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Complaint Investigation

The Estates At Fridley Llc

October 27, 2025 · Fridley, MN · 5700 East River Road
Citations 2
CMS Rating 3/5
Beds 50
Provider ID 245201
Healthcare Facility
The Estates At Fridley Llc
Fridley, MN  ·  View full profile →
Inspection Summary

The Estates at Fridley LLC in FRIDLEY, MN — inspection on October 27, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Actual Harm

should have been. He was not certain whether the staff had started monitoring R1 for signs and symptoms of substance abuse or not. He believed the staff implemented 15-minute safety checks on R1 after he assaulted RN-A and was found to have methamphetamines in his system.

The administrator stated there was an all staff training a few weeks prior on de-escalation.

The training was their annual training and not regarding any specific resident for any specific reason.

The Administrator stated he spoke with R2 daily following the assault and each day R2 was emotionally improving with his fears. R2 had been moved to a new room and was happy with his roommate and R1 apologized to him. A facility policy titled Abuse Prohibition/Vulnerable Adult Policy with a revision date of 4/2025 indicated the purse was to protect residents against abuse by anyone, including, but not limited to facility staff, other residents, consultants or volunteers, staff of other agencies serving the individual, family members or legal guardians, friends or other individuals, or self-abuse.Prevention:1.

Each referral received is assessed through the pre-admission medical screening process for susceptibility to abuse by individuals and their risk of abusing others.

This assessment includes risk of self-abuse.

Plans are developed and measures taken to minimize risks.

Ongoing assessments are completed with each quarterly care conference.2.

The Interdisciplinary Care Plan Team reviews residents requiring behavioral interventions at least quarterly and/or during Target Behavior meetings to develop individual behavior plans.3.

Residents and families are informed of the Residents' Rights and Grievance procedure upon admission to the facility and annually through Resident Council.4.

Department Directors are updated regarding falls and resident incidents and are responsible for ongoing supervision of subordinates regarding abuse prevention.5.

Identification and analysis of physical environmental factors that may make abuse and neglect more likely to occur is completed and reviewed by the QAPI committee.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

The Estates at Fridley LLC

5700 East River Road Fridley, MN 55432

SUMMARY STATEMENT OF DEFICIENCIES

himself to where he will be the rest of his life. He stated he drinks alcohol almost daily and refused to answer how often he used illegal drugs.

Upon interview on 10/27/25 at 1:01 p.m. the director of social services (SW)-A stated R1 started having behaviors after an unplanned leave of absence on 10/10/25 10/11/25. On 10/13/25 R1 was letting air out of the tires of staff cars in the parking lot. On 10/15/25 R1 physically assaulted registered nurse (RN)-A. On 10/15/25 R1 was discharged from the emergency department with a lab result showing R1 tested positive for methamphetamines. On 10/21/25 R1 pushed over R2 unprovoked in his room and was assaultive to staff.

The paramedics took R2 to the hospital and he was there until 10/24/25. SW-A stated every resident gets offered in-house therapy visits.

She denied offering R1 chemical dependency inpatient or outpatient or any therapeutic interventions while he at the facility due to his age, English as a second language, trauma from being found frost bitten unconscious and bilateral below the knee amputations.

She was not aware of any treatment offered to R1 after his behavior changed and he was found to have used methamphetamines while being at the facility. SW-A was not aware if the facility staff had knowledge of how to support R1 when he was distressed.

Upon interview on 10/27/25 at 2:14 p.m. the DON stated she was aware that residents were officed in-house psychiatry upon admission and it was their right to refuse it.

She stated she thought SW-A had reached out to the in-house provider to complete a diagnostic assessment on R1 following the incident on 10/15/25 when R1 assaulted staff and was found to have methamphetamines in his system.

The DON denied knowledge of R1 being offered chemical dependent or other treatment outside the facility during his stay. A policy for treatment and/or services for mental and psychosocial concerns was requested however none was provided.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FRIDLEY, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from The Estates at Fridley LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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