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Minnesota · Waseca

Colony Court.

Colony Court is Grade C, ranked in the top 44% of Minnesota memory care with 1 MDH citation on record; last inspected Feb 2025.

ALF · Memory Care95 licensed beds · largeDementia-trained staff
200 22nd Avenue NE · Waseca, MN 56093LIC# ALRC:547
Limited Inspection History · fewer than 4 records in 3 years
Facility · Waseca
Colony Court
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A 95-bed ALF · Memory Care with one citation on file (Nov 2023).
Last inspection · Feb 2025 · citedSource · MDH
Licensed beds
95
Memory care
✓ Yes
Last inspection
Feb 2025
Last citation
Nov 2023
Operated by
Phone
§ 01 · Snapshot

A large home, reviewed on public record.

§ 02 · Peer Comparison

Ranked against 142 Minnesota facilities.

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

Severity rank
36th
Weighted citations per bed.
peer median
0
100
Repeat rank
100th
Repeat deficiencies as share of total.
peer median
0
100
Frequency rank
31th
Deficiencies per inspection.
peer median
0
100

FACILITY WATCH · BETA

Colony Court has 1 citation on record. Know the moment anything changes.

New findings, complaint investigations, or status changes — emailed to you free.

§ 03 · The Record

Citation history, plotted month by month.

1 deficiencie on record. Each bar is a month with a citation.

0weighted score · 24 mo
No citation activity in this window.
peer median
Jun 2024May 2026

Finding distribution

1 total · 36 months

Scope × Severity (CMS A–L)

Isolated
Pattern
Widespread
Sev 4 · IJ
J
K
L
Sev 3
G1
H
I
Sev 2
D
E
F
Sev 1
A
B
C
§ 05 · Tour Prep

Questions to ask before you visit.

A short pre-tour checklist tailored to Colony Court's record and state requirements.

01 /

Minnesota Department of Health records show 2 complaints on file through February 26, 2025 — can you share whether those complaints were substantiated, and if so, what corrective action plans were put in place?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

02 /

The facility holds an Assisted Living Facility with Dementia Care license under Minnesota Statute chapter 144G — can you walk us through the written dementia care program and show how staff competency in dementia care is documented and maintained?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

03 /

With 95 licensed beds and a dementia care designation, how does Colony Court organize its physical environment to support residents with memory loss, and can you describe any specialized programming or daily routines specific to dementia care?

Ask the operator on tour. Take notes and compare answers across facilities you visit.

§ 06 · Full Inspection Record

Every MDH visit, verbatim.

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

2
reports on file
1
total deficiencies
2025-02-26
Annual Compliance Visit
No findings

Plain-language summary

A routine inspection of Colony Court on February 26, 2025 found one violation related to appropriate care and services under Minnesota law, resulting in a $3,000 fine assessed at Level 3. The facility must document the specific actions taken to correct the violation and ensure the problem does not affect other residents, and has the right to request reconsideration or a hearing within 15 days or 15 business days, respectively.

Full inspector notes

CORRECTION ORDERS The enclosed State Form documents the state correction orders. MDH documents state licensing correction orders using federal software. Tag numbers are assigned to Minnesota state statutes for Assisted Living Facilities. The assigned tag number appears in the far left column entitled "ID Prefix Tag." The state statute number and the corresponding text of the state statute out of compliance are listed in the "Summary Statement of Deficiencies" column. This column also includes the findings that are in violation of the state statute after the statement, "This MN Requirement is not met as evidenced by . . ." IMPOSITION OF FINES In accordance with Minn. Stat. § 144G.31, Subd. 4, fines and enforcement actions may be imposed based on the level and scope of the violations and may be imposed immediately with no opportunity to correct the violation first as follows: Level 1: no fines or enforcement. Level 2: a fine of $500 per violation, in addition to any enforcement mechanism authorized in § 144G.20 for widespread violations; Level 3: a fine of $3,000 per violation per incident, in addition to any enforcement mechanism authorized in § 144G.20. Level 4: a fine of $5,000 per incident, in addition to any enforcement mechanism authorized in § 144G.20. Therefore, in accordance with Minn. Stat. §§ 144G.01 to 144G.9999, the following fines are assessed pursuant to this survey: An equal opportunity employer. Letter ID: IS7N REVISED 09/13/2021 Colony Court March 27, 2025 Page 2 St - 0 - 2310 - 144g.91 Subd. 4 (a) - Appropriate Care And Services - $3,000.00 Therefore, in accordance with Minn. Stat. §§ 144G.01 to 144G.9999, t he total amount you are assessed is $3,000.00. You will be invoiced approximately 30 days after receipt of this notice, subject to appeal. DOCUMENTATION OF ACTION TO COMPLY In accordance with Minn. Stat. § 144G.30, Subd. 5(c), the licensee must document actions taken to comply with the correction orders within the time period outlined on the state form; however, plans of correction are not required to be submitted for approval. The correction order documentation should include the following: Identify how the area(s) of noncompliance was corrected related to the resident(s)/employee(s) identified in the correction order. Identify how the area(s) of noncompliance was corrected for all of the provider’s resident(s)/employees that may be affected by the noncompliance. Identify what changes to your systems and practices were made to ensure compliance with the specific statute(s). CORRECTION ORDER RECONSIDERATION PROCESS In accordance with Minn. Stat. § 144G.32, Subd. 2, you may challenge the correction order(s) issued, including the level and scope, and any fine assessed through the correction order reconsideration process. The request for reconsideration must be in writing and received by MDH within 15 calendar days of the correction order receipt date. To submit a reconsideration request, please visit: https://forms.web.health.state.mn.us/form/HRDAppealsForm REQUESTING A HEARING Alternatively, in accordance with Minn. Stat. § 144G.31, Subd. 5(d), an assisted living provider that has been assessed a fine under this subdivision has a right to a reconsideration or a hearing under this section and chapter 14. Pursuant to Minn. Stat. § 144G.20, Subd. 14 and Subd. 18, a request for a hearing must be in writing and received by the Department of Health within 15 business days of the correction order receipt date. The request must contain a brief and plain statement describing each matter or issue contested and any new information you believe constitutes a defense or mitigating factor. To submit a hearing request, please visit: https://forms.web.health.state.mn.us/form/HRDAppealsForm To appeal fines via reconsideration, please follow the procedure outlined above. P lease note that you may request a reconsideration o r a hearing, but not both. If you wish to contest tags without fines in a reconsideration and tags with the fines at a hearing, please submit two separate appeals forms at Colony Court March 27, 2025 Page 3 the website listed above. The MDH Health Regulation Division (HRD) values your feedback about your experience during the survey and/or investigation process. Please fill out this anonymous provider feedback questionnaire at your convenience at this link: h ttps://forms.office.com/g/Bm5uQEpHVa. Your input is important to us and will enable MDH to improve its processes and communication with providers. If you have any questions regarding the questionnaire, please contact Susan Winkelmann at susan.winkelmann@state.mn.us or call 651-201-5952. You are encouraged to retain this document for your records. It is your responsibility to share the information contained in the letter and state form with your organization’s Governing Body. If you have any questions, please contact me. Sincerely, Jodi Johnson, Supervisor State Evaluation Team Email: Jodi.Johnson@state.mn.us Telephone: 507-344-2730 Fax: 1-866-890-9290 HHH PRINTED: 03/27/2025 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 _____________________________ 30450 02/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 200 22ND AVENUE NE COLONY COURT WASECA, MN 56093 SUMMARY STATEMENT OF DEFICIENCIES PROVIDER'S PLAN OF CORRECTION (X4) ID ID (X5) PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE REGULATORY OR LSC IDENTIFYING INFORMATION) CROSS-REFERENCED TO THE APPROPRIATE DATE TAG TAG DEFICIENCY) 0 000 Initial Comments 0 000 ASSISTED LIVING PROVIDER LICENSING Minnesota Department of Health is CORRECTION ORDER(S) documenting the State Correction Orders using federal software. Tag numbers have In accordance with Minnesota Statutes, section been assigned to Minnesota State 144G.08 to 144G.95, these correction orders are Statutes for Assisted Living Facilities. The issued pursuant to a survey. assigned tag number appears in the far-left column entitled "ID Prefix Tag." The Determination of whether violations are corrected state Statute number and the requires compliance with all requirements corresponding text of the state Statute out provided at the Statute number indicated below. of compliance is listed in the "Summary When Minnesota Statute contains several items, Statement of Deficiencies" column. This failure to comply with any of the items will be column also includes the findings which considered lack of compliance. are in violation of the state requirement after the statement, "This Minnesota INITIAL COMMENTS: requirement is not met as evidenced by." Following the evaluators ' findings is the SL30450016-0 Time Period for Correction. On February 24, 2025, through February 26, PLEASE DISREGARD THE HEADING OF 2025, the Minnesota Department of Health THE FOURTH COLUMN WHICH conducted a full survey at the above provider. At STATES,"PROVIDER'S PLAN OF the time of the survey, there were 83 residents; CORRECTION." THIS APPLIES TO 59 receiving services under the Assisted Living FEDERAL DEFICIENCIES ONLY. THIS Facility with Dementia Care license. WILL APPEAR ON EACH PAGE. THERE IS NO REQUIREMENT TO SUBMIT A PLAN OF CORRECTION FOR VIOLATIONS OF MINNESOTA STATE 2310: An immediate correction order was STATUTES. identified on February 25, 2025, at a level 3/Isolated (G). On February 26, 2025, the THE LETTER IN THE LEFT COLUMN IS licensee took action to mitigate the risk; however, USED FOR TRACKING PURPOSES AND the scope and level remains at G. 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 QT2B11 If continuation sheet 1 of 35 PRINTED: 03/27/2025 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 _____________________________ 30450 02/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 200 22ND AVENUE NE COLONY COURT WASECA, MN 56093 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.

2023-11-21
Complaint Investigation
1 · Substantiated Finding

Plain-language summary

A complaint investigation found that an unlicensed caregiver neglected a resident by failing to complete a required well check at the end of her shift on the evening the resident left the facility, fell outside, and was found by incoming staff requiring hospitalization. Surveillance footage reviewed by facility management showed the resident exiting his apartment at 9:40 p.m. but did not show the caregiver entering his room for the documented well check near 10:30 p.m. The facility terminated the caregiver and retrained all staff on the importance of conducting required well checks.

Substantiated FindingMinn. Stat. §MN-SUBST
Verbatim citation text · Minn. Stat. §MN-SUBST

MDH substantiated maltreatment or licensing violation finding

Full inspector notes

Finding: Substantiated, individual responsibility Nature of the 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) neglected a resident when she failed to do a well check on the resident at the end of her shift as required by the care plan. Investigative Findings and Conclusion: The Minnesota Department of Health determined neglect was substantiated. The AP, who was an unlicensed caregiver, was responsible for the maltreatment. She documented she completed a well check near the end of her shift meanwhile the resident had left his apartment, exited the building, fallen outside, and required hospitalization when he was found by staff members arriving for the night shift. The investigator conducted interviews with facility staff members, including administrative staff, nursing staff, and unlicensed staff. The investigator contacted the resident's family member. The investigation included review of resident's records, the AP’s personnel record, facility's policies and procedures, incident reports, and the resident's external medical record. The An equal opportunity employer. investigation included an onsite visit, observations, and interactions between residents and facility staff. The resident resided in an assisted living building. The resident’s diagnoses include macular degeneration and kidney disease. The resident’s care plan included needed supervision or standby assist for mobility, utilizing a wheeled walker or wheelchair as needed. The facility incident report indicated the resident was found lying on the ground of the outside the facility at 10:55 p.m. when an unlicensed caregiver pulled in the parking lot to work the night shift. The same document indicated the resident was found lying on the ground on his back. The resident could not state what happened but complain of being “freezing” cold. The unlicensed caregiver called 911 and updated the on-call facility nurse. Two days prior to the incident report indicated the resident fell and sustained a skin tear. The same document indicated the resident had safety well checks at night. The resident’s medical record indicated the facility added an additional well check near the end of the end of the evening shift at 22:00 (10:00 p.m.) the next day as part of his routine. The next scheduled well check was scheduled for 12:00 midnight during the night shift. The same document indicated the AP documented completed the scheduled well check one day prior to the incident. On the same day as the incident the facility schedule indicated the AP worked from 2:30 p.m. to 11:00 p.m. on the evening shift. The resident’s medical record indicated the AP documented she provided the night cares, grooming assistant and escort the resident to meal at 9:40 p.m. On the same night as the incident the resident’s medical record indicated the AP documented completing the well check at approximately 10:30 p.m. near the end of the evening shift. During an interview, a management staff member stated she had reviewed surveillance footage from the evening of the incident. The management staff member stated the footage showed the resident walking out of his apartment at 9:40 p.m. She commented that it was not unusual for the resident to go outside, it was unusual for him to do so in the evening. The same video did not show the AP go to the resident’s room for the last well check of the evening shift. The manager stated the video itself was no longer available, but she had reviewed it. During an interview, the registered nurse stated she received a call from an oncoming staff member at 11 p.m. that the resident had been found outside on his back. The nurse stated the resident had a history of falls and checks were one of the interventions used to address this. During an interview, a staff member #1 stated all the staff knew the resident well checks. She said she worked on the night the incident happened. She stated she saw the AP got into her car and left without looking back when she knew the resident fell and was found outside. During an interview, a staff member #3 confirmed she conducted a well check on the resident every two hours as scheduled. She also verified the resident was alert and oriented. She mentioned she had never seen him go outside at night. During the investigation, the investigator was unable to interview the AP despite multiple attempts. 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 to interview were not successful. Alleged Perpetrator interviewed: No, attempt to interview were not successful. Action taken by facility: The facility initiated an internal investigation and subsequently terminated the AP. A meeting took place to re-educate all staff about the importance of well checks. Action taken by the Minnesota Department of Health: The facility was issued a correction order regarding the vulnerable adult’s right to be free from maltreatment. You may also call 651-201-4200 to receive a copy via mail or email. The responsible party will be notified of their right to appeal the maltreatment finding. If the maltreatment is substantiated against an identified employee, this report will be submitted to the nurse aide registry for possible inclusion of the finding on the abuse registry and/or to the Minnesota Department of Human Services for possible disqualification in accordance with the provisions of the background study requirements under Minnesota 245C. cc: The Office of Ombudsman for Long Term Care The Office of Ombudsman for Mental Health and Developmental Disabilities Waseca County Attorney Waseca City Attorney Waseca Police Department Minnesota Department of Human Services PRINTED: 11/22/2023 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 _____________________________ 30450 10/23/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE 200 22ND AVENUE NE COLONY COURT WASECA, MN 56093 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 October 23, 2023, the Minnesota Department of Health initiated an investigation of complaint HL304506625M/HL304502387C . The following correction order is issued, tag identification 2360. 02360 144G.91 Subd. 8 Freedom from maltreatment 02360 Residents have the right to be free from physical, sexual, and emotional abuse; neglect; financial exploitation; and all forms of maltreatment covered under the Vulnerable Adults Act. This MN Requirement is not met as evidenced by: The facility failed to ensure one of one resident No plan of correction is required for this reviewed (R1) was free from maltreatment. tag. Findings include: The Minnesota Department of Health (MDH) issued a determination maltreatment occurred, and an individual alleged perpetrator was responsible for the maltreatment, in connection with incidents which occurred at the facility. Please refer to the public maltreatment report for details. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE STATE FORM 6899 IXYF11 If continuation sheet 1 of 1

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§ 07 · Nearby

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