Suite Living Senior Care of Sh.
Suite Living Senior Care of Sh is Grade C−, ranked in the bottom 49% of Minnesota memory care with 1 MDH citation on record; last inspected Jan 2024.
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
Suite Living Senior Care of Sh 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)
Every MDH visit, verbatim.
2 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2024-03-18Complaint Investigation1 · Substantiated Finding
Plain-language summary
A complaint investigation found the facility neglected a resident by failing to identify and address pressure wounds on both heels before he was hospitalized with an infected wound; the facility had a care plan requiring two-hour repositioning checks and wound monitoring, but staff did not follow this protocol or document the heel wounds until a home health nurse discovered them. The resident subsequently was hospitalized and has since passed away. The facility was found in noncompliance and the responsible party will be notified of their right to appeal the maltreatment finding.
“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 he was sent to the hospital with an infected wound on his coccyx (tailbone) and new pressure wounds on both of his heels. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was substantiated. The facility was responsible for the maltreatment. The resident admitted to the facility with a coccyx wound and an outside home care agency managed. However, the resident developed new pressure wounds on both his heels, which the facility did not identify or address prior to a nurse from a home care agency identifying them just prior to the resident’s hospitalization. The investigator conducted interviews with facility staff members, including nursing staff and unlicensed staff. The investigation included review of resident's records and the resident's external medical record. The resident lived in an assisted living facility. The resident was diagnosed with type 2 diabetes and had a full thickness unstageable pressure wound on the coccyx. The resident's service plan initiated on his admission included checks, changes, and repositioning every two hours throughout the day and night. The same document indicated the resident the resident not oriented to person, place, and time. The resident had a Foley (indwelling) catheter, which was managed by a home health agency [not the facility]. The resident's 2-page individual resident care plan completed dated on his day of admission indicated the resident was independent with repositioning. The resident's assessment indicated safety checks were conducted every 2 hours throughout the day and night. Wound care his coccyx was scheduled twice weekly and performed by the home health agency. The medical records indicated approximately two months after the resident’s admission a nurse from the home health agency was there to provide catheter cares but identified pressure wounds on both if his heel. Additionally, she found the coccyx was infected. Subsequently, the resident was sent to the hospital. A review of the medical records identified no mention of the resident’s pressure wounds on his heels until the day the home health nurse identified them. Email correspondence from manager #1 indicated the resident's repositioning protocol was initiated three days prior to the discovery of his infection. The email indicated facilitate communicated the resident’s care requirements, caregivers had access to both the resident's service plan and a 2-page care plan. These documents were printed and stored in a three-ring binder labeled with the resident's room number, available at the nursing station for review. Caregivers were assigned to specific residents during each shift and were required to electronically acknowledge their responsibilities. However, she was unable to provide the updated 2-page care plan upon request. During an interview, the nurse #1 stated it was her first visit with the resident, during which he complained of pain in his heels. She lifted his heels and observed pressure ulcer wounds on both and described them as dark red and very painful. She said when she arrived, the resident's heels were resting on the bed without any elevation. She called 911 and sent the resident to the hospital for further evaluation. During an interview, the nurse #2 stated the resident had a couple of wounds that were being managed by an outside agency. He said he did not remember the specific location of the resident's wounds. Additionally, he said the resident was bedbound and under hospice care. While he stated the resident was on a two-hour repositioning schedule, he was uncertain regarding whether the caregivers carried it out or not. During an interview, unlicensed caregiver #1 stated the resident had not been bedbound for an extended period, and she did not believe he required turning every two hours. During an interview, unlicensed caregiver #2 stated the resident required turning every two hours. She said he frequently sat and dozed off in his chair. Although she could not recall if he had a wound on his coccyx, she confirmed that he did have wounds on his heels. She said the nurse knew about it but did not remember who the nurse was. 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. The resident was deceased. Family/Responsible Party interviewed: No; attempts were not successful. Alleged Perpetrator interviewed: Applicable. Action taken by facility: No action taken. 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 Scott County Attorney Shakopee City Attorney Shakopee Police Department Minnesota Board of Nursing PRINTED: 03/19/2024 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 _____________________________ 39570 02/13/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 1645 WINDERMERE WAY SUITE LIVING SENIOR CARE OF SHAKOPEE L LC SHAKOPEE, MN 55379 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, 2024, the Minnesota Minnesota Department of Health is Department of Health initiated an investigation of documenting the State Correction Orders complaints #HL395707284M/HL395703743C. using federal software. Tag numbers have The following correction orders are issued, tag been assigned to Minnesota State identification 2310 and 2360. Statutes for Assisted Living License Providers. 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 is listed in the "Summary Statement of Deficiencies" column. This column also includes the findings which are in violation of the state requirement after the statement, "This Minnesota requirement is not met as evidenced by." Following the surveyors' findings is the Time Period for Correction. PLEASE DISREGARD THE HEADING OF THE FOURTH COLUMN WHICH STATES,"PROVIDER'S PLAN OF CORRECTION." THIS APPLIES TO FEDERAL DEFICIENCIES ONLY. THIS WILL APPEAR ON EACH PAGE. 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. 02310 144G.91 Subd. 4 (a) Appropriate care and 02310 SS=G services (a) Residents have the right to care and assisted LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 EF0L11 If continuation sheet 1 of 5 PRINTED: 03/19/2024 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.
2024-01-10Annual Compliance VisitNo findings
Plain-language summary
A standard inspection was conducted at Suite Living Senior Care of Shakopee from January 8–10, 2024, and the facility received correction orders for violations of Minnesota state statutes, including a deficiency related to tuberculosis prevention and control procedures. The facility was not assessed an immediate fine for this survey. The facility must document the actions it has taken to correct the violations within the time period specified on the state form.
Full inspector notes
correction orders. The Department of Health documents state correction orders using federal software. Tag numbers are assigned to Minnesota state statutes for Home Care Providers. 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 based on the level and scope of the violations ; however, no immediate fines are assessed for this survey of your facility. DOCUMENTATIO ONF ACTION TO COMPLY Per Minn. Stat. § 144G .30, Su bd. 5(c), the lic ensee must docu m ent ac tions t aken to com ply wit h 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 · An equal opportunity employer. Letter ID: 9GJX Revised 04/20/2023 Suite Living Senior Care Of Shakopee, LLC February 6, 2024 Page 2 resident( s)/ employee( s) identified in the correction order. Identify how the area( s) of noncompliance was corrected for all of the · provider’s residents/ 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). CORRECTIO ONRDER RECONSIDERATIO PNROCESS In accordance with Minn. Stat. § 144G.32, Subd. 2, you may challenge the correction order 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 Department of Health 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. To submit a reconsideration request, please visit: https: / / forms. web. health. state. mn. us/ form/ HRDAppealsForm You are encouraged to retain this document for your records. It is your responsibility to share the information contained in the letter and/ or state form with your organization’s Governing Body. If you have any questions, please contact me. Sincerely, Kelly Thorson, Supervisor SState Evaluation Team Email: kelly.thorson@ state. mn.us Telephone: 320-223-7336 Fax: 1-866-890-9290 PMB PRINTED: 02/ 06/ 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: ______________________ B. WING _____________________________ 39570 01/ 10/ 2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 1645 WINDERMERE WAY SUITE LIVING SENIOR CARE OF SHAKOPEE LLC SHAKOPEE, MN 55379 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 Licensing ASSISTED LIVING PROVIDER LICENSING Correction Orders using federal software. CORRECTION ORDER( S) Tag numbers have been assigned to Minnesota State Statutes for Assisted In accordance with Minnesota Statutes, section Living License Providers. The assigned 144G. 08 to 144G. 95, these correction orders are tag 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. SL39570015 PLEASE DISREGARD THE HEADING OF On January 8, 2024, through January 10, 2024, THE FOURTH COLUMN WHICH the Minnesota Department of Health conducted a STATES, "PROVIDER' S PLAN OF full survey at the above provider, and the CORRECTION. " THIS APPLIES TO following correction orders are issued. At the time FEDERAL DEFICIENCIES ONLY. THIS of the survey, there were 14 residents; all WILL APPEAR ON EACH PAGE. receiving services under the Assisted Living with 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. 0 660 144G. 42 Subd. 9 Tuberculosis prevention and 0 660 SS= D control (a) The facility must establish and maintain a LABORATORY DIRECTOR' S OR PROVIDER/ SUPPLIER REPRESENTATIVE' S SIGNATURE TITLE (X6) DATE STATE FORM 6899 OCBN11 If continuation sheet 1 of 17 PRINTED: 02/ 06/ 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: ______________________ B. WING _____________________________ 39570 01/ 10/ 2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 1645 WINDERMERE WAY SUITE LIVING SENIOR CARE OF SHAKOPEE LLC SHAKOPEE, MN 55379 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) 0 660 Continued From page 1 0 660 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 of Tuberculosis Elimination, as published in the CDC' s Morbidity and Mortality Weekly Report. The program must include a tuberculosis infection control plan that covers all paid and unpaid employees, contractors, students, and regularly scheduled volunteers. The commissioner shall provide technical assistance regarding implementation of the guidelines. (b) The facility must maintain written evidence of compliance with this subdivision. This MN Requirement is not met as evidenced by: Based on interview and record review, the licensee failed to establish and maintain a tuberculosis (TB) prevention program based on the most current guidelines issued by the Centers for Disease Control and Prevention (CDC) which included TB training for one of two facility staff, licensed practical nurse (LPN)-B. This practice resulted in a level two violation (a violation that did not harm a resident' s health or safety but had the potential to have harmed a resident' s health or safety, but was not likely to cause serious injury, impairment, or death) , and was issued at an isolated scope (when one or a limited number of residents are affected or one or a limited number of staff are involved or the situation has occurred only occasionally) . The findings include: LPN-B began employemnt on September 18, 2023, as the care manager. STATE FORM 6899 OCBN11 If continuation sheet 2 of 17 PRINTED: 02/ 06/ 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: ______________________ B. WING _____________________________ 39570 01/ 10/ 2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 1645 WINDERMERE WAY SUITE LIVING SENIOR CARE OF SHAKOPEE LLC SHAKOPEE, MN 55379 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) 0 660 Continued From page 2 0 660 LPN-B's training records did not include training regarding TB. On January 9, 2024, at 3:00 p.m.
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