Eaglecrest.
Eaglecrest is Grade C, ranked in the top 45% of Minnesota memory care with 1 MDH citation on record; last inspected Aug 2025.
A large home, reviewed on public record.
Ranked against 138 Minnesota facilities.
ALF memory care · 36-month window. Higher percentile = better. Source: Minnesota Dept. of Health · Health Regulation Division.
FACILITY WATCH · BETA
Eaglecrest 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 Eaglecrest's record and state requirements.
The most recent inspection on August 20, 2025 found zero deficiencies across all regulatory areas — can you walk us through how your 136-bed community maintains compliance with Minnesota's Assisted Living with Dementia Care requirements, and what internal quality checks you use between state inspections?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
One complaint was filed with the Minnesota Department of Health during the period on file — can you explain what that complaint involved, whether it was substantiated, and what corrective actions or policy changes the facility made in response?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Minnesota statute chapter 144G requires assisted living facilities with dementia care to have a written dementia care program — can you provide a copy of that program during our tour and explain how staff are trained to implement it across all 136 licensed beds?
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.
2025-08-20Annual Compliance VisitNo findings
Plain-language summary
A routine inspection of EagleCrest Arbor on August 20, 2025 found one violation related to fire protection and physical environment under Minnesota state statute. The facility was assessed a $500 fine for this violation and must document the actions taken to correct it within the timeframe specified by the state.
Full inspector notes
correction orders and document the actions taken to comply in the facility's records. The Department reserves the right to return to the facility at any time should the Department receive a complaint or deem it necessar yto ensure the health, safety, and welfare of residents in your care. STATE CORRECTIO ONRDERS 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 Statemen tof Deficiencies "column. This column also includes the findings that are in violation of the state statute after the statement, "This MN Requiremen tis not met as evidenced by . . ." IMPOSITION OF FINES In accordance with Minn. Stat. § 144G3. 1, 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: Leve l1: no fines or enforcement; Leve l2: a fine of $500 per violation, in addition to any enforcement mechanism authorized in § 144G2. 0; Leve l3: a fine of $1,000 per incident, in addition to any enforcement mechanism authorized in § 144G2. 0; Leve l4: a fine of $3,000 per incident, in addition to any enforcement mechanism authorized in An equal opportunity employer . Letter ID: IS7N REVISE 0D9/13/2021 EagleCrest October 6, 2025 Page 2 § 144G2. 0; Leve l5: a fine of $5,000 per violation, in addition to any enforcement mechanism authorized in § 144G2. 0. Therefore ,in accordance with Minn. Stat. §§ 144G0. 1 to 144G9. 999, the following fines are assessed pursuant to this survey: St - 0 - 0775 - 144g.45 Subd. 2. (a) - Fire Protection And Physica lEnvironment - $500.00 Therefore ,in accordance with Minn. Stat. §§ 144G0. 1 to 144G9. 999, the total amount you are assesse dis $500.00. You will be invoiced approximately 30 days after receipt of this notice, subject to . appeal DOCUMENTATIO ONF ACTION TO COMPLY In accordance with Minn. Stat. § 144G3. 0, Subd .5(c), the licensee must docum ent 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: x Identify how the area(s) of noncompliance was corrected related to the resident(s)/ employees( ) identified in the correction order. x 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. x Identify what changes to your systems and practices were made to ensure compliance with the specific statute(s). CORRECTIO ONRDER RECONSIDERATI OPRNOCESS In accordance with Minn. Stat. § 144G3. 2, Subd .2, you may challenge the correction order(s) issued, including the level and scope ,and any fine assesse dthrough 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 REQUESTIN AG HEARING Alternatively ,in accordance with Minn. Stat. § 144G3. 1, Subd .5(d), an assisted living provider that has been assesse da fine under this subdivision has a right to a reconsideration or a hearing under this section and chapter 14. Pursuan tto Minn. Stat. § 144G2. 0, 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. EagleCrest October 6, 2025 Page 3 To submit a hearing request, please visit: https:/ / forms.web.health.state.mn.us/form/ HRDAppealsForm To appea lfines via reconside ration, please follow the pr ocedur e outlined above. Plea se note that you may request a reconsideration or a hearing, but not both. If you wish to contest tags without fines in 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: https:/ / forms.office.com/g/ Bm5uQEpHV.a Your input is important to us and will enable MDH to improve its processe sand communication with providers . If you have any questions regarding the questionnaire ,please contact Susan Winkelmann at susanw. inkelmann@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 organizations’ Governing Body. If you have any questions ,please contact me. Sincerely, Renee L. Anderson ,Supervisor State Evaluation Team Email: ReneeL. .Anderson@state.mn.us Telephone :651-201-5871 Fax :1-866-890-9290 CLN PRINTED: 10/06/2025 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 _____________________________ 24032 08/20/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 2955 LINCOLN DRIVE EAGLE CREST ARBOR ROSEVILLE, MN 55113 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE PREFIX PREFIX REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 *****ATTENTION***** Minnesota Department of Health is documenting the State Correction Orders ASSISTED LIVING PROVIDER LICENSING using federal software. Tag numbers have CORRECTION ORDER(S) been assigned to Minnesota State Statutes for Assisted Living Facilities. The In accordance with Minnesota Statutes, section assigned tag number appears in the 144G.08 to 144G.95, these correction orders are far-left column entitled "ID Prefix Tag." issued pursuant to a survey. The state Statute number and the corresponding text of the state Statute out Determination of whether violations are corrected of compliance is listed in the "Summary requires compliance with all requirements Statement of Deficiencies" column. This provided at the Statute number indicated below. column also includes the findings which When Minnesota Statute contains several items, are in violation of the state requirement failure to comply with any of the items will be after the statement, "This Minnesota considered lack of compliance. requirement is not met as evidenced by." Following the evaluators ' findings is the INITIAL COMMENTS: Time Period for Correction. SL24032016-0 PLEASE DISREGARD THE HEADING OF THE FOURTH COLUMN WHICH On August 18, 2025, through August 20, 2025, STATES,"PROVIDER'S PLAN OF the Minnesota Department of Health conducted a CORRECTION." THIS APPLIES TO full survey at the above provider and the FEDERAL DEFICIENCIES ONLY. THIS following correction orders are issued. At the time WILL APPEAR ON EACH PAGE. of the survey, there were 112 residents; 112 receiving services under the Assisted Living THERE IS NO REQUIREMENT TO Facility with Dementia Care license. SUBMIT A PLAN OF CORRECTION FOR VIOLATIONS OF MINNESOTA STATE STATUTES. 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. 0 480 144G.41 Subdivision 1 Subd. 1a (a-b) Minimum 0 480 SS=F requirements; required food services LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 JR9C11 If continuation sheet 1 of 11 PRINTED: 10/06/2025 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 _____________________________ 24032 08/20/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 2955 LINCOLN DRIVE EAGLE CREST ARBOR ROSEVILLE, MN 55113 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) (EACH DEFICIENCY MUST BE PRECEDED BY FULL (EACH CORRECTIVE ACTION SHOULD BE COMPLETE PREFIX PREFIX REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 480 Continued From page 1 0 480 (a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626.
2024-12-03Complaint Investigation1 · Substantiated Finding
Plain-language summary
A complaint investigation substantiated that facility staff failed to administer the resident's glaucoma eye drops correctly by not waiting the required five minutes between administering the prescribed eye drops and artificial tears, resulting in dangerously high eye pressure that could have caused vision loss. The investigation found no preponderance of evidence that staff failed to provide toileting services as planned, and verbal abuse allegations were not substantiated. The facility was found responsible for the neglect related to medication administration.
“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 alleged perpetrator, (AP), unknown facility staff member, verbally abused the resident when they yelled and made an inappropriate comment to the resident. In addition, the facility neglected the resident when they failed to provide toileting services according to the resident’s care plan and failed to administer the resident’s eye medications according to physician orders. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was substantiated. The facility was responsible for the maltreatment. Facility staff failed to correctly administer the resident’s prescribed glaucoma (increased pressure in the eye due to fluid build-up) eye drops and over-the-counter artificial tears for eye dryness by not waiting five minutes between administration of the two eye drops. As a result, the resident’s eye pressures became dangerously high. There was not a preponderance of evidence facility staff failed to provide the resident with toileting services according to her care planned needs. The Minnesota Department of Health determined verbal abuse was not substantiated. It could not be determined there was an incident of verbal abuse toward the resident by facility staff. The investigator conducted interviews with facility staff members, including administrative staff, nursing staff, and unlicensed staff. The resident’s family member was interviewed. The investigator contacted the resident’s eye doctor. The investigation included review of the resident’s facility record, eye clinic record, personnel files, staff schedules, and related facility policy and procedures. Also, the investigator observed staff interaction and cares with the resident. The resident resided in an assisted living memory care unit. The resident’s diagnoses included impaired cognition, glaucoma (chronic eye disease that can lead to poor vision or blindness), and macular degeneration (eye disease affects central vision.) The resident’s service plan included assistance with personal cares, escorts, toileting, and medication administration. The resident was independent with transfers and mobility even though she was legally blind. The resident was able to follow simple commands and made herself understood. The resident used a four-wheeled walker for mobility. The resident’s medication administration record indicated the resident was prescribed Latanoprost (used to treat elevated eye pressure) one drop to both eyes every evening, and artificial tears one drop to both eyes three times per day. Staff were directed to wait five minutes in between administration of the eye drops. In addition, the record indicated five dates with red circles around staff initials for Latanoprost. A legend at the bottom of the page indicated red circles indicated the medication was either “declined or skipped” and directed staff to review a note for the reason. In the medication notes section, next to the corresponding date and time staff documented the Latanoprost was not available or, the Latanoprost medication was not supposed to be on Marigold Chickadee (another unit of the facility) indicating it was unclear if the resident received the Latanoprost. In addition, prior to the resident’ eye appointment, there were five days staff administered the resident’s prescribed Latanoprost and artificial tears one after the other without waiting five minutes between administration as prescribed by the resident’s provider. Review of the resident’s eye provider’s note indicated the resident’s family member brought the resident to see her eye doctor after the resident complained of worsening vision. The visit note indicated the resident stated she could no longer read, write, or see people. The resident’s family member stated one week earlier while looking at the resident’s camera footage placed in the resident’s room, the family member saw staff administer the resident’s Latanoprost and artificial tears back-to-back with no wait time in between the two drops. Measurements at the appointment indicated the resident’s eye pressures were dangerously high. The resident’s provider prescribed an additional glaucoma eye drop (dorzolamide-timolol; one drop to both eyes twice a day) to reduce her eye pressures. The provider discontinued the resident’s artificial tears. During an interview, the resident’s eye doctor stated he normally does not see eye pressure spikes like the resident had unless the eye drops were not administered or administering different eye drops one right after the other without waiting five minutes in-between administration of the two eye drops. The eye doctor stated the resident could have lost her eyesight if her eye pressures remained at the dangerously high level they were measured at during the resident’s appointment. The resident’s eye doctor stated it was unlikely the resident’s eye pressures would spike that high if she missed one dose or if her eye drops were incorrectly instilled one time stating, “It was more likely multiple times within a few weeks.” During an interview, the administrative nurse stated a red circle around staff initials meant the resident’s Latanoprost was either declined, not administered, or administered by a “different person,” stating “If it shows up on my screen that I’m supposed to give a medication and somebody else gives it then I would document declined because I did not give the medication.” The administrative nurse stated staff who actually administered the resident’s Latanoprost should be the one who documented if it was administered or not. The administrative nurse stated floor nurses were supposed to perform weekly audits on staff’s medication documentation and follow-up with any issues regarding their documentation. The administrative nurse stated it was easy to determine whether oral medications were administered because oral medications were popped out of bubble packs, but stated it was difficult to know with eye drop administration, stating “With eye drops you really don’t know if it was given.” During an interview, the resident’s family member indicated at the time of the occurrence she talked to an on-duty nurse when she saw on video staff administering the resident’s eye drops with no break between administration of the two eye drops. The resident’s family member indicated the on-duty nurse confirmed staff were to wait five minutes between administration of the two different eye drops. The family member stated she became concerned and took the resident to the eye doctor when the resident said her vision worsened. 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. “Not Substantiated” means: An investigatory conclusion indicating the preponderance of evidence shows that an act meeting the definition of maltreatment did not occur. 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. Abuse: Minnesota Statutes section 626.5572, subdivision 2. "Abuse" means: … (b) Conduct which is not an accident or therapeutic conduct as defined in this section, which produces or could reasonably be expected to produce physical pain or injury or emotional distress including, but not limited to, the following: (1) hitting, slapping, kicking, pinching, biting, or corporal punishment of a vulnerable adult; (2) use of repeated or malicious oral, written, or gestured language toward a vulnerable adult or the treatment of a vulnerable adult which would be considered by a reasonable person to be disparaging, derogatory, humiliating, harassing, or threatening. Vulnerable Adult interviewed: Yes Family/Responsible Party interviewed: Yes Alleged Perpetrator interviewed: Not Applicable. the Action taken by facility: No action taken by the facility 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.
2023-05-25Annual Compliance VisitNo findings
Plain-language summary
A routine licensing inspection of Eagle Crest Arbor was conducted May 22–25, 2023, and resulted in correction orders for violations of Minnesota assisted living with dementia care statutes; no immediate fines were assessed. The facility must document actions taken to correct the cited deficiencies within the timeframe specified by the state, addressing how noncompliance was corrected for affected residents and employees and what systemic changes were made. The facility may request reconsideration of the correction orders in writing within 15 calendar days of receipt.
Full inspector notes
correction orders. The 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 . . ." In accordance with Minn. Stat. § 144G.31 Subd. 4, MDH may assess fines and enforcement actions bas ed on th e le vel and scope of the viol ation s; however, no immediate fines are assessed for this survey of your facility. DOCUMENTATIO ONF ACTION TO COMPLY In accorda nce with Min n. Stat. § 144G.30, Sub d. 5(c), th e lic ens ee mus t docum ent ac tions taken t o 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 · An equal opportunity employer. Letter ID: IS7N REVISE D09/13/2021 Eagle Crest Arbor June 21, 2023 Page 2 the specific statute( s). CORRECTIO NORDER RECONSIDERATIO PNROCESS 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 the MDH within 15 calendar days of the correction order receipt date. A state correction order under Minn. Stat. § 144G.91, Subd. 8, Free from Maltreatment is associated with a maltreatment determination by the Office of Health Facility Complaints. If maltreatment is substantiated, you will receive a separate letter with the reconsideration process under Minn. Stat. § 626.557. Plea se em ail rec ons ider at ion requ ests to: Health. HRDA. ppeals@state. mn.us . Pl ease at tach this letter as part of your reconsideration request. Please clearly indicate which tag(s) you are contesting and submit information supporting your position(s). Please address your cover letter for reconsideration requests to: Reconsideration Unit 85 East Seventh Place St. Paul, MN 55164-0970 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, Jonathan Hill, Supervisor State Evaluation Team Email: jonathan. hill@state. mn.us Telephone: 651-201-3993 Fax: 651-281-9796 PMB PRINTED: 06/ 21/ 2023 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 _____________________________ 24032 05/ 25/ 2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 2955 LINCOLN DRIVE EAGLE CREST ARBOR ROSEVILLE, MN 55113 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****** Minnesota Department of Health is documenting the State Correction Orders ASSISTED LIVING PROVIDER LICENSING using federal software. Tag numbers have CORRECTION ORDER( S) been assigned to Minnesota State Statutes for Assisted Living with Dementia In accordance with Minnesota Statutes, section Care license providers. The assigned tag 144G. 08 to 144G. 95, these correction orders are number appears in the far left column issued pursuant to a survey. entitled "ID Prefix Tag. " The state Statute number and the corresponding text of the Determination of whether violations are corrected state Statute out of compliance is listed in requires compliance with all requirements the "Summary Statement of Deficiencies" provided at the Statute number indicated below. column. This column also includes the When Minnesota Statute contains several items, findings which are in violation of the state failure to comply with any of the items will be requirement after the statement, "This considered lack of compliance. Minnesota requirement is not met as evidenced by." Following the surveyors' INITIAL COMMENTS: findings is the Time Period for Correction. SL24032015 PLEASE DISREGARD THE HEADING OF On May 22, 2023, through May 25, 2023, the THE FOURTH COLUMN WHICH survey at the above provider, and the following CORRECTION. " THIS APPLIES TO correction orders are issued. At the time of the FEDERAL DEFICIENCIES ONLY. THIS survey, there were 127 active residents; 124 were WILL APPEAR ON EACH PAGE. receiving services under the Assisted Living/Dementia Care license. THERE IS NO REQUIREMENT TO SUBMIT A PLAN OF CORRECTION FOR VIOLATIONS OF MINNESOTA STATE STATUTES. 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. 0 480 144G. 41 Subd 1 (13) (i) (B) Minimum 0 480 SS= F requirements (13) offer to provide or make available at least the LABORATORY DIRECTOR' S OR PROVIDER/ SUPPLIER REPRESENTATIVE' S SIGNATURE TITLE (X6) DATE STATE FORM 6899 GFD111 If continuation sheet 1 of 33 PRINTED: 06/ 21/ 2023 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 _____________________________ 24032 05/ 25/ 2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 2955 LINCOLN DRIVE EAGLE CREST ARBOR ROSEVILLE, MN 55113 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) 0 480 Continued From page 1 0 480 following services to residents: (B) food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626; and This MN Requirement is not met as evidenced by: 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 residents) . The findings include: Please refer to the included document titled, Food and Beverage Establishment Inspection Report dated May 23, 2023, for the specific Minnesota Food Code deficiencies. TIME PERIOD FOR CORRECTION: Twenty-one (21) days 0 730 144G. 43 Subd. 3 Contents of resident record 0 730 SS= F 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 STATE FORM 6899 GFD111 If continuation sheet 2 of 33 PRINTED: 06/ 21/ 2023 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.
Other facilities in Ramsey County.
Other memory care facilities in Ramsey County with similar care offerings.
Family reviews
No reviews yet — be the first to share your experience
No published reviews yet. Use the button above to share your experience.
Other memory care options nearby.
More options in neighboring cities
Licensed memory care in other cities within this county region — useful when your search radius crosses city limits.