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BENEDICTINE HEALTH SYSTEM

Ownership rollup across 23 nursing homes in 4 states: Minnesota, Missouri, North Dakota, Wisconsin. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.

Insights

The chain’s homes average 2.8 of 5 stars on the CMS overall rating — roughly in line with the ~3.1 average of the 4 states it operates in. It is improving: across the same 23 homes rated throughout, the average rose 0.30 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.

23
Homes in this chain
1,826
Certified beds79 per home on average
89%
Occupied1,621 residents a day across 1,826 beds
+0.30
Star changeacross the 23 homes rated throughout · 2025-02 to 2026-06
4
States covered
2.8
Average CMS rating~3.1 in its states · ~3.0 nationally

Where the rating comes from

The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.

ComponentChain averageBasis
Health inspection2.5 of 523 rated homesstate surveyors’ findings, ranked within each state
Staffing4.0 of 523 rated homesfrom payroll (PBJ) hours
Quality measures2.9 of 523 rated homeslargely self-reported clinical data

Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.

Portfolio red flags

How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.

9 with immediate-jeopardy citations3 with an abuse flag16 with federal fines

Follow the money — chain finances

Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.

$16.7M
Related-party expensesummed across 19 homes · FY2024 cost reports
7%
of operating expensegoes to related companies, across the 19 homes reporting both figures
-22.4%
Operating marginrevenue-weighted across 21 homes with a cost report
$821K
Total federal fines16 homes fined

Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.

Who pays — share of resident-days across this chain
Medicaid 43%Medicare 11%Other / private 46%

Weighted by each home’s average daily census, across the 21 of 23 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.

Every home in this chain

Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.

HomeCMS ratingFlags
Benedictine Care CommunityAda, MN 1 of 51 immediate-jeopardy $154,460 fined
Benedictine Health CenterDuluth, MN 1 of 51 immediate-jeopardy Abuse flag
Benedictine Living Community OwatonnaOwatonna, MN 1 of 5$36,638 fined
Villa St. VincentCrookston, MN 1 of 51 immediate-jeopardy Abuse flag $29,234 fined
Nazareth Living CenterSaint Louis, MO 1 of 5$11,928 fined
Benedictine Manor of LaCrosseLa Crosse, WI 1 of 51 immediate-jeopardy $90,784 fined
Benedictine Living Community Mother Of MercyAlbany, MN 2 of 5$97,996 fined
Regina Senior LivingHastings, MN 2 of 51 immediate-jeopardy $15,919 fined
St Catherines Living CenterWahpeton, ND 2 of 51 immediate-jeopardy Abuse flag $56,329 fined
Benedictine Health Center InnsbruckNew Brighton, MN 3 of 5$15,909 fined
Benedictine Health Center Of MinneapolisMinneapolis, MN 3 of 51 immediate-jeopardy $84,774 fined
Madonna Towers Of RochesterRochester, MN 3 of 5$10,196 fined
St Gertrudes Health & Rehabilitation CenterShakopee, MN 3 of 51 immediate-jeopardy $29,260 fined
Benedictine Living Center Of GarrisonGarrison, ND 3 of 5$8,278 fined
St Rose Care CenterLamoure, ND 3 of 5
Benedictine Living Community Of St. PeterSt Peter, MN 4 of 5
Sainte Anne Extended HealthcareWinona, MN 4 of 5$22,757 fined
St Crispin Living CommunityRed Wing, MN 4 of 52 immediate-jeopardy $138,989 fined
Living Community Of St JosephSaint Joseph, MO 4 of 5
Prince Of Peace Care CenterEllendale, ND 4 of 5
Assumption HomeCold Spring, MN 5 of 5$17,345 fined
St Benedicts Health CenterDickinson, ND 5 of 5
St Gabriel's CommunityBismarck, ND 5 of 5
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.