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February 20, 2026 William Lockett, Authorized Agent The Micah Halfway House 1523 Nicollet Avenue Minneapolis, MN 55403-2723 License Number: 1009414
CORRECTION ORDER Dear William Lockett: On December 15 through 17, 2025, a Department of Human Services (DHS) licensor conducted a licensing review at your facility, the Micah House located at 3047 5th Avenue South, Minneapolis, Minnesota 55403. This review was conducted to determine compliance with state and federal laws and rules governing the provision of substance use disorder treatment services under Minnesota Statute, chapter 245G. As a result, DHS is issuing this order which requires you to take the correction action as described under each violation. Details of our findings are provided below. Our next steps and your options are also detailed. LICENSING VIOLATIONS DHS determined that your program failed to follow licensing rules and statutes, as described below. Policies, Practices, and Procedures 1. Violation: The license holder did not meet requirements governing health services in the following ways: a. The health services policy did not include: i. Written procedures for obtaining a medical intervention for a client, that are approved in writing by a physician who is licensed under Minnesota Statutes, chapter 147, advanced practice registered nurse who is licensed under Minnesota Statutes, chapter 148, or physician assistant who is licensed under Minnesota Statutes, chapter 147A; and ii. A provision that a delegation of administration of a medication is limited to a method a staff member has been trained to administer, including an intramuscular injection of naloxone or epinephrine; and b. There was no documentation that the written control of drugs policy and procedures for assessing and monitoring a client’s health were developed by an RN. Statute Violated: Minnesota Statutes, sections 245G.08, subdivisions 2 and 5, paragraph (c), clause (1) and 245G.21, subdivisions 7 and 8. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that policies regarding health services meet all applicable requirements. Within 30 days of receipt of this order, submit a health services policy that meets all applicable requirements. 2. Violation: The license holder did not monitor the implementation of their own policies and procedures in the following ways: a. The health services policy guidelines stated that staff would inform a nurse immediately if there were problems with self-administration of a medication, including a client’s failure to administer, refusal of a medication, adverse reaction, or error. There was no documentation this was followed on the following dates: i. September 1, 2, 5, 9, 14-25, October 14, 20-25, 27-29, 31, November 1, 2026 (client file numbered 1); and ii. September 22, 26, 27, 29, 30, October 1-8, 10, 12, 13, 19, 22, 28, 31, November 1, 3-6, 11-14 (client file numbered 2); and b. There was no documentation of a standardized data collection tool for collecting health-related information about each client (client files numbered 1 through 3). The health services policy stated that this would be completed by an external medical provider within 72 hours of admission. Statute Violated: Minnesota Statutes, sections 245A. 04, subdivision 14, paragraph (b), 245G.08, subdivision 5, paragraph (c), clause (8), and 245G.21, subdivision 7. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that policies and procedures are followed and meet all requirements. Within 30 days of receipt of this order, submit documentation that staff have been trained on the guidelines of when to inform a nurse of problems with self-administration of a medication and implementation of a standardized data collection tool for collecting health-related information about each client. 3. Violation: The license holder did not meet requirements governing behavioral emergency procedures. The procedure did not include staff members authorized to implement behavioral emergency procedures. Statute Violated: Minnesota Statutes, section 245G.16, paragraph (a), clause (5). Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that the behavioral emergency procedures meet all requirements. Within 30 days of receipt of this order, submit a behavioral emergency procedure that meets all applicable requirements. Personnel Files 4. Violation: One personnel file reviewed for requirements governing staff qualifications for individuals with a temporary permit (personnel file numbered 2) did not meet requirements. There was no documentation of the amount and type of supervision provided to an individual with a temporary permit on at least a weekly basis for the weeks starting November 10 and 17, 2025. Statute Violated: Minnesota Statutes, section 245G.11, subdivision 11, paragraph (a). Corrective Action Required: Immediately, and on an ongoing basis, the license holder will ensure that staff qualifications for individuals with a temporary permit meet all applicable requirements. 5. Violation: One of two personnel files reviewed for requirements governing staff orientation (personnel file numbered 1) did not meet requirements. There was no documentation of orientation within 24 working hours to the staff member’s specific job responsibilities. Statute Violated: Minnesota Statutes, section 245G.13, subdivision 1, clause (7). Repeat Violation: In a correction order dated April 28, 2025, you were previously found in violation of this same statute. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure staff orientation meets all applicable requirements. 6. Violation: One of four personnel files reviewed for requirements governing staff development (personnel file numbered 4) did not meet requirements. There was no documentation of annual training for calendar year 2025 on: a. Mandatory reporting as specified in Minnesota Statutes, sections 245A.65, 626.557, 626.5572, and chapter 260E; b. Program abuse prevention plan; c. Training on all internal policies and procedures related to the prevention and reporting of maltreatment of individuals receiving services; and d. HIV minimum standards. Statute Violated: Minnesota Statutes, sections 245A.19, paragraph (b), 245A.65, subdivision 3, and 245G.13, subdivision 2, paragraphs (c) and (d). Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that staff development meets all applicable requirements. 7. Violation: Two of six personnel files reviewed for requirements governing personnel file contents (personnel files numbered 3 and 4) did not meet requirements. The personnel files did not contain a written annual review for calendar year 2025. Statute Violated: Minnesota Statutes, section 245G.13, subdivisions 1, clause (3). Corrective Action Required: Immediately and on an on-going basis, the license holder must ensure that personnel file contents meet all applicable requirements. Client Files 8. Violation: Three of three client files reviewed for requirements governing individual abuse prevention plans (IAPP) did not meet requirements. There was no documentation of the following: a. An individualized assessment of the person’s susceptibility to abuse by other individuals, including other vulnerable adults (client files numbered 1 through 3); b. An assessment of the person’s risk of abusing other vulnerable adults (client files numbered 1 through 3); c. If a facility knows that the vulnerable adult has committed a violent crime, the measures to be taken to reduce risk (client file numbered 1); and Statute Violated: Minnesota Statutes, sections 245A.65, subdivision 2, paragraph (b), clause (1), 245G.04, subdivision 2, paragraph (b), and 245G.21, subdivision 6. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that individual abuse prevention plans meet all applicable requirements. Within 30 days of receipt of this order, submit one IAPP that meets all applicable requirements. 9. Violation: Three of three client files reviewed for requirements governing comprehensive assessments did not meet requirements in the following ways: a. The comprehensive assessment was not completed by the end of the fifth day on which a treatment service is provided and there was no documentation identifying the client-centered reason why the assessment was not completed within this timeframe (client file numbered 1); b. There was no documentation that a comprehensive assessment that authorized the treatment service was reviewed and updated as clinically necessary to ensure compliance within five calendar days from the day of service initiation (client files numbered 2 and 3); and c. The comprehensive assessment did not include the client's resources, including the extent and quality of the client's social networks (client file numbered 1). Statute Violated: Minnesota Statutes, section 245G.05, subdivisions 1, paragraphs (a) and (c) and 3. Repeat Violation: In a correction order dated April 28, 2025, you were previously found in violation of this same statute. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that comprehensive assessments meet all applicable requirements. 10. Violation: Two of three client files reviewed for requirements governing individual treatment plans (client files numbered 2 and 3) did not meet requirements. The individual treatment plan was not updated based on new information gathered about the client’s condition. Statute Violated: Minnesota Statutes, section 245G.06, subdivision 1. Repeat Violation: In a correction order dated April 28, 2025, you were previously found in violation of this same statute. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that individual treatment plans meet all applicable requirements. 11. Violation: Three of three client files reviewed for requirements governing client record documentation did not meet requirements in the following ways: a. There was no documentation of a significant event that occurred at the program within 24 hours of the event on October 10, 2025 (client file numbered 3); b. Entries in the client record were not accurate. Documentation of treatment services contained conflicting amounts of service provided on the following dates: i. September 5, 6, 8 through 18, and October 18, 20 through23, and 25 through 30, 2025 (client file numbered 1); ii. October 8, 9, 11, 12, November 4 through 13, and 15, 2025 (client file numbered 2); and iii. September 23, 24, 27 through 29, November 3 through 9, December 2 through 4 and 7, 2025 (client file numbered 3); and c. Documentation of treatment services did not include: i. Amount for December 6, 2025 (client file numbered 3); ii. Type for October 10, 2025 (client file numbered 2); iii. Client response for: 1. September 15, 16, 17, October 17, 24, and 27, 2025 (client file numbered 1); and 2. September 24, 29, and December 5, 2025 (client file numbered 3); iv. Signature of the staff person making the entry for September 15, 2025 (client file numbered 1); and v. Job title of the staff person making the entry for: 1. September 5, 7 through 11, 14, 18, October 21, 23, 26 through 29 (client file numbered1); 2. August 11, 25, September 8, 24, October 6, 9, 12, 27, November 3, 7, 9, 10, and 18, 2025 (client file numbered 2); and 3. September 28, November 3, 4, 6, 7, 9, December 2 and 7, 2025 (client file numbered 3). Statute Violated: Minnesota Statutes, section 245G.06, subdivisions 2a and 2b, paragraphs (a) and (c). Repeat Violation: In a correction order dated April 28, 2025, you were previously found in violation of this same statute. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that client record documentation meets all applicable requirements. 12. Violation: Three of three client files reviewed for requirements governing treatment plan reviews did not meet requirements in the following ways: a. The treatment plan review did not document: i. The span of time covered by the review for treatment plan reviews signed on the following dates: 1. September 24, October 13, and November 3, 2025 (client file numbered 1); and 2. October 6, 23, and November 7, 2025 (client file numbered 3); ii. Client goals addressed since the last treatment plan review and whether the identified methods continue to be effective on September 2, 2025 (client file numbered 1); iii. Monitoring of physical or mental health problems on September 2, October 13, and November 3, 2025 (client file numbered 1); and iv. A review and evaluation of the individual abuse prevention plan on the following dates: 1. August 25, September 8, 24, October 6, and 27, 2025 (client file numbered 2); and 2. October 23, November 7, 25, and December4, 2025 (client file numbered 3); and b. A treatment plan review was not completed every 14 days for a client receiving ASAM level 3.5 high intensity residential. There was no documentation that a treatment plan review was completed by the following dates: i. September 1, 16, October 7 and 27, 2025 (client file numbered 1); ii. September 22, 2025 (client file numbered 2); and iii. November 21, 2025 (client file numbered 3). Statute Violated: Minnesota Statutes, section 245G.06, subdivisions 3, clauses (1), (2), and (5) and 3a, paragraph (b). Repeat Violation: In a correction order dated April 28, 2025, you were previously found in violation of this same statute. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that treatment plan reviews meet all applicable requirements. 13. Violation: Two of two client files reviewed for requirements governing administration of medications did not meet requirements. The client’s use of medication was not recorded, including staff signatures with date and time on the following dates: a. August 30, 31, September 1, 2, and 19 through 25, 2025 (client file numbered 1); and b. September 29, 30, October 5, 11, 12, 13, 15, 16, 19, 25, and 27, 2025 (client file numbered 2). Statute Violated: Minnesota Statutes, section 245G.08, subdivision 6, clause (3) and 245G.21, subdivision 8. Repeat Violation: In a correction order dated April 28, 2025, you were previously found in violation of this same statute. Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that administration of medication documentation meets all applicable requirements. 14. Violation: Two of two client files reviewed for requirements governing service discharge summaries did not meet requirements. a. The discharge summary was not completed within five days of service termination (client file numbered 1); and b. The discharge summary did not include the client’s living arrangements at service termination (client file numbered 2). Statute Violated: Minnesota Statutes, section 245G.06, subdivision 4, paragraphs (a) and (b), clause (5). Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that service discharge summaries meet all applicable requirements. Written Response Required If you fail to correct the violation(s) 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. Submissions required as part of the corrective action ordered must be sent to your licensor by email at Jennifer.White@state.mn.us or by mail: Commissioner, Department of Human Services ATTN: Jennifer White Licensing Division PO Box 64242 St. Paul, MN 55164-0242 YOUR RIGHT TO REQUEST RECONSIDERATION You have the right to request reconsideration of this order and the cited violations. Your request must: · Be in writing · List each violation you are challenging and identify what is inaccurate or incomplete about the information in the order · Supply information that is accurate or more complete · Be made before the deadlines provided below If you are mailing your request, it must be received by DHS within 20 calendar days from when you received this order. If you do not meet this deadline, you lose your right to request reconsideration. The timeline to appeal began when you received this order. Please send it to: Office of Inspector General Legal Counsel’s Office Attn: Licensing Legal Unit PO Box 64953 St. Paul, MN 55164-0953 If your request is being personally delivered, it must be received by DHS within 20 calendar days from when you received this order. Please bring it to: Commissioner, Department of Human Services Office of Inspector General, Legal Counsel’s Office - Licensing 444 Lafayette Road North St. Paul, MN 55155 Legal authority This action is taken under Minnesota Statutes, section 245A.06, subdivision 1. The timeline to request reconsideration of the order is provided in Minnesota Statutes, section 245A.06, subdivision 2. Questions If you have any further questions regarding this matter, you may contact me at (651) 431-6282 or at Jennifer.White@state.mn.us Sincerely,
Jennifer White, Licensor 2 Licensing Division Office of Inspector General
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