Survey & Licensing-Review Readiness
A mock MDH survey or a mock DHS 245D licensing review, run the way the regulator runs it — records, environment, observation, and staff interviews — so the real visit holds no surprises.
Survey findings almost never come from a policy that does not exist. They come from a policy that exists and is not being followed, or is being followed but not documented in a way anyone else can see. A mock survey is the cheapest way to find that gap on your own timeline.
We review the way a surveyor reviews: sample resident records, follow a service plan into practice, watch a medication pass, look at the physical environment, check training and background-study files, and interview staff the way they will actually be interviewed.
You get a written report with findings ranked by risk, a plain-language explanation of why each one matters, and support drafting a corrective action plan that will hold up if it is reviewed.
What's included
- On-site or remote mock MDH survey
- Mock DHS 245D licensing review of files and policies
- Resident / service-recipient record and environment review
- Staff interview practice
- Corrective action and plan-of-correction drafting support
Deliverables
- Mock survey / licensing-review report
- Prioritized gap list
- Draft corrective action plan
Who this is for
Providers with a survey or licensing-review window approaching, or recovering from findings or correction orders.
Not sure this is the right fit? Tell us what's happening and we'll point you to the engagement that actually helps — pricing is always a custom quote.
How it works
- 01Scope and schedule the mock review
- 02Conduct it the way an MDH surveyor or DHS licensor would
- 03Debrief leadership on findings
- 04Support your corrective actions to closure
The Minnesota requirements behind this work
Written in plain language, at the level of what each body of rules governs.
Who surveys you
The Minnesota Department of Health's Health Regulation Division conducts licensing surveys and complaint investigations for assisted living facilities and home care providers. Survey results and provider evaluation outcomes are published publicly, so findings follow your reputation as well as your license.
What Chapter 144G puts in scope
Assisted living surveys look across resident rights, the assisted living contract, assessments and service plans, medication management, staffing and competency, training records, emergency preparedness, food and environment, and incident and complaint handling.
Reporting and the Common Entry Point
Suspected maltreatment of a vulnerable adult must be reported under Minnesota's vulnerable adults reporting law through the Minnesota Adult Abuse Reporting Center. Surveyors check both that staff know this and that your internal reporting trail exists.
Corrective action
When findings are issued, providers are expected to submit a correction plan with specific actions, responsible parties, dates, and how the fix will be monitored so it does not recur. Vague plans get rejected.
For DHS / 245D providers — licensing reviews, not surveys
DHS does not survey you. A licensor conducts a licensing review of your license file, your required 245D policies, and a sample of person files, then issues correction orders where the record falls short. Our mock licensing review mirrors that: file sample, policy check, staff interviews, and a written plan of correction that addresses the system behind the order rather than the single file that got cited.
This page is general information for Minnesota providers, not legal advice. Requirements change — always confirm current expectations with the Minnesota Department of Health or the Department of Human Services before acting.
What trips providers up
- Service plans that do not match the assessed needs in the record
- Medication administration records with gaps, late entries, or unexplained holes
- Training completed but not documented, or documented without competency verification
- Incidents handled well in practice but never written up or reported
- Resident rights posted but not explained at admission
- Call-light response and staffing patterns that do not match the staffing plan
Timeline & what we need
A typical mock survey runs one to three days on site depending on census, with the written report back within a week and corrective-action support after that.
- Access to resident records for sampling
- Your current policy manual and staffing plan
- Training and background-study files
- A leadership contact available for the debrief
Common questions
Should we do this before or after we get a survey window?
Before. If you already have findings, we can still help, but the value is much higher when you can fix things on your own schedule.
Will you tell staff what to say?
No. We practice interviews so staff can answer honestly and confidently about what they actually do — and we fix the practice when the honest answer is a problem.
Do you help write the correction plan?
Yes, and we push for plans that name the action, the owner, the date, and the monitoring method, because that is what holds up on review.
Can this be done remotely?
Records, policy, and documentation review can be. Environment, observation, and interview practice are much stronger on site.