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December 4, 2025
Empoweru Adult Wellness Center LLC 5864 Crown Lane Northwest License Number: 1123099 (Rule 223) CORRECTION ORDER Dear Safa Sheikibrahim: On November 6 and November 21, 2025, a licensing review of Empoweru Wellness Center LLC located at 3245 19th Street Northwest, Rochester, Minnesota, was conducted to determine compliance with Minnesota Statutes and Rules governing adult day care services under Minnesota Rules, parts 9555.9600 through 9555.9730 (Rule 223). As a result of this licensing review, a Correction Order is being issued. A. Reason for Correction Order Pursuant to Minnesota Statutes, section 245A.06, if the Commissioner of the Department of Human Services (DHS) finds that the license holder has failed to comply with an applicable law or rule and this failure does not imminently endanger the health, safety, or rights of the persons served by the program, the Commissioner may issue a Correction Order to the license holder. The following violation(s) of state or federal laws and rules were determined as a result of the licensing review. Corrective action for each violation is required by Minnesota Statutes, section 245A.06 and is hereby ordered by the Commissioner of Human Services. 1. Citation: Minnesota Rules, part 9555.9660, subpart 1. Violation: For one of two participants whose records were reviewed (P1), the license holder did not include information in the participant’s written record as required. The license holder did not include a medical report dated within three months prior to or 30 days after P1’s admission to the center. P1 was admitted to the center on June 2, 2025, and the license holder maintained a medical report for P1 on October 22, 2025. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subpart. 2. Citation: Minnesota Rules, part 9555.9700, subpart 3.
The license holder did not develop written plans of care for P1 and P2 that included an update of the preliminary service plan and additional services required by the person. Corrective Action Ordered: Within 30 days of receiving this order, you must develop a written plan of care for P1 and P2 that includes the information detailed above. On an ongoing basis, you must maintain compliance as required in this subpart. 3. Citation: Minnesota Rules, part 9555.9650, item A. The license holder did not maintain the following in SP2’s personnel record: · a copy of SP2’s job description; and · an employment application or resume for SP2. Corrective Action Required: Within 30 days of receiving this order, you must: · maintain a copy of SP2’s job description; and · SP2’s employment application or resume in SP2’s personnel record. On an ongoing basis, you must maintain compliance as required in this item. 4. Citation: Minnesota Rules, part 9555.9710, subpart 3.
The license holder did not ensure the registered nurse provided consultation and review of the health services at least monthly that included: · monitoring the participants health status and reporting changes to the participants caregiver, physician, and center director; · educating and counseling participants on good health practices; · maintaining a list of professional health resources available for referrals as needed by participants; · developing policies and monitoring procedures for participants self-administration of medications for training unlicensed personnel who provide medication assistance; and · supervising staff distribution of medication and assistance with a participants self administration of medication and ensuring compliance with 9555.9680, subpart 2, item c.
5. Citation: Minnesota Rules, part 9555.9720, subpart 8.
The license holder did not ensure the rugs had nonskid backing. Corrective Action Ordered: Within 30 days of receiving this order, you must ensure the rugs have nonskid backing. On an ongoing basis, you must maintain compliance as required in this subpart. If you fail to correct the violations specified in the Correction Order within the prescribed time lines the Commissioner may issue an Order of Conditional License or may impose a fine and order other licensing sanctions pursuant to Minnesota Statutes, sections 245A.06 and 245A.07. B. Right to Request Reconsideration If you believe any of the citations are in error, you have the right to request that the Commissioner of Human Services reconsider the parts of the Correction Order that you believe to be in error. The request for reconsideration must be in writing and received by the Commissioner within 20 calendar days after receipt of this report. Your request for reconsideration must be sent to: Commissioner, Department of Human Services Office of Inspector General Legal Counsel’s Office Attention: Licensing Legal Unit PO Box 64953 St. Paul, MN 55164-0953 Please note that a request for reconsideration does not stay any provisions or requirements of the Correction Order. The Commissioner’s disposition of a request for reconsideration is final and not subject to appeal under Minnesota Statutes, chapter 14. If you have any questions regarding this Correction Order, please contact me as soon as possible. Alexandra Devick, HCBS Human Services Licensor Licensing Division Office of Inspector General 651-431-4626
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