Beehive Homes of Duluth.
Beehive Homes of Duluth is Grade C, ranked in the top 49% of Minnesota memory care with 1 MDH citation on record; last inspected Apr 2025.
A medium home, reviewed on public record.
Ranked against 187 Minnesota facilities.
ALF memory care · 36-month window. Higher percentile = better. Source: Minnesota Dept. of Health · Health Regulation Division.
FACILITY WATCH · BETA
Beehive Homes of Duluth has 1 citation on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
1 deficiencie on record. Each bar is a month with a citation.
Finding distribution
1 total · 36 monthsScope × Severity (CMS A–L)
Questions to ask before you visit.
A short pre-tour checklist tailored to Beehive Homes of Duluth's record and state requirements.
The most recent inspection on April 3, 2025 found zero deficiencies across all requirements — can you walk us through your internal quality assurance process and show us documentation of how the facility monitors compliance with Minnesota Statutes Chapter 144G dementia care standards between state visits?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Two complaints were filed with the Minnesota Department of Health during the inspection period on file — were either of those complaints substantiated, and can you share the facility's written response or corrective action documentation for any substantiated findings?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
This facility holds an Assisted Living Facility with Dementia Care license under Minnesota Statutes Chapter 144G — can you provide a copy of your written dementia care program and explain how staff demonstrate competency in dementia-specific techniques before working independently with residents?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every MDH visit, verbatim.
3 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-04-03Annual Compliance VisitNo findings
Plain-language summary
A routine inspection of Beehive Homes of Duluth on April 3, 2025 identified two violations: a fire protection and physical environment deficiency and a failure to conduct required background studies. The facility was assessed total fines of $3,500.00 ($500 for the fire protection violation and $3,000 for the background studies violation) and must document how it has corrected these issues.
Full inspector notes
CORRECTION ORDERS The enclosed State Form documents the state correction orders. MDH documents state licensing correction orders using federal software. Tag numbers are assigned to Minnesota state statutes for Assisted Living Facilities. The assigned tag number appears in the far left column entitled "ID Prefix Tag." The state statute number and the corresponding text of the state statute out of compliance are listed in the "Summary Statement of Deficiencies" column. This column also includes the findings that are in violation of the state statute after the statement, "This MN Requirement is not met as evidenced by . . ." IMPOSITION OF FINES In accordance with Minn. Stat. § 144G.31, Subd. 4, fines and enforcement actions may be imposed based on the level and scope of the violations and may be imposed immediately with no opportunity to correct the violation first as follows: Level 1: no fines or enforcement. Level 2: a fine of $500 per violation, in addition to any enforcement mechanism authorized in § 144G.20 for widespread violations; Level 3: a fine of $3,000 per violation per incident, in addition to any enforcement mechanism authorized in § 144G.20. Level 4: a fine of $5,000 per incident, in addition to any enforcement mechanism authorized in § 144G.20. Therefore, in accordance with Minn. Stat. §§ 144G.01 to 144G.9999, the following fines are assessed pursuant to this survey: An equal opportunity employer. Letter ID: IS7N REVISED 09/13/2021 Beehive Homes Of Duluth April 30, 2025 Page 2 0775 - 144g.45 Subd. 2. (a) - Fire Protection And Physical Environment - $500.00 1290 - 144g.60 Subdivision 1 - Background Studies Required - $3,000.00 Therefore, in accordance with Minn. Stat. §§ 144G.01 to 144G.9999, t he total amount you are assessed is $3,500.00. You will be invoiced approximately 30 days after receipt of this notice, subject to appeal. DOCUMENTATION OF ACTION TO COMPLY In accordance with Minn. Stat. § 144G.30, Subd. 5(c), the licensee must document actions taken to comply with the correction orders within the time period outlined on the state form; however, plans of correction are not required to be submitted for approval. The correction order documentation should include the following: Identify how the area(s) of noncompliance was corrected related to the resident(s)/employee(s) identified in the correction order. Identify how the area(s) of noncompliance was corrected for all of the provider’s resident(s)/employees that may be affected by the noncompliance. Identify what changes to your systems and practices were made to ensure compliance with the specific statute(s). CORRECTION ORDER RECONSIDERATION PROCESS In accordance with Minn. Stat. § 144G.32, Subd. 2, you may challenge the correction order(s) issued, including the level and scope, and any fine assessed through the correction order reconsideration process. The request for reconsideration must be in writing and received by MDH within 15 calendar days of the correction order receipt date. To submit a reconsideration request, please visit: https://forms.web.health.state.mn.us/form/HRDAppealsForm REQUESTING A HEARING Alternatively, in accordance with Minn. Stat. § 144G.31, Subd. 5(d), an assisted living provider that has been assessed a fine under this subdivision has a right to a reconsideration or a hearing under this section and chapter 14. Pursuant to Minn. Stat. § 144G.20, Subd. 14 and Subd. 18, a request for a hearing must be in writing and received by the Department of Health within 15 business days of the correction order receipt date. The request must contain a brief and plain statement describing each matter or issue contested and any new information you believe constitutes a defense or mitigating factor. To submit a hearing request, please visit: https://forms.web.health.state.mn.us/form/HRDAppealsForm To appeal fines via reconsideration, please follow the procedure outlined above. P lease note that you may request a reconsideration o r a hearing, but not both. If you wish to contest tags without fines in Beehive Homes Of Duluth April 30, 2025 Page 3 a reconsideration and tags with the fines at a hearing, please submit two separate appeals forms at the website listed above. The MDH Health Regulation Division (HRD) values your feedback about your experience during the survey and/or investigation process. Please fill out this anonymous provider feedback questionnaire at your convenience at this link: h ttps://forms.office.com/g/Bm5uQEpHVa. Your input is important to us and will enable MDH to improve its processes and communication with providers. If you have any questions regarding the questionnaire, please contact Susan Winkelmann at susan.winkelmann@state.mn.us or call 651-201-5952. You are encouraged to retain this document for your records. It is your responsibility to share the information contained in the letter and state form with your organization’s Governing Body. If you have any questions, please contact me. Sincerely, Jessie Chenze, Supervisor State Evaluation Team Email: jessie.chenze@state.mn.us Telephone: 218-332-5175 Fax: 1 -866-890-9290 JMD PRINTED: 04/30/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ B. WING _____________________________ 31350 04/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 4014 TRINITY ROAD BEEHIVE HOMES OF DULUTH DULUTH, MN 55811 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 ASSISTED LIVING PROVIDER LICENSING Minnesota Department of Health is CORRECTION ORDER(S) documenting the State Correction Orders using federal software. Tag numbers have In accordance with Minnesota Statutes, section been assigned to Minnesota State 144G.08 to 144G.95, these correction orders are Statutes for Assisted Living Facilities. The issued pursuant to a survey. assigned tag number appears in the far-left column entitled "ID Prefix Tag." The Determination of whether violations are corrected state Statute number and the requires compliance with all requirements corresponding text of the state Statute out provided at the Statute number indicated below. of compliance is listed in the "Summary When Minnesota Statute contains several items, Statement of Deficiencies" column. This failure to comply with any of the items will be column also includes the findings which considered lack of compliance. are in violation of the state requirement after the statement, "This Minnesota INITIAL COMMENTS: requirement is not met as evidenced by." Following the evaluators ' findings is the SL31350016-0 Time Period for Correction. On March 31, 2025, through April 3, 2025, the PLEASE DISREGARD THE HEADING OF survey at the above provider. At the time of the STATES,"PROVIDER'S PLAN OF survey, there were 38 residents; 38 receiving CORRECTION." THIS APPLIES TO services under the Assisted Living Facility with FEDERAL DEFICIENCIES ONLY. THIS Dementia Care license. WILL APPEAR ON EACH PAGE. On April 2, 2025, an immediate correction order THERE IS NO REQUIREMENT TO was identified for correction order 1290. The SUBMIT A PLAN OF CORRECTION FOR licensee took actions to mitigate immediacy, VIOLATIONS OF MINNESOTA STATE however, the correction order remains at a scope STATUTES. and level of widespread, level three (I). THE LETTER IN THE LEFT COLUMN IS USED FOR TRACKING PURPOSES AND REFLECTS THE SCOPE AND LEVEL ISSUED PURSUANT TO 144G.31 SUBDIVISION 1-3. 0 550 144G.41 Subd. 7 Resident grievances; reporting 0 550 SS=F maltreatment LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 QRRO11 If continuation sheet 1 of 47 PRINTED: 04/30/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ B. WING _____________________________ 31350 04/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 4014 TRINITY ROAD BEEHIVE HOMES OF DULUTH DULUTH, MN 55811 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 550 Continued From page 1 0 550 All facilities must post in a conspicuous place information about the facilities' grievance procedure, and the name, telephone number, and email contact information for the individuals who are responsible for handling resident grievances. The notice must also have the contact information for the Office of Ombudsman for Long-Term Care and the Office of Ombudsman for Mental Health and Developmental Disabilities and must have information for reporting suspected maltreatment to the Minnesota Adult Abuse Reporting Center.
2025-02-24Complaint InvestigationNo findings
Plain-language summary
A complaint investigation was conducted at Beehive Homes of Duluth on February 13, 2025. No correction orders were issued as a result of the investigation. The facility was found to be in compliance with state laws and rules governing assisted living facilities with dementia care.
Full inspector notes
STATE LICENSING COMPLIANCE REPORT Report #: HL313502902C Date Concluded: February 20, 2025 Name, Address, and County of Facility Investigated: Beehive Homes of Duluth 4014 Trinity Road Duluth, MN, 55811 Saint Louis County Facility Type: Assisted Living Facility with Evaluator’s Name: Angela Vatalaro, RN Dementia Care (ALFDC) The Minnesota Department of Health conducted a complaint investigation to determine compliance with state laws and rules governing the provision of care under Minnesota Statutes, Chapter 144G. The purpose of this complaint investigation was to review if facility policies and practices comply with applicable laws and rules. No maltreatment under Minnesota Statutes, Chapter 626 was alleged. To view a copy of the correction orders, if any, please visit: https://www.health.state.mn.us/facilities/regulation/directory/provcompselect.html, or call website, please see the attached state form. PRINTED: 02/24/2025 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ C B. WING _____________________________ 31350 02/13/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 4014 TRINITY ROAD BEEHIVE HOMES OF DULUTH DULUTH, MN 55811 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 On February 13, 2025, the Minnesota Department of Health initiated an investigation of complaint #HL313502902C. No correction orders are issued. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 4CS311 If continuation sheet 1 of 1
2024-10-14Complaint Investigation1 · Substantiated Finding
Plain-language summary
A complaint investigation found that the facility neglected a resident by failing to provide required staff assistance with toileting, transferring, and walking, resulting in four falls within five days, including one that caused a skull fracture and brain bleeding requiring hospitalization. Staff did not implement the documented contact guard assistance or a specific toileting schedule despite knowing the resident needed continuous support due to balance problems and orthostatic hypotension. The facility's failure to carry out the necessary care directly led to the resident's serious injuries.
“MDH substantiated maltreatment or licensing violation finding”
Full inspector notes
Finding: Substantiated, facility responsibility Nature of Investigation: The Minnesota Department of Health investigated an allegation of maltreatment, in accordance with the Minnesota Reporting of Maltreatment of Vulnerable Adults Act, Minn. Stat. 626.557, and to evaluate compliance with applicable licensing standards for the provider type. Initial Investigation Allegation(s): The facility neglected the resident when they failed to provide the resident with the required supervision and assistance needed for toileting and transferring and as a result, the resident fell four times within five days. One fall resulted in a fractured skull and brain bleed that required hospitalization. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was substantiated. The facility was responsible for the treatment. The resident was assessed as needing staff assistance with ambulation, toileting and transferring however, those services were not communicated and completed by staff. As a result, the resident fell four times resulting in a brain bleed and skull fracture. The investigator conducted interviews with facility staff members, including nursing staff and the resident’s family member. The investigation included review of the resident’s facility record, hospital records, home health agency physical therapy record, facility incident reports, and related facility policy and procedures. Also, the investigator observed direct resident cares during her onsite investigation. The resident resided in an assisted living memory care facility. The resident’s diagnoses included acute and chronic subdural hematoma (blood collected between the brain and skull), and orthostatic hypotension (blood pressure suddenly drops when standing from a sitting or lying position.) The resident’s services indicated the resident required staff contact guard assist (staff must have their hand on the resident at all times to steady their balance), a gait belt and walker to ambulate. Due to the resident’s unsteadiness and decreased strength, the resident required supervision to ensure safety when transferring and toileting during the day and night. The resident was unable to consistently use the call pendant. A fall incident report indicated one evening the resident had an unwitnessed fall while attempting to put her pajamas on for bed. The resident sustained a dime-sized rug burn on her left elbow. A fall incident report indicated 42 hours later; the resident was found lying on the floor just outside her bathroom. The resident told staff she slipped while going to the bathroom. The resident sustained a laceration to the left back side of her skull (occipital area). Staff noted a smear of blood on a bathroom cabinet along with a pool of blood on the bathroom floor. Staff cleaned the head laceration, and a pressure bandage was applied to the resident’s open head wound. The facility implemented a fall pad to be on at all times. The following day, a fall incident report indicated the resident fell in her apartment when attempting to self-transfer from the recliner and hit her head. The fall was unwitnessed. The next day, a fall incident report indicated the resident had another unwitnessed fall in the resident’s apartment when the resident attempted to self-transfer. The resident told staff her head struck the floor when she fell. The resident complained her head hurt. A progress note indicated two days after her last fall, the resident’s family member took the resident to the emergency room to have the resident’s chest x-rayed due to her ongoing respiratory symptoms. The hospital recommended a computed tomography (CT) scan on the resident’s head due to the resident’s recent falls with head injuries. The resident was diagnosed with two brain bleeds, an approximate three-day old skull bone (occipital) fracture in addition to a respiratory infection. The resident was admitted to the hospital for observation. A follow-up CT scan indicated the resident had no improvement from her previous scan. The resident’s hospital record indicated the resident’ provider documented, "We really need to work on avoiding another fall. Apparently, there is a higher level of care available where she lives." The resident spent three days in the hospital before she was discharged back to the facility. The resident’s record lacked evidence facility staff provided the resident with contact guard assistance during ambulation and lacked evidence a toileting schedule including frequency to assist the resident, was implemented. The resident’s fall interventions included a toileting schedule as needed, assist with transfers as needed and did not include the frequency the resident required staff assistance. In addition, staff were directed to encourage the resident to press the call pendant when needing staff assistance even though the facility had determined the resident was unable to use the pendant properly. When interviewed, a staff member stated the resident easily became off balance, stating the resident would try and sit down on the toilet seat before she was actually sitting on the toilet. The staff member stated the resident was unable to tell how far or close she was to the toilet seat before she sat down. When interviewed, the facility nurse stated the resident was always a fall risk and sustained many falls stating most falls occurred while the resident attempted to toilet herself. The facility nurse stated although the facility could not provide 1:1 supervision they “obviously” would supervise the resident to make sure she was okay. The facility nurse stated she was unsure if the resident knew how to use her call pendant. The facility nurse stated messages were sent out to staff whenever a resident fell notifying staff of changes made to service plans. In conclusion, the Minnesota Department of Health determined neglect was substantiated. Substantiated: Minnesota Statutes, section 626.5572, Subdivision 19. “Substantiated” means a preponderance of evidence shows that an act that meets the definition of maltreatment occurred. Neglect: Minnesota Statutes, section 626.5572, subdivision 17 Neglect means neglect by a caregiver or self-neglect. (a) "Caregiver neglect" means the failure or omission by a caregiver to supply a vulnerable adult with care or services, including but not limited to, food, clothing, shelter, health care, or supervision which is: (1) reasonable and necessary to obtain or maintain the vulnerable adult's physical or mental health or safety, considering the physical and mental capacity or dysfunction of the vulnerable adult; and (2) which is not the result of an accident or therapeutic conduct. Vulnerable Adult interviewed: No. Unable to interview due to the severity of her cognitive impairment. Family/Responsible Party interviewed: Yes. Alleged Perpetrator interviewed: Not applicable. the Action taken by facility: The facility completed fall incident reports. Action taken by the Minnesota Department of Health: The responsible party will be notified of their right to appeal the maltreatment finding. The facility was found to be in noncompliance. To view a copy of the Statement of Deficiencies and/or correction orders, please visit: https://www.health.state.mn.us/facilities/regulation/directory/provcompselect.html If you are viewing this report on the MDH website, please see the attached Statement of Deficiencies. You may also call 651-201-4200 to receive a copy via mail or email. cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities St. Louis County Attorney Duluth City Attorney Duluth Police Department PRINTED: 10/14/2024 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ C B. WING _____________________________ 31350 07/17/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 4014 TRINITY ROAD BEEHIVE HOMES OF DULUTH DULUTH, MN 55811 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 ******ATTENTION****** Assisted Living Provider 144G. ASSISTED LIVING PROVIDER CORRECTION Minnesota Department of Health is ORDER documenting the State Correction Orders using federal software. Tag numbers have In accordance with Minnesota Statutes, section been assigned to Minnesota State 144G.08 to 144G.95, these correction orders are Statutes for Assisted Living Facilities. The issued pursuant to a complaint investigation. assigned tag number appears in the far-left column entitled "ID Prefix Tag." The Determination of whether a violation is corrected state Statute number and the requires compliance with all requirements corresponding text of the state Statute out provided at the statute number indicated below. of compliance is listed in the "Summary When a Minnesota Statute contains several Statement of Deficiencies" column. This items, failure to comply with any of the items will column also includes the findings which be considered lack of compliance.
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