Ebenezer Ridges Geriatric Care Center
13820 Community Drive, Burnsville, MN 55337 · Non profit - Corporation · 114 certified beds · (952) 898-8400 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 2 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 17.6% | 18.2% | 15.4% | worse |
| Long-stay residents who lose too much weight | 3.2% | 4.1% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.1% | 1.9% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 3.8% | 2.6% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 8.4% | 4.1% | 6.5% | worse |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.6% | 4.0% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 24.9% | 20.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 8.4% | 12.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.8% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.8% | 5.2% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 25.1% | 24.5% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 15.8% | 17.1% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.6% | 1.9% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 59.9% | 82.7% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 32.3% | 23.5% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 17.0% | 14.8% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.34 | 1.61 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.48 | 1.90 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
59.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 282 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 37.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 149 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.40 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 59.0%CMS range 53.6–63.8 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.3%CMS range 7.6–12.4 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 37.6% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 36.2% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 32.9% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 82.4% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.1%CMS range 3.0–9.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.75 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 114 beds and averages 104.1 residents a day — about 91% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.17 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.57 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 4.70 hrs/resident/day on weekends vs 5.36 on weekdays — 12% thinner on weekends. RN hours go from 2.09 to 1.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.
- Actual harm · G2025-07-29 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure that 1 of 3 residents (R1) reviewed was free from a significant medication error. R1 was given another residents insulin causing her to be sent to the hospital for treatment. Findings include: R1's clinical physician orders dated 7/15/25 - 7/29/25 did not indicate R1 was ordered insulin. R1's admission Minimum Data Set (MDS) dated [DATE] indicated R1's Brief Inventory of Mental Status (BIMS) was a 15 indicating she was cognitively intact. R1 did not receive any injections including insulin. R1's diagnosis's were urinary tract infection, overactive bladder, hypothyroidism (the thyroid gland does not produce enough thyroid hormone), gastro-esophageal reflux disease, muscle weakness, encephalopathy (a condition where the brains function is impaired) and ischemic cardiomyopathy (damage of a heart muscle making it difficult for the heart to pump blood). R1's diagnoses did not include diabetes. R1's nursing progress note dated 7/23/25 at 7:57 p.m.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-11-21 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure routine personal hygiene (i.e., showers) was completed for 4 of 5 residents (R89, R103, R159, R162) reviewed for activities of daily living (ADLs) and who were dependent on staff for their care. Findings include: R89 R89's admissions Minimum Data Set (MDS) dated [DATE], identified R89 with admission to facility's transitional care unit (TCU) on 10/26/24, had severe cognitive impairment, required substantial to maximal assistance with showers, upper and lower body dressing, and personal hygiene. In addition, R89 was documented with an indwelling catheter (drain urine from the bladder) and had diagnoses of left arm fracture, non-Alzheimer's dementia, depression, and urinary retention. Furthermore, the MDS stated R89 and family participated in the assessment and goal setting process. During initial screening on 11/18/24 at 12:15 a.m., surveyor provided with undated TCU nursing assistant care sheet. During interview with nursing…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-21 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to accommodate bathing/shower preferences for 1 of 1 residents (R159) reviewed for choices. Findings include: R159's admissions Minimum Data Set (MDS) dated [DATE] identified admission to facility on 11/4/24, had impaired cognition, required substantial to maximal assistance for showering, toileting, lower body dressing, and personal hygiene. Review of transitional care unit (TCU) care sheet identified all residents by room number, name, primary diagnoses, and day of the week with AM or PM next to it. R159 identified Fri PM associated with it. R159's care plan dated 11/4/24 identified, Care Plan: I will have my preferences followed. During interview with R159 and family member (FM)-B on 11/18/24 at 3:14 p.m., R159 stated facility never offered or asked preferences on day and time of showers. R159 and FM-B stated he was informed that the showers and bath schedules were assigned per room number. R159 stated, I prefer to shower in the morning…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-21 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure the Minimum Data Set (MDS) was accurately coded to reflect upper body impairment for 1 of 2 residents (R162) reviewed for MDS accuracy. Findings include: The Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated 10/2018, identified the purpose of the RAI process was to help ensure holistic care was provided. According to the RAI/MDS, the definition of functional limitation in range of motion is, limited ability to move a joint that interferes with daily functioning (particularly with activities of daily living or places the resident at risk of injury. Coding instructions for GG0115A Functional Limitation in Range of Motion question, the Upper Extremity (Shoulder, Elbow, Wrist, Hand) include: Code 0, no impairment: if resident has full functional range of motion on the right and left side of upper/lower extremities. Code 1, impairment on one side: if…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-21 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure care conferences were conducted upon admission for 1 of 2 residents (R103) reviewed for care conferences. Findings include: R103's admission Minimum Data Set (MDS) assessment, dated 11/4/24, indicated R103 had intact cognition with no hallucinations or delusions with an admission date of 10/29/24. Diagnoses included: displaced bicondylar fracture of left tibia (fracture in left lower leg), muscle weakness, other abnormalities of gait and mobility, left foot drop (dragging of front of foot when walking and/or inability to raise toes or the foot from the ankle), and infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts (an infection caused related to implanted devices from surgery). R103's care plan, printed 11/18/24, indicated R103 discharge planning: [R103] was living at home where she is planning to return home at discharge with an intervention of arrange for in home services as ordered,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-21 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure as-needed (PRN) antipsychotic medications were limited to 14 days of use or re-evaluated by the medical provider to ensure necessity and reduce the risk of complication for 1 of 5 residents (R6) reviewed for unnecessary medication use. Findings include: R6's significant change Minimum Data Set (MDS) dated [DATE], indicated R6 had moderately impaired cognition and was receiving hospice services. R6 was dependent on staff for toileting, personal hygiene, and bed mobility. The MDS indicated R6 was diagnosed with dementia, anxiety, and depression. R6's Verbal Orders report dated 10/23/24, indicated a hospice provider (MD)-A had ordered two milligrams (mg) haloperidol (an antipsychotic medication) three times a day as needed (PRN) starting on 10/23/24. The report had a column titled Date Discontinued that was left blank and the order did not include an end date. R6's order summary report dated 10/23/24, indicated R6 had an order for two milligrams…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-11-21 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure enhanced barrier precautions (EBP) were implemented or followed for 2 of 2 residents (R46 and R21) reviewed for EBP. Findings include: The CDC article titled Implementation of Personal Protective Equipment (PPE) Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs) dated 4/2/24, indicated MDRO transmission in skilled nursing facilities was common and contributed to substantial resident morbidity. EBP is an infection control intervention to reduce transmission of MDROs by using gowns and gloves during high contact resident care activities that provide opportunities for transfer of MDROs to staff hands and clothing that lead to indirect transfer of MDROs from resident to resident. The article indicated high-contact activities include changing linens, bathing, dressing, transferring, changing briefs, feeding tube care, etc. The article indicated EBP should be implemented (when contact precautions did not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-13 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to promote dignity and respect to 1 of 4 (R1) residents reviewed. R1 was not properly dressed when leaving her room for therapy services. R1 did not have an incontinent brief on and upon standing urinated on herself, her wheelchair, and the floor in the presence of other residents and staff. Findings include: R1's admission Minimum Data Set (MDS) dated [DATE] indicated R1 had a Brief Inventory of Mental status (BIMs) score of 15 indicating R1 was cognitively intact. R1 required maximum assistance with toileting hygiene, showering and dressing. She required moderate assistance with rolling in bed, positioning from sitting to lying and she was dependent from sitting to standing with transfers. R1 was dependent in her manual wheelchair. R1 was frequently incontinent of urine and bowel. R1's pertinent diagnoses were cirrhosis of the liver, acute respirator failure with hypoxia, portal hypertension (increased pressure in the venous system), morbid obesity and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-13 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to provide a systematic approach to assess and evaluate residents' fluid status to monitor the effectiveness of interventions for 2 of 2 residents (R1 and R3) assessed. R1 and R3 were on a daily fluid restriction, the facility was documenting the intake. The facility did not have a system in place to evaluate the total daily fluid intake to determine adequacy or if the provider required notification. Findings include: R1's nursing progress notes dated 4/24/24 - 5/7/24 did not include any documentation regarding R1's fluid restriction, except on 4/25/24 at 1:29 a.m. a note indicated drank 300 cc. R1's physician orders dated 4/25/24 indicated P1 was on a fluid restriction of 1200 milliliters (ml) per day. 500 cubic centimeters (cc) day shift, 500 cc evening shift and 200 cc night shift. R1's care plan dated 4/26/24 indicated to monitor intake and record every meal. Staff was to provide and serve diet as ordered: Heart Healthy/regular textures and regular…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-13 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to follow recommended precaution process for disinfecting medical equipment between resident use for 1 of 1 resident (R4) when observed. Licensed staff failed to disinfect the vital signs machine following the use on R4 who was on contact precautions and then used on another resident. In addition, the facility had placed R4 on incorrect isolation precautions. R4 was found to be on precautions due to suspicion of Covid requiring droplet precautions and he was on contact precautions. Findings include: Upon observation on 5/13/24 at 8:19 a.m. licensed practical nurse (LPN)-A was taking vital signs in R4's room. R4 had a cart with gowns, gloves, hand sanitizer and masks out of side of his room. The sign on the wall indicated R4 was on contact precautions that required staff to cleanse hands before entering and exiting room, don gloves and a gown when in room and discard before exiting the room. In addition, the staff were to use dedicated or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-01 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure dignity was maintained for 2 of 2 residents (R2, R35) reviewed for urinary catheters. Findings include: R2 R2's quarterly Minimum Data Set (MDS) dated [DATE], indicated R2 had intact cognition, dependence on staff for all efforts of self-care including all forms of hygiene, bathing, upper and lower body dressing, positioning and mobility. Also, indicated R2 had an indwelling catheter. R2's Diagnoses Report dated on 1/31/24, indicated R2 had diagnoses of multiple sclerosis (disabling disease of the brain and spinal cord), diabetes, depression, neuromuscular dysfunction of the bladder, and quadriplegia (paralysis of both upper and lower body). R2's physician orders (PO) dated 8/22/23, indicated R2, admitted to AccentCare Fairview Hospice on 8/22/23, with terminal Dx [diagnosis] of MS [multiple sclerosis] with life expectancy of 6 months or less. R2's care plan with a review date of 5/4/23 indicated, Foley catheter bags must be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 6 citations
- Potential for harm · D2024-02-01 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure call lights were accessible for 1 of 1 (R35) reviewed for call light accessibility. Findings include: R35's annual Minimum Data Set (MDS) dated [DATE], indicated R35 had total dependence on staff for all efforts of self-care including all forms of hygiene, bathing, upper and lower body dressing, positioning and mobility. Also, had R35 an with indwelling catheter. R35's Diagnosis Report dated 12/31/24, indicated R35 had diagnoses of Alzheimer's disease, dementia, obstructive and reflux uropathy (a condition where urine flows backward, or refluxes, into the kidneys) , and retention of urine. R35's care plan documented an intervention initiated on 12/31/19, which indicated, Be sure call light is within reach and encourage to use it for assistance as needed. During observation on 1/29/24 at 1:52 p.m., R35 was observed laying in bed with the call light on the floor out of reach. During observation 1/29/24 at 4:08 p.m., R35 was observed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-01 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure a provider was notified in a timely manner of a change in status for 1 of 1 resident (R15) reviewed for change in condition. Findings include: R15's quarterly Minimum Data Set (MDS) dated [DATE], indicated R15 had severe cognitive impairment, had no behaviors, didn't refused cares, and was dependent for dressing, showers, and personal hygiene. MDS also indicated R15 needed substantial assistance to stand up, with transfers and needed assistance to set up meals. R15's admission Record dated 2/1/24, indicated diagnoses of polyosteoarthritis (condition characterized by joint pain and stiffness), moderate vascular dementia with agitation, idiopathic gout (a condition caused by too much uric acid in the body which causes swelling and pain around the affected joint), essential hypertension (an abnormally high blood pressure that's not the result of a medical condition), atherosclerotic heart disease (damage or disease in the heart's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-01 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to provide weekly baths to 1 of 1 resident (R26) reviewed for activities of daily living. Findings include, R26's quarterly Minimum Data Set (MDS) dated [DATE], indicated R26 had moderate cognitive impairment, verbal behaviors directed toward others and no refusal of cares. MDS indicated R26 needed set up or clean-up for eating; moderate assistance with oral hygiene; maximal assistance with dressing, personal hygiene, toileting, bathing; total dependency to put on shoes, and unable to ambulate. R26's admission Record dated 2/1/24, indicated R26 had diagnoses of vascular dementia (problems with reasoning, planning, judgement, memory, and other thought processes caused by brain damage from impaired blood flow to the brain), major depressive disorder, gastro-esophageal reflux disease (chronic disease that occurs when stomach acids or bile flows back into the tube connecting your mouth and stomach), abnormalities of gait and mobility, chronic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to comprehensively assess, develop, and implement interventions for ongoing weight loss for 1 of 1 resident (R15) reviewed for weight loss. Findings include, R15's quarterly Minimum Data Set (MDS) dated [DATE] indicated, R15 had severe cognitive impairment, had no behaviors, didn't refused cares, and was dependent for dressing, showers, and personal hygiene. MDS also indicated R15 needed substantial assistance to stand up, transfer and needed assistance to set up her meal. R15's admission Record dated 2/1/24, indicated diagnoses of polyosteoarthritis (condition characterized by joint pain and stiffness), moderate vascular dementia with agitation, idiopathic gout (a condition caused by too much uric acid in the body which causes swelling and pain around the affected joint), essential hypertension (an abnormally high blood pressure that's not the result of a medical condition), atherosclerotic heart disease (damage or disease in the heart's major blood…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-01 · tag F0849 — isolatedArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure coordinated services were documented as scheduled for 1 of 1 resident (R70) reviewed for hospice services. Findings include: R70's significant change Minimum Set Data (MDS) dated [DATE], indicated R70 had severe cognitive impairment, needed supervision to eat, required maximal assistance with oral hygiene and was dependent for toileting, bathing, dressing, personal hygiene, transfers, and repositioning in bed. MDS also indicated R70 had no behaviors and did not refuse personal cares. MDS indicated R70 was on hospice and had diagnosis of atrial fibrillation (irregular heart rhythm that can lead to blood clots in the heart), obstructive uropathy (a disorder of the urinary tract that occurs due to obstructed urinary flow), dementia, Parkinson's disease (a disorder of the central nervous system that affects movement, often including tremors), anxiety, and depressive disorder. R70's undated care plan indicated R70 had a terminal…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2024-02-01 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and document review, the facility failed to ensure the required nurse staffing information contained accurate staffing information. This had the potential to affect all 109 residents residing in the facility and/or visitors who may wish to view the information. Findings include: The facility staff postings dated 1/1/24- 1/29/24, all indicated that on the day shift the facility had three nurse managers, 13 (104 hours) nursing assistants (NA), and one (eight hours) trained medication aide (TMA), three (24 hours) licensed practical nurses (LPN), six (48 hours) registered nurses (RN). The staff postings also indicated that on the evening shift the facility had 13 (104 hours) NAs, four (32 hours) LPNs, and eight (64 hours) RNs. The staff postings indicated that on night shifts they had eight (64 hours) NAs, one (eight hours) LPN, and four (32 hours) RNs. The staffing report dated 1/26/24, indicated 12 NAs, five LPNs, and six RNs worked direct care hours on the day shift. The report indicated that 14 NAs, five LPNs, and six RNs worked direct care hours on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to EBENEZER SENIOR LIVING — 6 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.5 | +0.5 vs chain |
| Health inspection | 4 of 5 | 3.0 | +1.0 vs chain |
| Staffing | 4 of 5 | 4.2 | -0.2 vs chain |
| Quality measures | 2 of 5 | 3.0 | -1.0 vs chain |
The other 5 homes this chain runs (chain average 3.5★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| EBENEZER SOCIETY | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | since 12/01/1976 |
| CARLSON-WEINBERG, SUSAN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 05/31/2019 |
| FAUST, KIM | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 09/21/2021 |
| HEREFORD, JAMES | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 08/01/2017 |
| JACOBSON, CAROLYN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 10/01/2018 |
| KVENVOLD, GAYLE | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 05/23/2024 |
| LANDREVILLE, MARK | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 02/21/2024 |
| MILIUS, MARGARET | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 02/21/2024 |
| PIPER, KENNETH | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 05/27/2022 |
| WALKER, ROBERT | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 05/27/2022 |
| WORDELMAN, SCOTT | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR | — | since 08/24/2017 |
| ANDERSON, BRETT | Individual | CORPORATE OFFICER; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 07/08/2025 |
| WILLETT, TODD | Individual | CORPORATE OFFICER | — | since 10/24/2016 |
| EBENEZER MANAGEMENT SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/1976 |
| BELL, BRITTANY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 09/06/2021 |
| BIRES, JACKSON | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/16/2025 |
| CHEBLI, YASSER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2020 |
CMS files one row per role, so the 31 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $303K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MN
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Minnesota Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 245213. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.