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Complaint Investigation

The Estates At Fridley Llc

November 26, 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 November 26, 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

FF0656
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During an interview on 10/1/25 at 10:52 a.m., social services designee (SSD)-A acknowledged R1 was on a civil commitment and indicated she uploaded court documents on 9/25/25 when she received them by e-fax.

The SSD-A stated R1's commitment was through May 21, 2026, and the recommendations in the commitment were for R1 to continue psychiatric treatment because R1 was a significant danger to himself, was chemically dependent, and not safe to live at home alone.

The SSD-A acknowledged R1 did not have a care plan related to the commitment but should have.

During an interview on 10/1/25 at 11:42 a.m., registered nurse (RN)-A stated R1 did not have care plan interventions related to elopement or civil commitment, but should have, and further stated it was not her job to develop the care plan.

During an interview on 10/1/25 at 2:30 p.m., the director of nursing (DON) acknowledged R1's care plan lacked focus areas for elopement and civil commitment, but both should have been included in R1's care plan.

The DON stated the care plan was used to direct staff on how to care for the resident, and staff would not have known their responsibilities for either focus area.

The Elopement Policy dated 6/23, indicated upon admission, each resident was assessed to establish elopement risk.

Documentation should include a care plan that addressed potential to wander or exit the facility and measures taken to prevent elopement. A policy for civil commitment was requested and not provided.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/26/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

The Estates at Fridley LLC

5700 East River Road Fridley, MN 55432

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited The Estates at Fridley LLC in FRIDLEY, MN for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-11-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of The Estates at Fridley LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-28.

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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