MONARCH HEALTHCARE MANAGEMENT
Ownership rollup across 45 nursing homes in 1 state: Minnesota. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.2 of 5 stars on the CMS overall rating — about 1.0 stars below the ~3.2 average of its state. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It has been broadly flat, moving +0.07 stars across the same 45 homes rated throughout 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.
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.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.1 of 5 | 45 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 3.7 of 5 | 45 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.0 of 5 | 45 rated homes | largely 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.
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.
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.
Weighted by each home’s average daily census, across the all 45 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.
| Home | CMS rating | Flags |
|---|---|---|
| Hillcrest Health Care, LLCMankato, MN | 1 of 5 | $17,605 fined |
| Maplewood Rehabilitation CenterMaplewood, MN | 1 of 5 | — |
| The Emeralds At Fairbault LLCFaribault, MN | 1 of 5 | — |
| The Emeralds At Grand Rapids LLCGrand Rapids, MN | 1 of 5 | 1 immediate-jeopardy $65,900 fined |
| The Emeralds At St Paul LLCSaint Paul, MN | 1 of 5 | 5 immediate-jeopardy $138,736 fined |
| The Estates At Excelsior LLCExcelsior, MN | 1 of 5 | Abuse flag |
| The Estates At Lynnhurst LLCSaint Paul, MN | 1 of 5 | — |
| The Villas At BrookviewGolden Valley, MN | 1 of 5 | $17,345 fined |
| The Villas At New BrightonNew Brighton, MN | 1 of 5 | 1 immediate-jeopardy $182,157 fined |
| The Villas At Osseo LLCOsseo, MN | 1 of 5 | Abuse flag $48,399 fined |
| The Villas At RobbinsdaleRobbinsdale, MN | 1 of 5 | 2 immediate-jeopardy $104,974 fined |
| The Villas At The CedarsSaint Louis Park, MN | 1 of 5 | $22,205 fined |
| The Waterview Pines LLCVirginia, MN | 1 of 5 | 1 immediate-jeopardy $10,036 fined |
| The Waterview Shores LLCTwo Harbors, MN | 1 of 5 | 1 immediate-jeopardy $334,488 fined |
| The Waterview Woods LLCEveleth, MN | 1 of 5 | $55,269 fined |
| Villas At Bryn Mawr LLCMinneapolis, MN | 1 of 5 | 3 immediate-jeopardy SFF candidate Abuse flag $51,980 fined |
| Bayside Manor LLCGaylord, MN | 2 of 5 | 1 immediate-jeopardy Abuse flag $16,982 fined |
| Oaklawn Health Care, LLCMankato, MN | 2 of 5 | 1 immediate-jeopardy $41,357 fined |
| Parmly On The Lake LLCChisago City, MN | 2 of 5 | 2 immediate-jeopardy $8,193 fined |
| The Estates At Chateau LLCMinneapolis, MN | 2 of 5 | 1 immediate-jeopardy $35,565 fined |
| The Estates At Fridley LLCFridley, MN | 2 of 5 | Abuse flag |
| The Estates At Roseville LLCRoseville, MN | 2 of 5 | $27,378 fined |
| The Estates At Rush City LLCRush City, MN | 2 of 5 | — |
| The Estates At Twin Rivers LLCAnoka, MN | 2 of 5 | — |
| The Gardens At Foley LLCFoley, MN | 2 of 5 | $8,824 fined |
| The Gardens At Winsted LLCWinsted, MN | 2 of 5 | $8,021 fined |
| The North Shore Estates LLCDuluth, MN | 2 of 5 | — |
| The Villas At St Louis ParkSaint Louis Park, MN | 2 of 5 | 1 immediate-jeopardy $26,153 fined |
| The Villas At St PaulSaint Paul, MN | 2 of 5 | — |
| The Villas At The ParkSaint Louis Park, MN | 2 of 5 | $144,586 fined |
| Bethany On The Lake LLCAlexandria, MN | 3 of 5 | Abuse flag $19,330 fined |
| Laurels Peak Health Care, LLCMankato, MN | 3 of 5 | — |
| Meeker Manor Rehablitation Center, LLCLitchfield, MN | 3 of 5 | $14,696 fined |
| River Valley Health And Rehabilitation Center LLCRedwood Falls, MN | 3 of 5 | $14,310 fined |
| The Estates At Bloomington LLCBloomington, MN | 3 of 5 | — |
| The Estates At St Louis Park LLCSaint Louis Park, MN | 3 of 5 | 1 immediate-jeopardy $107,139 fined |
| The Villas At RichfieldRichfield, MN | 3 of 5 | — |
| The Villas At RosevilleRoseville, MN | 3 of 5 | 1 immediate-jeopardy $24,791 fined |
| Lakeshore Rehabilitation Center LLCWaseca, MN | 4 of 5 | — |
| Mala Strana Health Care, LLCNew Prague, MN | 4 of 5 | — |
| Sleepy Eye Rehabilitati CenterSleepy Eye, MN | 4 of 5 | — |
| The Estates At Delano LLCDelano, MN | 4 of 5 | $11,928 fined |
| The Estates At Greeley LLCStillwater, MN | 4 of 5 | — |
| The Estates At Linden LLCStillwater, MN | 5 of 5 | — |
| The Green Prairie Rehabilitation CenterPlainview, MN | 5 of 5 | — |
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.