Minnesota

                      

May 15, 2026                      

Carrie McGregor, Authorized Agent

Specialized Treatment Services Inc

1132 Central Ave NE

Minneapolis, MN 55413

License Number: 1054055

CORRECTION ORDER

Dear Carrie:

On February 10, 11, 12, and 13, 2026, Department of Human Services (DHS) licensors conducted a licensing review at your facility, Specialized Treatment Services/Central located at 1132 Central Ave NE, Minneapolis, MN 55413. This review was conducted to determine compliance with state and federal laws and rules governing the provision of Substance Use Disorder treatment under MN 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, Procedures, and Practices

1. Violation: The license holder did not meet requirements governing serving persons with co-occurring disorders. The license holder’s policies did not document having continuing access to a medical provider with appropriate expertise in prescribing psychotropic medications.

Statute Violated: Minnesota Statutes, sections 245G.20, clause (2).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the policies regarding serving persons with co-occurring disorders meet all applicable requirements. Within 60 days of receipt of this order, submit a co-occurring policy that meets all applicable requirements.

2. Violation: The license holder did not meet requirements governing administration of medication. The license holder did not have documentation of monthly on-site supervision by a registered nurse for the months of January 2025 through September 2025 and November 2025 through January 2026.

Statute Violated: Minnesota Statutes, section 245G.08, subdivision 5, paragraph (c).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the registered nurse supervision documentation meets all applicable requirements. Within 60 days of receipt of this order, submit one month of registered nurse supervision documentation that meets all applicable requirements.

3. Violation: The license holder did not meet requirements governing tuberculosis policies and procedures. The policies and procedures were not consistent with Minnesota Statute, section 144.4804.

Statute Violated: Minnesota Statutes, sections 245G.12, clause (3).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the tuberculosis policy meets all applicable requirements. Within 60 days of receipt of this order, submit a tuberculosis and tuberculosis screening policy that meets all applicable requirements.

Personnel Files

4. Violation: One of four personnel files reviewed for requirements governing personnel file contents (personnel file numbered 3) did not meet requirements. There was no documentation of date of first direct contact.

Statute Violated: Minnesota Statutes, sections 245A.041, subdivision 6 and 245G.13, subdivision 1, clause (3).

Corrective Action Required: Immediately and on an ongoing basis the license holder must ensure personnel file contents meet all applicable requirements.

Client Files

5. Violation: One of ten client files reviewed for requirements governing client rights protection (client file numbered 3) did not meet requirements. The license holder did not give the client on the day of service initiation a written statement of the client’s rights and responsibilities.

Statute Violated: Minnesota statutes, section 245G.15, subdivision 1.

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure client orientation meets all applicable requirements.

6. Violation: Three of ten client files reviewed for requirements governing initial services plans (ISP) and vulnerable adult determinations (client files numbered 5, 6, and 7) did not meet requirements. The ISP and vulnerable adult determinations were not completed within 24 hours of the day of service initiation.

Statute Violated: Minnesota statutes, sections 245G.04, subdivision 3.

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure client orientation meets all applicable requirements.

7. Violation: Nine of nine client files reviewed for requirements governing comprehensive assessments (CA) did not meet requirements as follows:

a. The CA was not completed within 14 days of service initiation, and a person-centered reason for the delay and the planned completion date was not documented in the client’s file (client files numbered 5 and 7); and

b. The CA did not include documentation of the following:

1) Important developmental incidents in the client’s life (client files numbered 1 through 5 and 9);

2) A determination of whether the individual screens positive for co-occurring mental health disorders using a screening tool approved by the commissioner (client files numbered 1 through 9); and

3) A recommendation for the ASAM level of care identified in Minnesota Statutes, section 254B.19, subdivision 1 (client files numbered 1 through 5 and 9).

Statute Violated: Minnesota Statutes, section 245G.05.

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure comprehensive assessments meet all applicable requirements. Within 60 days of receipt of this order, submit a comprehensive assessment from a recent client that meets all applicable requirements.

8. Violation: Four of ten client files reviewed for requirements governing individual treatment plans (ITP) did not meet requirements as follows:

a. The ITP was not completed within 14 days from the day of service initiation (client files numbered 3, 5, 6, and 7); and

b. The ITP did not contain a treatment strategy (client file numbered 5).

Statute Violated: Minnesota statutes, sections 245G.06, subdivisions 1 and 1a, clause (3).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure individual treatment plans meet all applicable requirements.

9. Violation: Ten of ten client files reviewed for requirements governing documentation of treatment services and client records did not meet requirements in the following ways:

a) Entry did not include job title or position of the staff that made the entry for the following:

1) June 5, 2025 (client file numbered 8);

2) November 26, December 4, 19, 24, and 29, 2025, and January 8, 12, 21, 29, and February 6, 2026 (client file numbered 5); and

3) December 23, 2025, (client file numbered 5); and

b) Individual treatment plans did not include accurate date of admission for the individual treatment plans dated October 16, 2025 and November 7, 2025 (client file numbered 7); and

Statute Violated: Minnesota statutes, sections 245G.06, subdivisions 2a and 2b, paragraph (c).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure client record documentation meets all applicable requirements.

10. Violation: One of five client files reviewed (client file numbered 1) for requirements governing the provision of telehealth did not meet requirements. There was no documentation of the following:

a) Mode of transmission used to deliver the service through telehealth on March 27, 2025; and

b) Location of the originating site and the distance site for the dates March 13 and 27, 2025.

Statute Violated: Minnesota Statute, sections 245G.07 subdivision 4, paragraph (c), clause (2).

Corrective Action Required: Immediately, and on an ongoing basis, the license holder must ensure that for clients receiving telehealth services the records meet all applicable requirements.

11. Violation: Nine of nine client files reviewed for requirements governing treatment plan reviews did not meet requirements in the following ways:

a) The treatment plan review did not indicate the span of time covered by the review for the documents signed:

1) April 9, 2025 (client file numbered 1);

2) November 13, 2025 (client file numbered 5); and

3) October 2, 2025 (client file numbered 9); and

b) Treatment plan reviews were not completed weekly for the ten weeks following the completion of a treatment plan:

1) Treatment plan reviews were due on January 21, 28, February 4, 11, 18, 25, March 4, 18, and 25, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 1);

2) Treatment plan reviews were due on April 25 and June 13, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 2);

3) Treatment plan reviews were due on February 20, March 13, 20, 27, April 10, 17, and 24, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 3);

4) Treatment plan reviews were due on June 5 and July 24, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 4);

5) Treatment plan review was due on December 12, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 5);

6) Treatment plan reviews were due on May 14, June 18, 25, July 2, and 9, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 6);

7) Treatment plan reviews were due on October 22, November 19, December 3, 17, and 24, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 7);

8) Treatment plan reviews were due July 11, 25, August 1, 8, and 15, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 8); and

9) Treatment plan review was due on September 29, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 9); and

c) Treatment plan reviews were not completed once every ninety days following the first ten weeks following the completion of the treatment plan:

1) Treatment plan review was due on June 23, 2025; however, there was no treatment plan review documentation in the chart (client file numbered 1); and

2) Treatment plan review was due on November 13, 2025; however, there was no treatment plan review documentation in the chart (client filed numbered 8).

Statute Violated: Minnesota Statutes, sections 245G.06, subdivisions 3 and 3a, paragraphs (f), clause (1) and (h).

Corrective Action: Immediately and on an ongoing basis, the license holder must ensure treatment plan reviews meet all applicable requirements. Within 60 days of receipt of this order, submit two weeks of treatment plan reviews from a recent client that meets all applicable requirements.

12. Violation: Two of seven client files were reviewed for requirements governing service discharge summaries did not meet requirements as follows:

1) The discharge summary was not completed within five days of service termination (client file numbered 2); and

2) The discharge summary did not include documentation of continuing care recommendations (client file numbered 1).

Statute Violated: Minnesota statute, section 245G.06, subdivision 4, paragraphs (a) and (b), clause (6).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure service discharge summaries meet all applicable requirements.

13. Violation: Four of ten client files were reviewed for requirements governing medication orders did not meet requirements. The documentation regarding medication orders did not meet requirements as follows:

a) The practitioner did not document and sign the order in the client’s record within 72 hours of the medication being ordered on the following dates:

1) January 9 and February 14, 2025 (client file numbered 1);

2) February 6, 20, March 6, 13, and 20, 2025 (client file numbered 3);

3) October 10 and November 13, 2025 (client file numbered 5); and

4) May 13, 2025 (client file numbered 10).

Statute Violated: Minnesota statute, section 245G.22, subdivision 3, clauses (2) and (3).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure medical orders meet all applicable requirements.

14. Violation: Two of ten client files reviewed for requirements governing the prescription monitoring program (PMP) did not meet requirements. There was no documentation of the medical director’s or the medical director’s delegate’s subsequent review of the PMP data done every 90 days:

a) A PMP was due on October 8, 2025; however, was not completed until October 23, 2025 (client file numbered 2); and

b) A PMP was due on October 5, 2025; however, was not completed until October 10, 2025 (client file numbered 3).

Statute Violated: Minnesota statute, section 245G.22, subdivision 16, clause (2).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure prescription monitoring program data reviews meet all applicable requirements.

15. Violation: Two of nine client files reviewed for requirements governing nonmedication treatment services did not meet requirements. Following the first ten weeks following the day of service initiation, the program did not offer at least 50 consecutive minutes of individual or group therapy per month for the following months:

a) June 2025 (client file numbered 3); and

b) November 2025 (client file numbered 6).

Statute Violated: Minnesota statute, section 245G.22, subdivision 15, paragraph (a).

Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure nonmedication treatment services 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 david.her@state.mn.us or by mail:

Commissioner, Department of Human Services

ATTN: David Her

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 651-431-7229 or at david.her@state.mn.us.

Sincerely,

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David Her, Licensor

Licensing Division

Office of Inspector General


PO Box 64242 • Saint Paul, Minnesota • 55164-0242 • An Equal Opportunity and Veteran Friendly Employer

https://mn.gov/dhs/general-public/licensing/