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October 7, 2026 Irene Grudsky, Authorized Agent Dignity Adult Services 10550 Wayzata Boulevard Minnetonka, Minnesota 55305 License Number: 1075653 (Rule 223) CORRECTION ORDER Dear Irene Grudsky: On April 27, 2026, and August 28, 2026, a licensing review of Dignity Adult Services located at 10550 Wayzata Boulevard, Minnetonka, 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 Statutes, section 245A.14, subdivision 14, paragraph (c). Violation: The license holder did not meet the requirements for attendance record documentation. The license holder did not maintain documentation of actual attendance for each adult day service recipient for which the license holder for which the license holder was reimbursed by a governmental program that included: · the time of day that the recipient was dropped off; and · the time of day that the recipient was picked up.
2. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (b).
The license holder did not review P1-P4’s IAPP with their interdisciplinary team, at least annually.
3. Citation: Minnesota Rules, part 9555.9660, subpart 1. Violation: For four participants whose records were reviewed (P1-P4), the license holder did not include information in the participant’s written record as required. a. The license holder did not include the following in P1 and P2’s written record: · an application that included P1 and P2’s source of referral; · a medical report dated within three months prior to or 30 days after P1 and P2’s admission to the center. P1 was admitted on January 1, 2025, and the license holder maintained a medical report for P1 on September 2, 2025. P2 was admitted on September 4, 2024, and the license holder maintained a medical report for P2 on May 7, 2025; and · participation reports and progress notes that are recorded at least monthly. b. The license holder did not include participation reports and progress notes that are recorded at least monthly in P3 and P4’s written record. Repeat Violation: In a Correction Order that DHS issued on July 25, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must maintain a source of referral for P1 and P2 and maintain participation reports and progress notes at least monthly for P1-P4. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 4. Citation: Minnesota Rules, part 9555.9700, subpart 2. Violation: For two participants whose records were reviewed (P1 and P2), the license holder did not complete initial service planning as required. a. The license holder did not develop a preliminary service plan for P1 that included P1’s nutritional needs and, where applicable, dietary restrictions. P1’s medical report identified diabetic, low sodium and low fat as dietary restrictions. b. The license holder did not: · include the date of the completion of P2’s needs assessment and it could not be determined whether P2’s needs assessment was completed immediately after P2’s admission to the center and placed in P2’s record within 30 days; · include medical conditions identified in P2’s medical report in P2’s physical status in P2’s needs assessment; · include the date of the completion of P2’s preliminary service plan and it could not be determined whether P2’s preliminary service plan was completed within 30 days of P2’s admission to the center; and · develop a preliminary service plan for P2 that included P2’s nutritional needs and, where applicable, dietary restrictions. P2’s medical report identified no added sugars or refined carbohydrates as dietary restrictions. Repeat Violation: In a Correction Order that DHS issued on July 25, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must update P1 and P2’s preliminary service plans and P2’s needs assessment with the information detailed above. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 5. Citation: Minnesota Rules, part 9555.9700, subpart 3. Violation: For four participants whose records were reviewed (P1-P4), the license holder did not develop a written plan of care as required. a. 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 P1 and P2; and · the anticipated duration of the individual plan of care as written. b. The license holder did not develop a written plan of care for P3 and P4 that included the anticipated duration of the individual plan of care as written. Repeat Violation: In a Correction Order that DHS issued on July 25, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must develop written plans of care for P1, P2, P3 and P4 that include the information detailed above. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 6. Citation: Minnesota Rules, part 9555.9650, item A. Violation: For two of two staff persons whose records were reviewed (SP1 and SP2), the license holder did not maintain personnel files are required. a. The license holder did not maintain documentation of an annual performance evaluation in SP1’s personnel record in 2024. b. The license holder did not maintain a job description in SP2’s personnel record. Corrective Action Ordered: Within 30 days of receiving this order, you must maintain a job description in SP2’s personnel record. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this item. 7. Citation: Minnesota Rules, part 9555.9690, subpart 4. Violation: For one staff person whose record was reviewed (SP1), the license holder did not provide in-service training annually as required. The license holder did not provide SP1 a minimum of eight hours of in-service training annually in areas related to care of center participants, including provision of medication assistance, and review of parts 9555.9600 to 9555.9730 in 2024. Additionally, in 2025 the license holder did not provide SP1 annual training that included review of parts 9555.9600 to 9555.9730. Corrective Action Ordered: Within 30 days of receiving this order, you must provide the required in-service training detailed above to SP1. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 8. Citation: Minnesota Rules, part 9555.9710, subparts 1, 3, and 4. Violation: The license holder did not offer services as required. a. The license holder did not ensure the refrigerator had a temperature of 40 degrees Fahrenheit or less. At the time of the licensing review, the refrigerator had a temperature of 43 degrees Fahrenheit. b. The license holder did not offer a midmorning and a midafternoon snack. c. The license holder did not ensure a registered nurse provided consultation and review of the health services at least monthly, that included: · monitoring a person’s health status and reporting changes to the person’s caregiver, physician, and center director; · educating and counseling persons on good health practices; · maintaining a listing of professional health resources available for referrals as needed by people; · developing policies and monitoring procedures for participant self-administration of medications for training unlicensed personnel who provide medication assistance; and; · supervising staff distribution of medication and assistance with a person’s self-administration of medication and ensuring compliance with 9555.9680, subpart 2, item C. d. The license holder did not ensure a registered physical therapist provided consultation and review of the exercise program, at least quarterly in 2025 and 2026. Repeat Violation: In a Correction Order that DHS issued on July 25, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must: · ensure your refrigerator has a temperature of 40 degrees Fahrenheit or less; · offer a midmorning and a midafternoon snack; · ensure your registered nurse provides consultation and review of the health services at least monthly; and · ensure a registered physical therapist provides consultation and review of the exercise program at least quarterly. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in these subparts. 9. Citation: Minnesota Rules, part 9555.9720, subparts 1 and 9.
Violation: The license holder did not meet safety requirements. a. The license holder did not have a first aid kit that contained an ice bag or cold pack. b. The license holder did not ensure the fire escape plan was rehearsed at least quarterly as indicated in their emergency plan. The license holder maintained documentation that their most recent fire drill was conducted on September 26, 2025. Corrective Action Ordered: Within 30 days of receiving this order, you must: · ensure your first aid kit contains an ice bag or a cold pack; and · ensure the fire escape plan is rehearsed at least quarterly. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in these subparts. 10. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (a) and section 626.557, subdivision 14.
The license holder did not establish a written PAPP that included an assessment of the population, including an evaluation of the following factors: · gender; · mental functioning; · emotional health or behavior of the person; · the need for specialized programs of care for clients; and · the need for training of staff to meet identified individual needs. Corrective Action Ordered: Within 30 days of receiving this order, you must establish a PAPP that includes the information detailed above. A copy of the PAPP must be posted in a prominent location in the program. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in these subdivisions. 11. Citation: Minnesota Statutes, section 245A.14, subdivision 14, paragraph (b). Violation: The license holder did not meet the remote adult day services requirements for participation record documentation. The license holder did not maintain documentation of actual participation for each remote adult day service recipient for which the license holder was reimbursed by a governmental program that included: · time of day that the remote services started; · time of day that the remote services ended; and · means by which the remote services were provided, through audio remote services or through audio and video remote services. Corrective Action Ordered: Immediately, you must maintain documentation for each remote adult day services recipient that includes the information as detailed above. Concerns regarding the provider’s participation documentation for remote adult day care 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. On an ongoing basis, you must maintain compliance as required in this subdivision. 12. Citation: Minnesota Statutes, section 245A.73, subdivision 1. Violation: The license holder did not provide remote adult day services as required. The license holder provided remote adult day services to some participants via audio transmission only. For participants that received remote adult day services via audio transmission, the license holder did not ensure a staff person who provided remote adult day services without two-way interactive video only provided services to one participant at a time. The license holder stated that SP1 was providing remote adult day services via audio transmission while SP1 was also providing adult day services to the participants in the center. Corrective Action Ordered: Immediately, you must ensure remote adult day services are provided with two-way interactive video to meet the staff ratio as required. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subdivision. 13. Citation: Minnesota Statutes, section 245A.74, subdivision 1, paragraph (c). Violation: For two participants whose records were reviewed (P5 and P6), the license holder did not complete individual service planning for remote adult day services as required. The license holder did not document in P5 and P6’s plans of care that remote services: · were chosen as a service delivery method by the participant or the participant’s legal representative; · would meet the participant’s assessed needs; · were provided within the scope of adult day service; and · would help the participant achieve identified short and long-term objectives specific to the provision of remote adult day services. Corrective Action Ordered: Within 30 days of receiving this order, you must document the information mentioned above in P5 and P6’s plans of care. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subdivision. 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. Katie Johnson, HCBS Human Services Licensor Licensing Division Office of Inspector General 651-431-4113
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