Haven Homes Of Maple Plain

Inspection findings

1. May 6, 2026 Fire Safety · 4 findings
   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected May 29, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected May 29, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0911 Gas, Vacuum, and Electrical Systems Deficiencies

     Meet requirements for the installation and maintenance of electrical systems.

     Corrected Jul 2, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jun 30, 2026 · CMS fire safety

2. Jul 24, 2025 Health · 6 findings
   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Sep 5, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 5, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Sep 5, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0346 Smoke Deficiencies

     Follow proper procedures when the fire alarm was out of service for more than 4 hours.

     Corrected Sep 5, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 5, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0354 Smoke Deficiencies

     Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

     Corrected Sep 5, 2025 · CMS fire safety

3. May 23, 2024 Fire Safety · 1 finding
   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected May 22, 2024 · CMS fire safety

4. Aug 9, 2023 MDH complaint investigation · 1 finding
   • Severity not stated

     H54974246C Substantiated complaint (MDH Office of Health Facility Complaints)

     MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).

     Statement of deficiencies (PDF)

5. Aug 4, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Aug 25, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• DAHL, ROBERT — corporate officer, NOT APPLICABLE, since 01/01/2014
• KERN, MATTHEW — corporate officer, NOT APPLICABLE, since 02/28/2019
• LEFF, WILLIAM — corporate director, NOT APPLICABLE, since 01/01/2014
• NOVOTNY, KATHRYN — w-2 managing employee, NOT APPLICABLE, since 12/01/2018
• NYE, GERALD — corporate director, NOT APPLICABLE, since 06/13/2019
• PETERSON, ROLAND — corporate director, NOT APPLICABLE, since 01/01/2014
• TANGEDAHL, GUY — corporate director, NOT APPLICABLE, since 01/01/2014
• YOUNGQUIST, KATHRYN — corporate officer, NOT APPLICABLE, since 01/01/2014
• CASSIA — operational/managerial control, NOT APPLICABLE, since 01/01/2020
• ELIM CARE INC — 5% or greater direct ownership interest, 100%, since 01/01/2014