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StarlynnCare
Minnesota · St. Paul

New Perspective Highland Park.

New Perspective Highland Park is Grade A, ranked in the top 1% of Minnesota memory care with no MDH citations on record; last inspected Nov 2025.

ALF · Memory Care109 licensed beds · largeDementia-trained staff
750 Mississippi River Blvd · St. Paul, MN 55116LIC# ALRC:27
Facility · St. Paul
New Perspective Highland Park
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A 109-bed ALF · Memory Care with no citations on file.
Last inspection · Nov 2025 · cleanSource · MDH
Licensed beds
109
Memory care
✓ Yes
Last inspection
Nov 2025
Last citation
None on record
Operated by
Phone
§ 01 · Snapshot

A large home, reviewed on public record.

§ 02 · Peer Comparison

Ranked against 138 Minnesota facilities.

ALF memory care · 36-month window. Higher percentile = better. Source: Minnesota Dept. of Health · Health Regulation Division.

Severity rank
100th
Weighted citations per bed.
peer median
0
100
Repeat rank
100th
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
100th
Deficiencies per inspection.
peer median
0
100

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§ 06 · Full Inspection Record

Every MDH visit, verbatim.

8 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.

8
reports on file
0
total deficiencies
2026-03-10
Complaint Investigation
No findings
2025-11-19
Annual Compliance Visit
No findings

Plain-language summary

A follow-up survey on February 10, 2026, found that the facility had not corrected violations from a prior inspection related to fire protection and physical environment, and also identified a new violation regarding local laws; the facility was assessed a total fine of $3,000.00 for these violations. The facility may request reconsideration or a hearing within 15 business days of receiving this notice.

Full inspector notes

correction orders issued pursuant to the last survey, completed on November 19, 2025, found not corrected at the time of the February 10, 2026, follow-up survey and/ or subject to penalty assessment are as follows: 0775-Fire Protection And Physical Environment- 144g.45 Subd. 2. (a) - $1,000.00 0780-Fire Protection And Physical Environment- 144g.45 Subd. 2 (a) (1) - $1,000.00 The details of the violations noted at the time of this follow-up survey completed on February 10, 2026 (listed above) , are on the attached State Form. Brackets around the ID Prefix Tag in the left hand column, e.g., {2 ----} will identify the uncorrected tags. Also, at the time of this follow-up survey completed on February 10, 2026, we identified the following violation(s): 0830-Local Laws Apply-144g.45 Subd. 3 - $1,000.00 The details of the violation(s) noted at the time of this follow-up survey are delineated on the attached State Form. Only the ID Prefix Tag in the left hand column without brackets will identify these state correction orders. It is not necessary to develop a plan of correction. The refor e, in accor danc e wit h Minn. Sta t. §§ 144G.01 to 144G.999 9, the total amount you are assessed is $3,000.00. You will be invoiced approximately 30 days after receipt of this notice, subject to appeal . 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 An equal opportunity employer. Letter ID: 8GKP Revised 04/14/2023 New Perspective Highland Park March 4, 2026 Page 2 comply with the correction orders outlined on the state form; however, plans of correction are not required to be submitted for approval. 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; Level 3: a fine of $1,000 per incident, in addition to any enforcement mechanism authorized in § 144G.20; Level 4: a fine of $3,000 per incident, in addition to any enforcement mechanism authorized in § 144G.20; Level 5: a fine of $5,000 per violation, in addition to any enforcement mechanism authorized in § 144G.20. 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 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 GA 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 appe al fi nes via re cons iderat ion , pl ease follow the procedu r e outl ined abo ve. Plea se no te tha t you may re que st a rec onside rati on or a hearing, bu t not bot h. If you wish to cont est ta gs with out fine s in a reconsideration and tags with the fines at a hearing, please submit two separate appeals forms at the website listed above. We urge you to review these orders carefully. If you have questions, please contact Stephanie Jones New Perspective Highland Park March 4, 2026 Page 3 de Palma at 651-201-4320. 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. Sincerely, Stephanie Jones de Palma, Supervisor State Engineering Services Section Email: stephanie. jones. de. palma@state. mn.us Telephone: 651-201-4320 Fax: 1-866-890-9290 CLN PRINTED: 03/ 04/ 2026 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/ SUPPLIER/ CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ R B. WING _____________________________ 20168 02/ 10/ 2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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 FOLLOW UP using federal software. Tag numbers have SURVEY WITH RE- ISSUE OF ORDERS been assigned to Minnesota State Statutes for Assisted Living Facilities. The INITIAL COMMENTS assigned tag number appears in the SL20168016- 1 far-left column entitled "ID Prefix Tag. " The state Statute number and the On February 9, 2026, through February 10, 2026, corresponding text of the state Statute out the Minnesota Department of Health conducted a of compliance is listed in the "Summary follow-up survey at the above provider to Statement of Deficiencies" column. This follow-up on orders issued pursuant to a survey column also includes the findings which completed on November 17. 2025. At the time of are in violation of the state requirement the survey, there were 92 residents; 85 receiving after the statement, "This Minnesota services under the Assisted Living with Dementia requirement is not met as evidenced by." Care license. As a result of the follow-up survey, Following the evaluators' findings is the the following orders were issued and/ or reissued. 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 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 7NK812 If continuation sheet 1 of 14 PRINTED: 03/ 04/ 2026 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/ SUPPLIER/ CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ R B. WING _____________________________ 20168 02/ 10/ 2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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} (a) Except as provided in paragraph (b), food must be prepared and served according to the Minnesota Food Code, Minnesota Rules, chapter 4626. (b) For an assisted living facility with a licensed capacity of ten or fewer residents: (1) notwithstanding Minnesota Rules, part 4626. 0033, item A, the facility may share a certified food protection manager (CFPM) with one other facility located within a 60- mile radius and under common management provided the CFPM is present at each facility frequently enough to effectively administer, manage, and supervise each facility's food service operation; (2) notwithstanding Minnesota Rules, part 4626.

2025-09-09
Complaint Investigation
No findings

Plain-language summary

A complaint investigation was conducted at this facility on June 3-4, 2025, and correction orders were issued for two of the four license numbers reviewed. The investigation found that the facility failed to maintain proper person-centered service delivery plans and did not have an adequate system for registered nurses to delegate, supervise, and document health care tasks performed by unlicensed caregivers—specifically, the delegation lacked required timeframes and the caregivers had no way to document when or how many times they provided services each shift.

Full inspector notes

findings which When a Minnesota Statute contains several are in violation of the state requirement items, failure to comply with any of the items will after the statement, "This Minnesota be considered lack of compliance. requirement is not met as evidenced by." Following the evaluators' findings is the INITIAL COMMENTS: Time Period for Correction. On June 3, 2025 through June 4, 2025, the PLEASE DISREGARD THE HEADING OF complaint investigation at the above provider: STATES,"PROVIDER'S PLAN OF #HL201683174C/#HL201681843M; CORRECTION." THIS APPLIES TO #HL201683175C/#HL201681844M; FEDERAL DEFICIENCIES ONLY. THIS #HL201683176C/#HL201681845M; and WILL APPEAR ON EACH PAGE. #HL201683229C. At the time of the complaint investigation, there were 84 residents receiving THERE IS NO REQUIREMENT TO services under the provider ' s Assisted Living SUBMIT A PLAN OF CORRECTION FOR with Dementia Care license. VIOLATIONS OF MINNESOTA STATE STATUTES. There are no correction orders issued for #HL201683176C/#HL201681845M; and THE LETTER IN THE LEFT COLUMN IS #HL201683229C. USED FOR TRACKING PURPOSES AND REFLECTS THE SCOPE AND LEVEL The following correction orders are issued for ISSUED PURSUANT TO 144G.31 #HL201683175C/#HL201681844M: 1760 and SUBDIVISION 1-3. 2360. The following correction orders is issued for #HL201683174C/#HL201681843M: 0450 and LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 KT2Z11 If continuation sheet 1 of 12 PRINTED: 09/09/2025 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 _____________________________ 20168 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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 Continued From page 1 0 000 2360. 0 450 144G.41 Subdivision 1 Minimum requirements 0 450 SS=E All assisted living facilities shall: (1) distribute to residents the assisted living bill of rights; (2) provide services in a manner that complies with the Nurse Practice Act in sections 148.171 to 148.285; (3) utilize a person-centered planning and service delivery process; (4) have and maintain a system for delegation of health care activities to unlicensed personnel by a registered nurse, including supervision and evaluation of the delegated activities as required by the Nurse Practice Act in sections 148.171 to 148.285; This MN Requirement is not met as evidenced by: Based on interview and record review, the licensee failed have and maintain a person-centered service delivery process for four of four residents reviewed (R1, R2, R3 and R4). Additionally, the licensee failed to have and maintain a system for delegation of health care activities to unlicensed personnel by a registered nurse, including supervision and evaluation of the delegated activities as required by the Nurse Practice Act. The residents' plan of care indicated unlicensed caregivers were to check on the residents a number of times a day. However, the delegation to the unlicensed caregivers did not include timeframes to carry out the tasks nor did the documentation system allow for unlicensed caregivers to document when nor how many times the services were provided on any given shift. STATE FORM 6899 KT2Z11 If continuation sheet 2 of 12 PRINTED: 09/09/2025 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 _____________________________ 20168 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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) 0 450 Continued From page 2 0 450 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 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). The findings include: The Nurse Practice Act indicated the definition of "delegation" means the transfer of authority to another nurse or competent, unlicensed assistive person to perform a specific nursing task or activity in a specific situation. The National Guidelines for Nursing Delegation, developed by the American Nurses Association (ANA) effective April 29, 2019, indicated the licensed nurse cannot delegate nursing judgement or any activity that will involve nursing judgement or critical decision making. R1 R1's diagnoses include dementia and anxiety. R1's service plan dated June 4, 2025, indicated R1 received assistance with medication management, bathing, dressing, grooming, toileting, transferring and mobility assistance. R1 used a walker for ambulation and required the use of a transfer belt for transfers. R1 was also receiving hospice care. The Service Plan indicated a task titled "Bladder Cont: Assist 8+ x/24 hr" with the times for the STATE FORM 6899 KT2Z11 If continuation sheet 3 of 12 PRINTED: 09/09/2025 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 _____________________________ 20168 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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) 0 450 Continued From page 3 0 450 service: NOC2, AM, PM, NOC1 and NOC. Notes included within the task included: offer toileting when resident first wakes up for the day, before and after meals, and before going to bed. A review of the Service checkoff List indicated the description note was the same instructions for all 3 shifts and times for the task listed were AM, PM, NOC and NOC1. R1's service plan dated June 4, 2025, indicated a task for "Cues" ten plus times per day with the note indicating "caregivers to provide interventions as described and report changes in need for cues to nursing" with the times for the task listed were AM, PM, and NOC. A review of the service plan and service checkoff list did not contain specific interventions unlicensed caregivers should provide in regard to "Cues" or what changes would indicate nursing should be notified. The Service Plan indicated R1 received "Falls Management" every shift. The Notes section included orders (or actions) that but were nonspecific delegations for R1. A facility incident report indicated R1 fell one early morning when ambulating out of the bathroom without her walker. R1 did not use a pendent, however, was able to obtain her cell phone and call the family member almost two hours after the fall. The family member was not able to reach the facility caregivers by phone for approximately an hour, so the family member texted administration as directed in the after-hours phone process. Facility unlicensed caregivers were seen on camera entering R1's room to provide assistance at approximately 5:00 am. STATE FORM 6899 KT2Z11 If continuation sheet 4 of 12 PRINTED: 09/09/2025 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 _____________________________ 20168 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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) 0 450 Continued From page 4 0 450 During an interview on June 17, 2025, at 6:00 p.m. with unlicensed caregiver (ULP) C, she stated during orientation she was taught that all residents in the memory care unit should be checked every two hours.

2025-09-02
Complaint Investigation
No findings

Plain-language summary

A complaint investigation found that a resident struck another resident in the face after the second resident accidentally rolled over the first resident's toes with a wheelchair; the facility separated them immediately, and the allegation of neglect was not substantiated because the facility could not have reasonably anticipated the incident and responded quickly without the striking resident causing serious injury. The facility updated the struck resident's care plan to reduce the risk of future altercations, and no further incidents occurred between the two residents.

Full inspector notes

Finding: Not Substantiated 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 two residents when resident #2 hit resident #1. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was not substantiated. The facility could not have reasonably anticipated resident #2 would strike out at resident #1 and separated the residents quickly after the altercation. Resident #1was not seriously injured and returned to her baseline health condition. The investigator conducted interviews with facility staff members, including administrative staff, nursing staff, and unlicensed staff. The investigator contacted the hospice provider. The investigation included review of the resident record, facility internal investigation, facility incident reports, personnel files, staff schedules, and related facility policy and procedures. Also, the investigator observed facility staff interactions with the resident during an onsite visit. Resident #1 resided in an assisted living secured dementia care unit. The resident’s diagnoses included dementia and anxiety. The resident’s service plan included assistance with medication management and administration, transferring and mobility assistance. The resident’s assessment indicated the resident was cognitively impaired, ambulated using a walker but needed the assistance of one person for safety, had incontinence, and frequent falls due to poor safety awareness. Resident #2 resided in an assisted living memory care unit. Resident #2’s diagnoses included dementia and had a history of pain due to arthritis. The service plan included assistance with prompts and cueing due to confusion in new situations. Resident #2’s assessment indicated he was able to communicate needs but did not follow directions or respond well to cues provided. A facility report indicated resident #1 inadvertently rolled over resident #2’s toes with her wheelchair. Resident #2 then struck resident #1 in the face. The facility caregivers immediately separated the two residents, and facility managers were notified. During an interview, the nurse stated the facility works to prevent resident-to-resident altercations, however this arose unexpectedly. Once it occurred the two residents were separated quickly, and this remained an isolated event between them. In conclusion, the Minnesota Department of Health determined neglect was not substantiated. “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. Vulnerable Adult interviewed: No, residents are cognitively impaired Family/Responsible Party interviewed: Yes Alleged Perpetrator interviewed: Not Applicable Action taken by facility: Resident #1 and resident #2 were separated and no further altercations occurred between this incident and the onsite visit for the investigation. The facility updated resident #2’s care plan to reduce the risk of recurrence. Action taken by the Minnesota Department of Health: No further action taken at this time. cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities PRINTED: 09/09/2025 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 _____________________________ 20168 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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 HOME CARE PROVIDER/ASSISTED LIVING using federal software. Tag numbers have PROVIDER CORRECTION ORDER 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." The issued pursuant to a complaint investigation. state Statute number and the corresponding text of the state Statute out Determination of whether a violation is 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 a Minnesota Statute contains several are in violation of the state requirement items, failure to comply with any of the items will after the statement, "This Minnesota be considered lack of compliance. requirement is not met as evidenced by." Following the evaluators' findings is the INITIAL COMMENTS: Time Period for Correction. On June 3, 2025 through June 4, 2025, the PLEASE DISREGARD THE HEADING OF complaint investigation at the above provider: STATES,"PROVIDER'S PLAN OF #HL201683174C/#HL201681843M; CORRECTION." THIS APPLIES TO #HL201683175C/#HL201681844M; FEDERAL DEFICIENCIES ONLY. THIS #HL201683176C/#HL201681845M; and WILL APPEAR ON EACH PAGE. #HL201683229C. At the time of the complaint investigation, there were 84 residents receiving THERE IS NO REQUIREMENT TO services under the provider ' s Assisted Living SUBMIT A PLAN OF CORRECTION FOR with Dementia Care license. VIOLATIONS OF MINNESOTA STATE STATUTES. There are no correction orders issued for #HL201683176C/#HL201681845M; and THE LETTER IN THE LEFT COLUMN IS #HL201683229C. USED FOR TRACKING PURPOSES AND REFLECTS THE SCOPE AND LEVEL The following correction orders are issued for ISSUED PURSUANT TO 144G.31 #HL201683175C/#HL201681844M: 1760 and SUBDIVISION 1-3. 2360. The following correction orders is issued for #HL201683174C/#HL201681843M: 0450 and LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 KT2Z11 If continuation sheet 1 of 12 PRINTED: 09/09/2025 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 _____________________________ 20168 06/04/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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 Continued From page 1 0 000 2360. 0 450 144G.41 Subdivision 1 Minimum requirements 0 450 SS=E All assisted living facilities shall: (1) distribute to residents the assisted living bill of rights; (2) provide services in a manner that complies with the Nurse Practice Act in sections 148.171 to 148.285; (3) utilize a person-centered planning and service delivery process; (4) have and maintain a system for delegation of health care activities to unlicensed personnel by a registered nurse, including supervision and evaluation of the delegated activities as required by the Nurse Practice Act in sections 148.171 to 148.285; This MN Requirement is not met as evidenced by: Based on interview and record review, the licensee failed have and maintain a person-centered service delivery process for four of four residents reviewed (R1, R2, R3 and R4). Additionally, the licensee failed to have and maintain a system for delegation of health care activities to unlicensed personnel by a registered nurse, including supervision and evaluation of the delegated activities as required by the Nurse Practice Act. The residents' plan of care indicated unlicensed caregivers were to check on the residents a number of times a day. However, the delegation to the unlicensed caregivers did not include timeframes to carry out the tasks nor did the documentation system allow for unlicensed caregivers to document when nor how many times the services were provided on any given shift. STATE FORM 6899 KT2Z11 If continuation sheet 2 of 12 PRINTED: 09/09/2025 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.

2025-08-28
Complaint Investigation
No findings

Plain-language summary

A complaint investigation found that allegations of neglect were not substantiated, concluding there was no evidence the facility failed to provide care according to the resident's plan despite the resident's weight loss and subsequent admission to hospice for Alzheimer's disease progression. The investigation included review of medical records, interviews with staff and family, and observation of facility operations. No correction orders were issued.

Full inspector notes

Finding: Not Substantiated 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 the facility failed to follow the resident's plan of care. The resident received an incorrect diet and had lost weight resulting in admission to hospice. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was not substantiated. Although the resident lost weight and was admitted to hospice, there was not a preponderance of evidence it was due to the facility failing to provide services on the resident’s care plan. The resident was referred to hospice services due to the progression of Alzheimer’s disease and was moved to a higher level of care. The investigator conducted interviews with facility staff members, including administrative staff, nursing staff, and unlicensed staff. The investigator contacted the resident’s case manager. The investigation included review of the resident records, grievances, facility incident reports, hospice records, staff schedules, and related facility policy and procedures. Also, the investigator observed staff to resident interactions. The resident resided in an assisted living memory care unit. The resident’s diagnoses included Alzheimer’s disease and dementia. The resident’s service plan included assistance with transfers, mobility, and required cues and assist with eating. The resident’s assessment indicated the resident was not cognitively intact. The resident’s assessment indicated the resident required foods to be broken into smaller bite sized pieces. The resident’s medical record indicated the resident had a weight loss and admitted to hospice services. Dining assistance was provided when the resident allowed. During an interview, facility leadership stated the resident had a decline in health from Alzheimer’s disease which led to weight loss. Hospice was initiated for supportive services. It was recommended by hospice that the resident’s food be cut into small bite size pieces. Leadership stated staff would sit with the resident during meals and provide assistance as needed. During an interview, the family member had concerns about the resident’s food not being cut into small bite size pieces. The family member decided to move the resident to a higher level of care. In conclusion, the Minnesota Department of Health determined neglect was not substantiated. “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. Vulnerable Adult interviewed: No. Resident no longer resided at the facility. Family/Responsible Party interviewed: Yes. Alleged Perpetrator interviewed: Not Applicable. the Action taken by facility: The facility acknowledged the resident’s weight loss and dementia progression and requested hospice for additional services. Action taken by the Minnesota Department of Health: No further action taken at this time. cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities PRINTED: 09/09/2025 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 _____________________________ 20168 08/18/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE HIGHLAND PARK SAINT PAUL, MN 55116 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 August 18, 2025, the Minnesota Department of Health initiated an investigation of complaint #HL201684082M / #HL201687947C. No correction orders are issued. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 NSJU11 If continuation sheet 1 of 1

2025-07-16
Complaint Investigation
No findings

Plain-language summary

A complaint alleged that a facility staff member coerced a resident to perform oral sex and recorded the incidents; the resident confirmed the encounters occurred over several months but stated she complied willingly, while the staff member denied the allegation and law enforcement found no video or photographic evidence. The Minnesota Department of Health determined the abuse allegation was inconclusive due to the lack of physical evidence, the delay in reporting (approximately 10 days), and the absence of witnesses, though the facility immediately suspended the staff member and notified law enforcement when the allegation was made. No further action was taken by the Department of Health at this time.

Full inspector notes

Finding: Inconclusive 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), a facility staff member, abused the resident when the AP coerced the resident to perform oral sex. Investigative Findings and Conclusion: The Minnesota Department of Health determined abuse was inconclusive. The incident was not reported for approximately 10 days, thus no evidence was available. There were no witnesses to the incident. The AP, who was an unlicensed caregiver denied the allegation of abuse. The investigator conducted interviews with facility staff members, including administrative staff, nursing staff, and unlicensed staff. The investigator contacted law enforcement. The investigation included review of the resident record, facility internal investigation, facility incident reports, personnel files, staff schedules, law enforcement report, and related facility policy and procedures. Also, the investigator observed interactions between residents and facility staff during an onsite visit. The resident resided in an assisted living facility. The resident’s diagnoses included chronic pain, osteoarthritis, and generalized weakness. The resident’s service plan included assistance with dressing and bathing. The resident’s assessment indicated the resident was alert and walked short distances with a walker and used a wheelchair for longer distances. A facility internal investigation indicated a facility manager was notified by a friend of the resident about an incident where the resident confided she was coerced to perform oral sex for the AP while the event was being recorded. The report indicated the friend identified a weekend when the incident occurred and provided a description of the AP. The facility immediately suspended the AP, who matched the description provided, notified law enforcement and began an internal investigation. The staffing schedule provided indicated the AP worked every day of the weekend identified by the resident. During an interview, the resident stated she had a relationship with the AP that developed over several months when the AP was assigned to provide her care while employed in the facility. The resident stated the AP asked the resident to perform sex and she complied two times because she wanted to please him and enjoyed his company. The resident stated the AP took pictures and video of the sexual encounters. During correspondence with law enforcement, the officer indicated no picture or video evidence was found in the AP’s possession, however a charging packet was sent to the county attorney for processing. During an interview, the manager stated upon notification of the incident, law enforcement was notified, and the AP was suspended pending the outcome of the investigation. The manager indicated a rape exam completed after the report was negative, however the resident did not report the incident for approximately 10 days. The AP declined the allegation of sexual abuse and declined to be interviewed. In conclusion, the Minnesota Department of Health determined abuse was inconclusive. Inconclusive: Minnesota Statutes, section 626.5572, Subdivision 11. "Inconclusive" means there is less than a preponderance of evidence to show that maltreatment did or did not occur. Abuse: Minnesota Statutes section 626.5572, subdivision 2. "Abuse" means: (a) An act against a vulnerable adult that constitutes a violation of, an attempt to violate, or aiding and abetting a violation of: (1) assault in the first through fifth degrees as defined in sections 609.221 to 609.224; (2) the use of drugs to injure or facilitate crime as defined in section 609.235; (3) the solicitation, inducement, and promotion of prostitution as defined in section 609.322; and (4) criminal sexual conduct in the first through fifth degrees as defined in sections 609.342 to 609.3451. A violation includes any action that meets the elements of the crime, regardless of whether there is a criminal proceeding or conviction. (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; or (3) use of any aversive or deprivation procedure, unreasonable confinement, or involuntary seclusion, including the forced separation of the vulnerable adult from other persons against the will of the vulnerable adult or the legal representative of the vulnerable adult unless authorized under applicable licensing requirements or Minnesota Rules, chapter 9544. (c) Any sexual contact or penetration as defined in section 609.341, between a facility staff person or a person providing services in the facility and a resident, patient, or client of that facility. (d) The act of forcing, compelling, coercing, or enticing a vulnerable adult against the vulnerable adult's will to perform services for the advantage of another. Vulnerable Adult interviewed: Yes. Family/Responsible Party interviewed: Not Applicable. Alleged Perpetrator interviewed: No, Declined interview. Action taken by facility: The facility completed an internal investigation and suspended the AP pending law enforcement investigation. Action taken by the Minnesota Department of Health: No further action taken at this time. cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities PRINTED: 07/17/2025 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 _____________________________ 20168 06/03/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE - HIGHLAND PAR SAINT PAUL, MN 55116 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 June 3, 2025, the Minnesota Department of Health initiated an investigation of complaint #HL201682526C/#HL201681601M. No correction orders are issued. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 N09M11 If continuation sheet 1 of 1

2024-05-09
Complaint Investigation
No findings

Plain-language summary

Minnesota Department of Health investigated a complaint at New Perspective Highland Park on April 23, 2024, to review whether the facility's policies and practices complied with state laws governing assisted living facilities with dementia care. No correction orders were issued as a result of the investigation.

Full inspector notes

STATE LICENSING COMPLIANCE REPORT Report #: HL201688958C Date Concluded: May 3, 2024 Name, Address, and County of Facility Investigated: New Perspective Highland Park 750 Mississippi River Blvd St. Paul, MN 55116 Ramsey County Facility Type: Assisted Living Facility with Evaluator’s Name: Barbara Axness, RN Dementia Care (ALFDC) Special Investigator 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 MDH website, please see the attached state form. PRINTED: 05/09/2024 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 _____________________________ 20168 04/23/2024 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE - HIGHLAND PAR K SAINT PAUL, MN 55116 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 April 23, 2024, the Minnesota Department of Health initiated an investigation of complaint #HL201688958C. No correction orders are issued. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 8E5511 If continuation sheet 1 of 1

2023-08-29
Complaint Investigation
No findings

Plain-language summary

A complaint investigation found no evidence that the facility neglected a resident by failing to provide catheter care or failing to assess the resident after falls; medical records showed care was provided as directed in the service plan, each fall was documented and assessed, and the resident and family reported no concerns with care. Although catheter care was missed on one occasion, the investigator found this was an isolated error with no harm to the resident. No violations were substantiated and no further action was taken.

Full inspector notes

Finding: Not Substantiated 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 staff failed to provide catheter care in accordance with the service plan and failed to complete an assessment of the resident after the resident sustained multiple falls. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was not substantiated. Care was provided in accordance with the resident's service plan and facility policies and procedures were followed. Although catheter care was not completed on one occasion, the error was an isolated incident and there was no evidence of harm to the resident. The investigator conducted interviews with facility staff members, including administrative staff, nursing staff, and unlicensed staff. The investigator also interviewed the resident's family. An onsite visit was conducted which included review of facility policies, procedures, resident An equal opportunity employer. medical records, and personnel records. In addition, the investigator observed care provided to the residents. The resident resided in an assisted living memory care unit. The resident’s diagnoses included Alzheimer's disease, spondylolysis (degeneration of the spine), recurrent urinary tract infections (UTIs) and a history of falls. The resident's service plan included assistance with medication management, assistance with activities of daily living, and catheter care three times per day. Complaint documents identified concerns with the resident’s catheter care, frequent falls, and failure to assess the resident after each fall. Review of the resident’s medical record indicated services were provided as directed by the service plan. Progress notes and incident reports indicated the resident experienced frequent falls, but each fall was documented, the resident was assessed, and fall prevention interventions were implemented to prevent further falls. Review of fall documentation indicated the falls did not result in significant injury. During investigative interviews, multiple staff reiterated knowledge of the resident and his frequent falls. Facility nursing staff indicated most of the resident’s falls occurred during self-transfer attempts from the bed to the wheelchair. During interview with the resident, the resident indicated staff provided catheter care, he felt safe residing at the facility, and had no complaints with the care provided by facility staff. The resident denied falling. The resident's family was interviewed and indicated they had no current concerns with the care provided at the facility. In conclusion, the Minnesota Department of Health determined neglect was not substantiated. ''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. Vulnerable Adult interviewed: Yes Family/Responsible Party interviewed: Yes Alleged Perpetrator interviewed: Not Applicable Action taken by facility: None. Action taken by the Minnesota Department of Health: No further action taken at this time. cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities PRINTED: 08/30/2023 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ C B. WING _____________________________ 20168 07/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE - HIGHLAND PAR K SAINT PAUL, MN 55116 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 July 14, 2023, the Minnesota Department of Minnesota Department of Health is Health initiated an investigation of complaint documenting the State Correction Orders #HL201686547C/ HL201683923M. No correction using federal software. Tag numbers have orders are issued. been 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 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 evaluators ' 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 LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 L6SU11 If continuation sheet 1 of 2 PRINTED: 08/30/2023 FORM APPROVED STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A. BUILDING: ______________________ C B. WING _____________________________ 20168 07/14/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 750 MISSISSIPPI RIVER BLVD NEW PERSPECTIVE - HIGHLAND PAR SAINT PAUL, MN 55116 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 Continued From page 1 0 000 ISSUED PURSUANT TO 144G.31 SUBDIVISION 1-3. STATE FORM 6899 L6SU11 If continuation sheet 2 of 2

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