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Grand Avenue Rest Home: Behavioral Health Failures - MN

Healthcare Facility
Grand Avenue Rest Home
Minneapolis, MN  ·  3/5 stars

The violation falls under a category regulators call Quality of Life and Care Deficiencies. It is, in the language of federal inspection reports, a straightforward obligation: each resident must receive necessary behavioral health care, and the facility must provide it. At Grand Avenue Rest Home, inspectors concluded that was not happening.

The deficiency was rated at Scope and Severity Level D, meaning inspectors characterized it as isolated, with no actual harm documented at the time of the visit. That last part carries a weight worth sitting with. No actual harm documented is not the same as no harm possible. Regulators assigned the finding because they determined there was potential for more than minimal harm to residents.

Behavioral health needs in nursing home populations are not marginal concerns. Residents living with depression, anxiety, dementia-related behavioral symptoms, or other psychiatric conditions depend on their facilities to identify those needs and respond to them with appropriate care and services. When a facility falls short of that, the consequences tend not to announce themselves loudly. They accumulate quietly, in residents who grow more withdrawn, more agitated, more difficult to reach.

Grand Avenue Rest Home was cited for seven additional deficiencies during the same inspection. The report does not describe them in detail here, but eight deficiencies in a single complaint inspection is not a minor administrative event.

The facility reported a correction date of October 31, 2025, roughly seven weeks after inspectors walked through the door. Whether the underlying conditions that produced the deficiency have genuinely changed, or whether the paperwork now reflects a problem that persists in practice, is something only a follow-up inspection can answer.

What the record shows is this: inspectors came because someone complained, found a facility that was not meeting its obligations around behavioral health care, and left with eight citations in hand.

For residents whose behavioral health needs went unmet during the period inspectors examined, the correction date on a government form offers nothing in the way of remedy.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Grand Avenue Rest Home from 2025-09-11 including all violations, facility responses, and corrective action plans.

Additional Resources

Editorial Standards & Data Disclosure

Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.

Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.

Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.

Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: September 21, 2026  ·  Our methodology

Quick Answer

GRAND AVENUE REST HOME in MINNEAPOLIS, MN was cited for violations during a health inspection on September 11, 2025.

The violation falls under a category regulators call Quality of Life and Care Deficiencies.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at GRAND AVENUE REST HOME?
The violation falls under a category regulators call Quality of Life and Care Deficiencies.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in MINNEAPOLIS, MN, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from GRAND AVENUE REST HOME or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 24E150.
Has this facility had violations before?
To check GRAND AVENUE REST HOME's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.