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September 4, 2026 Dimitriy Paplov, Authorized Agent Integra Health Care, Inc. PO Box 565 Lakeville, Minnesota 55044 License Number: 1073694 (245D – HCBS) CORRECTION ORDER Dear Dimitriy Paplov: On June 23, 2026, a licensing review of Integra Health Care, Inc., located at 17645 Juniper Path STE 115, Lakeville, Minnesota, was conducted to determine compliance with state and federal laws and rules governing the provision of home and community-based services to persons with disabilities and age 65 and older under Minnesota Statutes, Chapter 245D. 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 Statutes, section 245D.65, subdivision 2. Violation: For three of three persons whose records were reviewed (P1, P2 and P3), the license holder did not meet the requirements for an individual abuse prevention plan (IAPP). Minnesota Statutes, section 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. a. The license holder asses P1, P2 and P3 as not vulnerable in all areas of assessed abuse. These assessments contradicted information found elsewhere in P1’s, P2’ and P3’s service recipient records. b. The license holder did not review P2’s and P3’s IAPPs annually. Corrective Action Ordered: Within 30 days of receiving this order, you must: · complete an individualized assessment of P1’s, P2’s and P3’s susceptibility to abuse in all areas of assessed abuse, within the scope of the licensed service; · document the statement of the specific measures that would be taken to minimize the risk of abuse for each assessed area of abuse; · ensure P1’s, P2’s and P3’s case managers and members of the support team with an opportunity to review the revisions to P1’s, P2’s and P3’s IAPPs; and · complete an audit of the IAPPs of all individuals receiving waivered services from your program to determine if the above-mentioned has been completed. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Statutes, section 245D.04, subdivision 1. Violation: For three persons whose records were reviewed (P1, P2 and P3), the license holder did not provide the service recipient rights, as required. Minnesota Statutes, section 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. a. The license holder did not include the right to access personal possessions, including financial resources, in the written notice that was provided to P1 on August 27, 2025. b. The license holder did not provide P2 and P3 with a written notice that identified the service recipients and an explanation of those rights annually in 2025. Corrective Action Ordered: Within 30 days of receiving this order, you must: · provide P1 with a notice that identifies the service recipient rights and an explanation of those rights that includes the above-mentioned right; · provide P2 and P3 with a written notice that identifies the service recipient rights and an explanation of those rights; and · maintain documentation of receipt in P1’s, P2’s and P3’s service recipient records. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statutes, section 245D.05, subdivision 1, paragraph (b). Violation: For one person whose records were reviewed (P3), the license holder did not document how health needs would be met as required. The license holder was assigned responsibility for meeting P3’s health needs in P3’s support plans. The license holder failed to maintain documentation on how the person’s health needs would be met, including a description of the procedures the license holder would follow in order to: · monitor health conditions according to written instructions from a licensed health professional; and · assist with or coordinate medical, dental, or other health service appointments; and · use medical equipment, devices, or adaptive aids or technology safely and correctly according to written instruction from a license health professional. Corrective Action Ordered: Within 30 days of receiving this order, you must document in P3’s service recipient record a description of the procedures you will follow in order to meet the person’s health needs identified above. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 4. Citation: Minnesota Statutes, section 245D.061, subdivision 9. Violation: The license holder did not maintain an emergency use of manual restraints policy and procedure as required. The license holder provided two policies and procedures regarding the emergency use of manual restraints, one that allowed the emergency use of manual restraints and one that did not allow the emergency use of manual restraints. The license holder did not develop, document, and implement a policy and procedure regarding the emergency use of manual restraint. Corrective Action Ordered: Within 30 days of receiving this order, you must: · develop, document, and implement a policy and procedure that either allows or does not allow the emergency use of manual restraints; · provide all service recipients, legal representatives, and case managers with the updated policy and procedure; and · maintain documentation of the updated policy and procedure that was provided to service recipients, their legal representatives, if applicable, and case managers in each service recipient’s service recipient record. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245D.07, subdivision 1 and 1a. Violation: For two persons whose records were reviewed (P1 and P3), the license holder did not provide services in response to the person’s identified needs, interests, preferences, and desired outcomes as specified in the support plan and support plan addendum. a. The license holder provided night supervision services to P1. The license holder stated to DHS that “night supervision services are the same as PCA services.” The license holder did not maintain documentation to demonstrate that P1’s night supervision services were being provided in compliance with the federal waiver plan and the requirements of this chapter. b. The license holder assigned themselves the responsibility of maintaining a transportation log when P3 was provided transportation as part of their individual community living supports services. The license holder did not maintain a transportation log as assigned in P3’s support plan addendum. Corrective Action Ordered: Within 30 days of receiving this order, you must: · revise P1’s support plan addendums to include documentation on how services are provided for each service, including: o how, when, and by whom direct support services will be provided; o the person responsible for overseeing the delivery and coordination of services; · for any service recipient who does not have the information listed above, you must document this information in the person’s service recipient record; · begin maintaining a transportation log in P3’s support plan addendum. Concerns regarding the license holder’s service planning documentation and billing for home and community-based services not being provided in compliance with the federal waiver plan and the requirements of this chapter were referred to the Department of Human Services, Office of Inspector General, Program Integrity and Oversight Division. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 6. Citation: Minnesota Statutes, section 245D.07, subdivision 2. Violation: For two persons whose records were reviewed (P2 and P3), the license holder did not meet the requirements of initial service planning for a basic support service as required. The license holder did not review, and revise, as needed, P2 and P3’s preliminary support plan addendum within 60 calendar days of service initiation to document the services that will be provided including how, when, and by whom services will be provided, and the person responsible for overseeing the delivery and coordination of services. Corrective Action Ordered: Within 30 days of receiving this order, you must review and revise P2’s and P3’s support plan addendums to document the above-mentioned information. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 7. Citation: Minnesota Statute, section 245D.095, subdivision 3 and Minnesota Rule, part 9544.0100, subpart 1. Violation: For three persons whose records were reviewed (P1, P2 and P3), the license holder did not maintain progress notes and data that were recorded by the program. The license holder did not maintain log notes and appropriate data for P1, P2, and P3 that: · ensured services can be evaluated and monitored by the license holder and the commissioner; and · ensure that staff were accountable for the services provided to the person. Corrective Action Ordered: Within 30 days of receiving this order, you must begin maintaining data and progress or daily log notes in P1, P2 and P3’s service recipient records. Concerns regarding the provider’s daily log notes and billing for home and community-based services were referred to the Department of Human Services, Office of Inspector General, Program Integrity and Oversight Division. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision and subpart. 8. Citation: Minnesota Statutes, section 245D.10, subdivision 4. Violation: For two persons whose records were reviewed (P2 and P3), the license holder did not provide written or electronic copies of policies and procedures as required. The license holder did not inform and provide copies of the following policies and procedures affecting P2 and P3’s rights to P2 and P3’s case managers within five days of service initiation: · grievance policy and procedure; · service suspension policy and procedure; · service termination policy and procedure; and · emergency use of manual restraints policy and procedure. Corrective Action Ordered: Within 30 days of receiving this order, you must: · provide the policies and procedures identified above to P2’s and P3’s case managers and · maintain documentation of receipt in the P1’s and P2’s service recipient records. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 9. Citation: Minnesota Rule, part 9544.0030, subpart 1. Violation: For three persons whose records were reviewed (P1, P2 and P3), the license holder did not incorporate and evaluate positive support strategies as required. a. The license holder did not evaluate the positive support strategies with P1 at least every six months. b. The license holder did not incorporate into writing positive support strategies to an existing treatment, service, or other individual plan for P2 and P3. Corrective Action Ordered: Within 30 days of receiving this order, you must: · evaluate the positive support strategies with P1; · maintain copies of this evaluation in P1’s service recipient record; and · develop and document positive support strategies for P2 and P3. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 10. Citation: Minnesota Statutes, section 245A.65, subdivision 3. Violation: For one of four staff persons whose records were reviewed (SP1), the license holder did not provide an annual review to vulnerable adult maltreatment prevention and reporting, as required. The license holder did not provide SP1 with an annual review of vulnerable adult maltreatment prevention and reporting procedures in 2024. Corrective Action Ordered: Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 11. Citation: Minnesota Statutes, section 245D.09, subdivision 5. Violation: For two staff persons whose records were reviewed (SP1 and SP2), the license holder did not provide annual training as required. 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. a. The license holder did not provide SP1 with annual training on the following topics in 2024: · data privacy requirements according to Minnesota Statutes, sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPPA), and staff responsibilities related to complying with data privacy practices; · the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in Minnesota Statutes, section 245D.04; · the principles of person-centered service planning and delivery as identified in Minnesota Statutes, section 245D.07, subdivision 1a, and how they applied to direct support service provided by the staff person; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061 and what constitutes the use of restraints, time out, and seclusion, including chemical restraint; · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe; · basic first aid; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. b. The license holder did not provide SP2 with annual training on the following topics in 2026 and 2026: · data privacy requirements according to Minnesota Statutes, sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPPA), and staff responsibilities related to complying with data privacy practices; · the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in Minnesota Statutes, section 245D.04; · the principles of person-centered service planning and delivery as identified in Minnesota Statutes, section 245D.07, subdivision 1a, and how they applied to direct support service provided by the staff person; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061 and what constitutes the use of restraints, time out, and seclusion, including chemical restraint; · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe; · basic first aid; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. P2 was provided with this training in April 2025. Corrective Action Ordered: Within 30 days of receiving this order, you must provide SP2 with annual training on the above-mentioned topics. You must maintain documentation of this training in SP2’s personnel record. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 12. Citation: Minnesota Statutes, section 245D.081. Violation: The license holder did not meet the requirements of program coordination, evaluation, and oversight. a. The license holder did not ensure that the designated coordinator (SP4), provided supervision, support, and evaluation of activities that included: · oversight of the license holder’s responsibilities assigned in the person’s support plan and support plan addendum; · taking the action necessary to facilitate the accomplishment of the outcomes according to the requirements in section 245D.07; · instruction and assistance to direct support staff implementing the support plan and the service outcomes, including direct observation of service delivery sufficient to assess staff competency; and · evaluation of the effectiveness of service delivery, methodologies, and progress on the person’s outcomes based on the measurable and observable criteria for identifying when the desired outcomes based on the measurable and observable criteria for identifying when the desired outcome has been achieved according to the requirements in section 245D.07. b. The license holder did not ensure that the designated manager (SP3) provided program management and oversight of the services provided by the license holder: · maintaining a current understanding of the licensing requirements sufficient to ensure compliance throughout the program as identified in section 245A.04, subdivision 1, paragraph (e), and when applicable, as identified in section 256B.04, subdivision 21, paragraph (g); · ensuring the duties of the designated coordinator are fulfilled according to the requirements in subdivision 2; · evaluation of satisfaction of persons served by the program, the person’s legal representative, if any, and the case manager with the service delivery and progress towards accomplishing outcomes identified in sections 245D.07 and 245D.071, and ensuring and protecting each person’s rights as identified in section 245.04; and · ensuring staff competency requirements are met according to the requirements in section 245D.09, subdivision 3, and ensuring staff orientation and training is provided according to the requirements in section 245D.09, subdivision 4, 4a, and 5. The failure to provide program coordination, management and oversight is evidenced in citations 1 through 12. Corrective Action Ordered: Within 30 days of receiving this order, you must: · ensure that SP3 and SP4 understand and have acknowledged their responsibilities as required in Minnesota Statutes, section 245D.081, subdivision 2 and 3; and · maintain a signed document that SP3 and SP4 have acknowledged their responsibilities as required in Minnesota Statutes, section 245D.081, subdivisions 2 and 3 in your program’s records. Within 60 days of receiving this order, you must: · complete an audit of all participant and personnel records to ensure all service recipient and all staff person’s records are in compliance with the 245D licensing requirements; · based on the results of the audit, bring service recipient and personnel records into compliance in the areas identified as noncompliant through the audit; and · maintain this audit in your program’s records. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 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 ATTN: Legal Unit Licensing Division PO Box 64242 St. Paul, MN 55164-0242 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. Kate Spenger, HCBS Human Services Licensor Licensing Division Office of Inspector General 651-431-5757
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