background study was completed as required for two of two employees (unlicensed personal (ULP)-A and ULP-B). [...]”
Rule cited: “(a) Employees, contractors, and regularly scheduled volunteers of the facility are subject to the background study required by section 144.057 and may be disqualified under chapter 245C. [...]”
- Tag 1530: 144G.64 TRAINING IN DEMENTIA CARE REQUIRED (re-issued) Level 2, isolated scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure staff received required dementia care training in the required time frame for one of three employees, (program manager (PM)-E).
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure staff received required dementia care training in the required time frame for one of three employees, (program manager (PM)-E). [...]”
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 1790: 144G.71 Subd. 10 Medication management for residents who will (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) developed written procedures for the unlicensed personnel (ULP) providing medications to residents having unplanned time away when the licensed nurse was not available.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) developed written procedures for the unlicensed personnel (ULP) providing medications to residents having unplanned time away when the licensed nurse was not available. This had the potential to affect all five residents. [...]”
Rule cited: “(2) for unplanned time away, when the pharmacy is not able to provide the medications, a licensed nurse or unlicensed personnel shall provide medications in amounts and dosages needed for the length of the anticipated absence, not to exceed seven calendar [...]”
Survey completed September 7, 2022: 16 correction orders
- Tag 250: 144G.20 Subdivision 1 Conditions (re-issued) Level 2, widespread scope, scope/level letter F
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 understood applicable statutes and rules; nor developed and/or implemented current policies and procedures as required with records reviewed.
MDH’s finding, as written: “Based on observation, 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 480: 144G.41 Subd 1 (13) (i) (B) Minimum requirements (re-issued) Level 2, widespread scope, scope/level letter F
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: (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 490: 144G.41 Subd 1 (13) (ii)-(vii) Minimum requirements (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to have a daily program of social and recreational activities based on individual and group interests, physical, mental and psychosocial needs.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to have a daily program of social and recreational activities based on individual and group interests, physical, mental and psychosocial needs. This had the potential to affect all four residents residing at the facility. [...]”
Rule cited: “(ii) weekly housekeeping; (iii) weekly laundry service; (iv) upon the request of the resident, provide direct or reasonable assistance with arranging for transportation to medical and social services appointments, shopping, and other recreation, and provide [...]”
- Tag 660: 144G.42 Subd. 9 Tuberculosis prevention and control (re-issued) Level 2, isolated scope, scope/level letter D
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) and failed to ensure TB education, commensurate with job responsibilities, was
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) and failed to ensure TB education, commensurate with job responsibilities, was provided and documented for one of two employees, (unlicensed personnel (ULP)-G.) This practice resulted in a level two violation (a violation that did not harm a resident's health or [...]”
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 (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to have a written emergency preparedness plan with all the required content and failed to post an emergency preparedness plan prominently.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to have a written emergency preparedness plan with all the required content and failed to post an emergency preparedness plan prominently. This had the potential to affect all four current residents, staff and any visitors to the facility. [...]”
Rule cited: “(a) The facility must meet the following requirements: (1) have a written emergency disaster plan that contains a plan for evacuation, addresses elements of sheltering in place, identifies temporary relocation sites, and details staff assignments in the event [...]”
Show all 16
- Tag 780: 144G.45 Subd. 2 (a) (1) Fire protection and physical environment (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure smoke alarms are interconnected so that actuation of one alarm causes all alarms in the dwelling to actuate as required.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure smoke alarms are interconnected so that actuation of one alarm causes all alarms in the dwelling to actuate as required. 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 (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure the maintenance of portable fire extinguishers at the facility.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure the maintenance of portable fire extinguishers at the facility. This had the potential to directly affect all residents, staff, and visitors. [...]”
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 (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found 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.
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 (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to develop and maintain fire safety and evacuation plans and failed to provide required training to residents and employees for fire safety and evacuation.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to develop and maintain fire safety and evacuation plans and failed to provide required training to residents and employees for fire safety and evacuation. This had the potential to affect all current residents, staff, and visitors to the facility. [...]”
Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”
- Tag 930: 144G.50 Subd. 2 (d-e; 1-4) Contract information (re-issued) Level 1, widespread scope, scope/level letter C
Details
Summary: MDH found the licensee failed to execute a written assisted living contract with the required content for two of two residents (R1, R2).
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to execute a written assisted living contract with the required content for two of two residents (R1, R2). [...]”
Rule cited: “(d) The contract must include a description of the facility's complaint resolution process available to residents, including the name and contact information of the person representing the facility who is designated to handle and resolve complaints. [...]”
- Tag 940: 144G.50 Subd. 2 (e; 5-7) Contract information (re-issued) Level 1, widespread scope, scope/level letter C
Details
Summary: MDH found the licensee failed to execute a written assisted living contract with the required content for two of two residents (R1, R2) with records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to execute a written assisted living contract with the required content for two of two residents (R1, R2) with records reviewed. [...]”
Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”
- Tag 970: 144.50 Subd. 5 Waivers of liability prohibited (re-issued) Level 2, widespread scope, scope/level letter F
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. [...]”
Rule cited: “The contract must not include a waiver of facility liability for the health and safety or personal property of a resident. [...]”
- Tag 1460: 144G.63 Subdivision 1 Orientation of staff and supervisors (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to provide staff orientation to assisted living licensing requirements and regulations for two of two employees (registered nurse (RN)-D and unlicensed personnel (ULP)-G).
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to provide staff orientation to assisted living licensing requirements and regulations for two of two employees (registered nurse (RN)-D and unlicensed personnel (ULP)-G). This has the potential to affect all four residents. [...]”
Rule cited: “All staff providing and supervising direct services must complete an orientation to assisted living facility licensing requirements and regulations before providing assisted living services to residents. [...]”
- Tag 1530: 144G.64 TRAINING IN DEMENTIA CARE REQUIRED (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure staff received required dementia care training in the required time frame for two of two employees, registered nurse (RN)-D and unlicensed personnel (ULP)-G. This had the potential to affect all four current residents.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure staff received required dementia care training in the required time frame for two of two employees, registered nurse (RN)-D and unlicensed personnel (ULP)-G. This had the potential to affect all four current residents. [...]”
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 1750: 144G.71 Subd. 7 Delegation of medication administration Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure one of one unlicensed personnel (ULP)-G, followed appropriate medication administration procedures during a medication pass.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure one of one unlicensed personnel (ULP)-G, followed appropriate medication administration procedures during a medication pass. [...]”
Rule cited: “When administration of medications is delegated to unlicensed personnel, the assisted living facility must ensure that the registered nurse has: (1) instructed the unlicensed personnel in the proper methods to administer the medications, and the unlicensed [...]”
- Tag 1790: 144G.71 Subd. 10 Medication management for residents who will (re-issued) Level 2, widespread scope, scope/level letter F
Details
Summary: MDH found the licensee failed to ensure the registered nurse (RN) developed written procedures for the unlicensed personnel (ULP) providing medications to residents having unplanned time away when the licensed nurse was not available.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse (RN) developed written procedures for the unlicensed personnel (ULP) providing medications to residents having unplanned time away when the licensed nurse was not available. This had the potential to affect all four residents. [...]”
Rule cited: “(2) for unplanned time away, when the pharmacy is not able to provide the medications, a licensed nurse or unlicensed personnel shall provide medications in amounts and dosages needed for the length of the anticipated absence, not to exceed seven calendar [...]”
Survey completed July 14, 2022: 34 correction orders
- Tag 110: 144G.10 Subdivision 1a Assisted living director license required Level 2, widespread scope, scope/level letter F · 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 with the Board of Executives for Long Term Services and Supports (BELTSS).
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure the licensed assisted living director (LALD) was listed as the Director of Record with the Board of Executives for Long Term Services and Supports (BELTSS). 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 120: 144G.11 APPLICABILITY OF OTHER LAWS Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure an assisted living facility, advertising dementia care, had an assisted living dementia care license in place.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to ensure an assisted living facility, advertising dementia care, had an assisted living dementia care license in place. This had the potential to affect all residents. [...]”
Rule cited: “Assisted living facilities: (1) are subject to and must comply with chapter 504B; (2) must comply with section?325F.72; and (3) are not required to obtain a lodging license under chapter 157 and related rules.”
- 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 understood applicable statutes and rules; nor developed and/or implemented current policies and procedures as required with records reviewed.
MDH’s finding, as written: “Based on observation, 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 470: 144G.41 Subdivision 1 Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to develop and implement a staffing plan to determine staffing levels to meet the needs of all residents.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to develop and implement a staffing plan to determine staffing levels to meet the needs of all residents. This had the potential to affect all four residents and staff. [...]”
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: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to comply with Minnesota Food Code, Chapter 4626.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to comply with Minnesota Food Code, Chapter 4626. This had the potential to affect all four residents at the facility. [...]”
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 [...]”
Show all 34
- Tag 485: 144G.41 Subd 1. (13) (i) (A) and (C) Minimum Requirements Level 1, widespread scope, scope/level letter C · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to have menus prepared at least one week in advance and made available to all residents.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to have menus prepared at least one week in advance and made available to all residents. This had the potential to affect all four 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 490: 144G.41 Subd 1 (13) (ii)-(vii) Minimum requirements Level 2, widespread scope, scope/level letter F · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to have a daily program of social and recreational activities based on individual and group interests, physical, mental and psychosocial needs.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to have a daily program of social and recreational activities based on individual and group interests, physical, mental and psychosocial needs. This had the potential to affect all four residents residing at the facility. [...]”
Rule cited: “(ii) weekly housekeeping; (iii) weekly laundry service; (iv) upon the request of the resident, provide direct or reasonable assistance with arranging for transportation to medical and social services appointments, shopping, and other recreation, and provide [...]”
- 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 its grievance procedure,
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to post required information related to its grievance procedure, contact information for the Office of Ombudsman and information for reporting suspected maltreatment to the Minnesota Adult Abuse Reporting Center (MAARC). 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 e-mail contact information for the individuals who are responsible for handling resident grievances. [...]”
- Tag 570: 144G.42 Subdivision 1 Display of license Level 1, widespread scope, scope/level letter C · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to display its current assisted living license in the main entrance of the facility.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to display its current assisted living license in the main entrance of the facility. This had the potential to affect all four residents, staff and visitors to the facility. [...]”
Rule cited: “The original current license must be displayed at the main entrance of each assisted living facility. The facility must provide a copy of the license to any person who requests it.”
- 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 engage in and maintain documentation of quality management activity commensurate with the size of the business.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to engage in and maintain documentation of quality management activity commensurate with the size of the business. This had the potential to affect all four residents receiving assisted living services. [...]”
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 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) and failed to ensure TB history and symptoms screening was completed and documented for one of two employees (unlicensed personnel (ULP)-E).
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) and failed to ensure TB history and symptoms screening was completed and documented for one of two employees (unlicensed personnel (ULP)-E). [...]”
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 with all the required content and failed to post an emergency preparedness plan prominently.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to have a written emergency preparedness plan with all the required content and failed to post an emergency preparedness plan prominently. This had the potential to affect all four current residents, staff and any visitors to the facility. [...]”
Rule cited: “(a) The facility must meet the following requirements: (1) have a written emergency disaster plan that contains a plan for evacuation, addresses elements of sheltering in place, identifies temporary relocation sites, and details staff assignments in the event [...]”
- Tag 780: 144G.45 Subd. 2 (a) (1) 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 interconnection of required smoke alarms.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to provide the interconnection of required smoke alarms. This has the potential to directly affect 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: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to maintain portable fire extinguishers in accordance with the State Fire Code as required by MN Statute 144G.45 Subd(a)(2).
MDH’s finding, as written: “Based on observation, record review, and interview, the licensee failed to maintain portable fire extinguishers in accordance with the State Fire Code as required by MN Statute 144G.45 Subd(a)(2). This had the potential to directly affect all residents and staff. [...]”
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: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to maintain the physical environment of the facility in a continuous state of good repair and operation.
MDH’s finding, as written: “Based on observation and interview, the licensee failed to maintain the physical environment of the facility in a continuous state of good repair and operation. This has the potential to directly affect the health, safety, and well-being of all residents and staff. [...]”
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 provide all required content on the fire safety and evacuation plan, the required training on fire safety and evacuation plan, and the minimum number of evacuation drills.
MDH’s finding, as written: “Based on observation, record review, and interview, the licensee failed to provide all required content on the fire safety and evacuation plan, the required training on fire safety and evacuation plan, and the minimum number of evacuation drills. This has the potential to directly affect the safety of all residents receiving care, staff, and visitors. [...]”
Rule cited: “(b) Each assisted living facility shall develop and maintain fire safety and evacuation plans. [...]”
- Tag 930: 144G.50 Subd. 2 (d-e; 1-4) Contract information Level 1, widespread scope, scope/level letter C · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to execute a written assisted living contract with the required content for two of two residents (R1, R2) with records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to execute a written assisted living contract with the required content for two of two residents (R1, R2) with records reviewed. [...]”
Rule cited: “(d) The contract must include a description of the facility's complaint resolution process available to residents, including the name and contact information of the person representing the facility who is designated to handle and resolve complaints. [...]”
- Tag 940: 144G.50 Subd. 2 (e; 5-7) Contract information Level 1, widespread scope, scope/level letter C · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to execute a written assisted living contract with the required content for two of two residents (R1, R2) with records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to execute a written assisted living contract with the required content for two of two residents (R1, R2) with records reviewed. [...]”
Rule cited: “(5) a description of the facility's policies related to medical assistance waivers under chapter 256S and section 256B.49 and the housing support program under chapter 256I, including: (i) whether the facility is enrolled with the commissioner of human [...]”
- Tag 970: 144.50 Subd. 5 Waivers of liability prohibited Level 2, widespread scope, scope/level letter F · 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. [...]”
Rule cited: “The contract must not include a waiver of facility liability for the health and safety or personal property of a resident. [...]”
- Tag 1370: 144G.61 Subd. 2 (a) Training and evaluation of unlicensed personn Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure training was completed for one of one unlicensed personnel (ULP-E) to include all required content with employee records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure training was completed for one of one unlicensed personnel (ULP-E) to include all required content with employee records reviewed. [...]”
Rule cited: “(a) Training and competency evaluations for all unlicensed personnel must include the following: (1) documentation requirements for all services provided; (2) reports of changes in the resident's condition to the supervisor designated by the facility; (3) [...]”
- Tag 1380: 144G.61 Subd. 2 (b) Training and evaluation of unlicensed personn Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure training was completed for one of one unlicensed personnel (ULP-E) to include all required content with employee records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure training was completed for one of one unlicensed personnel (ULP-E) to include all required content with employee records reviewed. [...]”
Rule cited: “(b) In addition to paragraph (a), training and competency evaluation for unlicensed personnel providing assisted living services must include: (1) observing, reporting, and documenting resident status; (2) basic knowledge of body functioning and changes in [...]”
- Tag 1440: 144G.62 Subd. 4 Supervision of staff providing delegated nurs Level 2, isolated scope, scope/level letter D · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to ensure staff were supervised within 30 days after performing delegated nursing tasks for one of one
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure staff were supervised within 30 days after performing delegated nursing tasks for one of one unlicensed personnel (ULP)-E with employee records reviewed. [...]”
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 1460: 144G.63 Subdivision 1 Orientation of staff and supervisors Level 2, widespread scope, scope/level letter F · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to provide staff
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to provide staff orientation to assisted living licensing requirements and regulations for one of one employee (registered nurse (RN)-D) with employee records reviewed. This has the potential to affect all residents. [...]”
Rule cited: “All staff providing and supervising direct services must complete an orientation to assisted living facility licensing requirements and regulations before providing assisted living services to residents. [...]”
- Tag 1470: 144G.63 Subd. 2 Content of required orientation Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure employees received orientation to assisted living facility licensing requirements and regulations with all required content for one of two employees, (unlicensed personnel (ULP)-E) with employee records reviewed.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure employees received orientation to assisted living facility licensing requirements and regulations with all required content for one of two employees, (unlicensed personnel (ULP)-E) with employee records reviewed. This had potential to affect all four current residents. [...]”
Rule cited: “(a) The orientation must contain the following topics: (1) an overview of this chapter; (2) an introduction and review of the facility's policies and procedures related to the provision of assisted living services by the individual staff person; (3) handling [...]”
- 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 staff received required dementia care training in the required time frame for two of two employees, (unlicensed personnel (ULP)-E and registered nurse (RN)-D) with employee records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure staff received required dementia care training in the required time frame for two of two employees, (unlicensed personnel (ULP)-E and registered nurse (RN)-D) with employee records reviewed. This had the potential to affect all four current residents. [...]”
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 1610: 144G.70 Subd. 2 (a-b) Initial reviews, assessments, and monitoring Level 2, pattern scope, scope/level letter E · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to ensure a registered Nurse (RN) completed an initial assessment in the required time frame for two of two residents (R1, R2) with records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure a registered Nurse (RN) completed an initial assessment in the required time frame for two of two residents (R1, R2) with records reviewed. [...]”
Rule cited: “(a) Residents who are not receiving any services shall not be required to undergo an initial nursing assessment. [...]”
- 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 a current, written service plan was finalized no later than 14 calendar days after the date that services were first provided for one of two residents (R2) with records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure a current, written service plan was finalized no later than 14 calendar days after the date that services were first provided for one of two residents (R2) with records reviewed. [...]”
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. [...]”
- 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 one of two residents (R1) with records reviewed.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure the service plan included all required content for one of two residents (R1) with records reviewed. This had the potential to affect all four residents who received assisted living services from the licensee. [...]”
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 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 two of two residents (R1, R2) with records reviewed.
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 two of two residents (R1, R2) with records reviewed. [...]”
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 1770: 144G.71 Subd. 9 Documentation of medication setup Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure documentation of medication setup included all the required content for one of one resident (R2) with records reviewed
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to ensure documentation of medication setup included all the required content for one of one resident (R2) with records reviewed 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 [...]”
Rule cited: “Documentation of dates of medication setup, name of medication, quantity of dose, times to be administered, route of administration, and name of person completing medication setup must be done at the time of setup.”
- Tag 1790: 144G.71 Subd. 10 Medication management for residents who will Level 2, widespread scope, scope/level letter F · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure the registered nurse developed written procedures for the unlicensed personnel (ULP) providing medications to residents having unplanned time away when the licensed nurse was not available.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure the registered nurse developed written procedures for the unlicensed personnel (ULP) providing medications to residents having unplanned time away when the licensed nurse was not available. This had the potential to affect all four residents. [...]”
Rule cited: “(2) for unplanned time away, when the pharmacy is not able to provide the medications, a licensed nurse or unlicensed personnel shall provide medications in amounts and dosages needed for the length of the anticipated absence, not to exceed seven calendar [...]”
- 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 two residents (R1, R2) who received medication management services with records reviewed.
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 two residents (R1, R2) who received medication management services with records reviewed. [...]”
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 1910: 144G.71 Subd. 22 Disposition of medications Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to ensure documentation of the disposition of medications included all required information for one of one discharged resident (R5) with record reviewed.
MDH’s finding, as written: “Based on interview and record review, the licensee failed to ensure documentation of the disposition of medications included all required information for one of one discharged resident (R5) with record reviewed. [...]”
Rule cited: “(a) Any current medications being managed by the assisted living facility must be provided to the resident when the resident's service plan ends or medication management services are no longer part of the service plan. [...]”
- Tag 3090: 144.6502, Subd. 8 Notice to Visitors Level 1, widespread scope, scope/level letter C · correction period: Twenty-One (21) days
Details
Summary: MDH found the licensee failed to post a required notice with statutory language at the main entry of the facility to disclose electronic monitoring activity.
MDH’s finding, as written: “Based on observation, interview and record review, the licensee failed to post a required notice with statutory language at the main entry of the facility to disclose electronic monitoring activity. This had the potential to affect all four current residents, staff and any visitors to the facility. [...]”
Rule cited: “Subd. 8.Notice to visitors. (a) A facility must post a sign at each facility entrance accessible to visitors that states: "Electronic monitoring devices, including security cameras and audio devices, may be present to record persons and activities." (b) The [...]”
From MDH’s letter: the letter says the facility is in substantial compliance; no immediate fines.
- Tag 250: 144G.20 Subdivision 1 Conditions (re-issued) Level 2, widespread scope, scope/level letter F
Substantiated investigations (state reports)
- January 31, 2023 · report HL371974103M · MDH finding: Substantiated, facility responsibility
Details
Allegation, as written: “The facility neglected to supervise two residents when one of the residents overdosed on unknown street drugs in the facility, and the next morning a second resident overdosed on unknown street drugs and died. It is alleged that staff were sleeping at the time of the second overdose.”
“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. The facility failed to implement staff interventions or follow-up with a nurse after the first resident (Resident #1) overdosed in the second resident's (Resident #2) room. Several hours after Resident 1 overdosed; Resident #2 overdosed and died. A facility staff stated the night staff was sleeping when they discovered Resident #2 unresponsive and not breathing. An equal opportunity employer.”
Action taken by facility: “The facility provided CPR training to staff.”
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 January 30, 2023: 5 correction orders
- Tag 250: 144G.20 Subdivision 1 Conditions Level 3, widespread scope, scope/level letter I · correction period: Seven (7) days
Details
MDH’s finding, as written: “Based on interviews and document review, the license failed to cooperate with and failed to provide accurate and truthful information during an investigation of two residents (R1, R2) reviewed for maltreatment. The licensee also violated a city ordinance related to housing by leasing the building from the owner in direct violation of city code. This had the potential to affect all residents and staff at the facility. [...]”
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 330: 144G.30 Subd. 4 Information provided by facility Level 3, widespread scope, scope/level letter I · correction period: Two (2) Days
Details
Summary: MDH found the facility failed to provide accurate and truthful information during an investigation of two residents (R1, R2) reviewed for maltreatment.
MDH’s finding, as written: “Based on interview and document review, the facility failed to provide accurate and truthful information during an investigation of two residents (R1, R2) reviewed for maltreatment. This had the potential to affect all residents and staff at the facility. [...]”
Rule cited: “(a) The assisted living facility shall provide accurate and truthful information to the department during a survey, investigation, or other licensing activities. [...]”
- Tag 630: 144G.42 Subd. 6 (b) Compliance with requirements for reporting ma Level 4, isolated scope, scope/level letter J · correction period: Two (2) Days
Details
MDH’s finding, as written: “Based on interview and document review the licensee failed to update an individual abuse prevention plan (IAPP) with specific interventions to address the potential for self-harm from one of one residents (R1) reviewed for maltreatment when R1 overdosed on illicit drugs while in the facility, required Narcan for revival, and went to the hospital. The facility was notified of the immediacy on January 20, 2023. The immediacy was removed on January 30, 2023. [...]”
Rule cited: “(b) The facility must develop and implement an individual abuse prevention plan for each vulnerable adult. [...]”
- Tag 2310: 144G.91 Subd. 4 (a) Appropriate care and services Level 4, isolated scope, scope/level letter J · correction period: Two (2) days
Details
Summary: MDH found the licensee failed to provide interventions and follow up with a nurse to address or minimize illicit drug use for two of two residents (R1 and R2) reviewed for maltreatment.
MDH’s finding, as written: “Based on interview and document review, the licensee failed to provide interventions and follow up with a nurse to address or minimize illicit drug use for two of two residents (R1 and R2) reviewed for maltreatment. R1 overdosed in R2's room and paramedics revived him with Narcan (an emergency rescue medication used to reverse an overdose of opioid's). [...]”
Rule cited: “(a) Residents have the right to care and assisted living services that are appropriate based on the resident's needs and according to an up-to-date service plan subject to accepted health care standards.”
- Tag 2360: 144G.91 Subd. 8 Freedom from maltreatment
Details
Summary: MDH found the facility failed to ensure 1 of 1 residents reviewed (R1) was free from maltreatment.
MDH’s finding, as written: “The facility failed to ensure 1 of 1 residents 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.”
- Tag 250: 144G.20 Subdivision 1 Conditions Level 3, widespread scope, scope/level letter I · correction period: Seven (7) days
- October 27, 2022 · report HL371972603M · MDH finding: Substantiated, facility responsibility
Details
“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. The facility failed to assess the resident prior to admission to determine the facility's capability to ensure the resident received the court ordered treatment. The facility failed to develop or implement a plan to address when the resident refused court ordered medications or missed medications because the resident was away from the facility. An equal opportunity employer. The resident had a mental health emergency which resulted in facility and personal property damage which placed himself and other residents at risk. Additionally, reports from separate incidents indicated other residents were left unsupervised off facility grounds. The facility did not enforce a system for reporting and following-up on resident incidents and medication refusals. [...]”
Action taken by facility: “No action taken.”
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 August 31, 2022: 6 correction orders
- Tag 620: 144G.42 Subd. 6 (a) Compliance with requirements for reporting ma Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment for one of one resident (R1) with records reviewed.
MDH’s finding, as written: “Based on interview, and record review, the licensee failed to report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment for one of one resident (R1) with records reviewed. [...]”
Rule cited: “144G.42 Subd. 6. Compliance with requirements for reporting maltreatment of vulnerable adults; abuse prevention plan. (a) The assisted living facility must comply with the requirements for the reporting of maltreatment of vulnerable adults in section 626.557. [...]”
- Tag 730: 144G.43 Subd. 3 Contents of resident record Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to complete a discharge summary or include emergency contact information for one of one (R1) resident records reviewed.
MDH’s finding, as written: “Based on interview, and record review, the licensee failed to complete a discharge summary or include emergency contact information for one of one (R1) resident records reviewed. [...]”
Rule cited: “Contents of a resident record include the following for each resident: (1) identifying information, including the resident's name, date of birth, address, and telephone number; (2) the name, address, and telephone number of the resident's emergency contact, [...]”
- Tag 1610: 144G.70 Subd. 2 (a-b) Initial reviews, assessments, and monitoring Level 2, isolated scope, scope/level letter D · correction period: Twenty-one (21) days
Details
Summary: MDH found the licensee failed to complete a pre-admission physical and cognitive assessment by a registered nurse (RN) for one of one (R1)
MDH’s finding, as written: “Based on interview, and record review, the licensee failed to complete a pre-admission physical and cognitive assessment by a registered nurse (RN) for one of one (R1) resident records reviewed. [...]”
Rule cited: “(a) Residents who are not receiving any services shall not be required to undergo an initial nursing assessment. [...]”
- Tag 1760: 144G.71 Subd. 8 Documentation of administration of medication Level 2, pattern scope, scope/level letter E · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to administer medications per physician ' s orders to two of two (R1, R2) residents with records reviewed.
MDH’s finding, as written: “Based on observation, interview, and record review, the licensee failed to administer medications per physician ' s orders to two of two (R1, R2) residents with records reviewed. Medications were not given per physician orders and the registered nurse (RN) was not always notified. [...]”
Rule cited: “Each medication administered by the assisted living facility staff must be documented in the resident's record. The documentation must include the signature and title of the person who administered the medication. [...]”
- Tag 2360: 144G.91 Subd. 8 Freedom from maltreatment
Details
Summary: MDH found the facility failed to ensure one of one resident reviewed (R1) was free from maltreatment.
MDH’s finding, as written: “Based on observations, interviews, and document review, the facility failed to ensure one of one resident reviewed (R1) was free from maltreatment. R1 was neglected. Findings include: The Minnesota Department of Health (MDH) issued a determination that neglect occurred, and that the facility was responsible for the maltreatment, in connection with incidents which occurred at the facility.”
Rule cited: “Residents have the right to be free from physical, sexual, and emotional abuse; neglect; financial exploitation; and all forms of maltreatment covered under the Vulnerable Adults Act.”
- Tag 3000: 626.557 Subd. 3 Timing of report Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
Details
Summary: MDH found the licensee failed to report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment for one of one resident (R1) with records reviewed.
MDH’s finding, as written: “Based on interview, and record review, the licensee failed to report to the Minnesota Adult Abuse Reporting Center (MAARC) suspected maltreatment for one of one resident (R1) with records reviewed. [...]”
Rule cited: “(a) A mandated reporter who has reason to believe that a vulnerable adult is being or has been maltreated, or who has knowledge that a vulnerable adult has sustained a physical injury which is not reasonably explained shall immediately report the information [...]”
- Tag 620: 144G.42 Subd. 6 (a) Compliance with requirements for reporting ma Level 2, isolated scope, scope/level letter D · correction period: Seven (7) days
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”
Level 4: “a violation harmed a resident's health or safety, not including serious injury or death, or a violation that was likely to lead to serious injury 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 UNIQUE HOMES LLC
- License type
- Assisted Living Facility
- License number
- 421895
- License status
- Active
- Current license dated
- 2025-07-01
- Licensed capacity
- 4
- Licensee
- UNIQUE HOMES LLC
- County
- Hennepin County
- Administrator/Authorized Agent
- Stephen Zekpa
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 2.1 mi, nursing home 1.0 mi, pharmacy 2.7 mi
- Nearest hospital with an emergency room
- North Memorial Health Hospital, Robbinsdale. 2.1 miles away, straight line. CMS overall hospital rating: 1 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Good Samaritan Society - Specialty Care Community, Robbinsdale. 1.0 mile away, straight line.
- Nearest home health agency office
- Good Samaritan Society - Home Care, Robbinsdale. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 2.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55422 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fkc - Robbinsdale Dialysis, Robbinsdale, 0.7 miles away, straight line (CMS rating 2 of 5 stars)
Davita Robbinsdale Dialysis, Robbinsdale, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Kidney Care Brooklyn Center, Brooklyn Center, 2.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 55422.
North Memorial Home Hlth Hospc, office in Robbinsdale, 1.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Moments Hospice, office in Golden Valley, 3.6 miles away, straight line (CMS family survey rating 1 of 5 stars)
Grace Hospice, office in Minneapolis, 4.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Twin Cities Physicians Professional Corporation, Golden Valley. 3.3 miles away, straight line. 3 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 high, wildfire very low, tornado relatively moderate, heat wave relatively moderate, 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 2025. 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 Unique Homes provide?
Unique Homes is licensed by the state of Minnesota for assisted living in Robbinsdale, Minnesota. Its licensed capacity is 4 residents.
Does Lilisity rate Unique Homes?
No. We publish state licensing details for Unique Homes 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 Unique Homes 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. Unique Homes does not publish its prices.
How do I contact Unique Homes?
Visit Unique Homes at 3940 46th Avenue North, Robbinsdale, MN 55422.
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