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The Estates At Delano LLC

433 County Road 30, Delano, MN 55328 · For profit - Limited Liability company · 39 certified beds · (763) 972-2987 Medicare & Medicaid certified

Call the home — (763) 972-2987 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Jan 20251 actual-harm citation$11,928 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $11,928 in federal fines (most recent 2023-11-29)
  • its payroll-based staffing 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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS
Urgent care / clinic
916 St Peter Ave E · (952) 442-2163 · Call to confirm hours
Pharmacy
204 Lewis Ave S · (952) 955-2153 · Call to confirm hours
Grocery
310 Lewis Ave SW · (952) 955-2134 · Call to confirm hours
Park
100-112 Meadowlark Dr · (612) 720-6434 · Typically dawn to dusk
Place of worship

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 4 of 5
Long-stay residentspeople who live here 4 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.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased6.6%18.2%15.4%better
Long-stay residents who lose too much weight6.3%4.1%5.4%worse
Long-stay residents with a catheter left in their bladder0.5%1.9%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.9%2.6%2.0%better
Long-stay residents with depressive symptoms2.0%4.1%6.5%better
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.4%4.0%3.3%worse
Long-stay residents whose ability to walk worsened16.9%20.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication9.5%12.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%96.1%95.3%typical
Long-stay residents with pressure ulcers12.5%5.2%4.7%worse
Long-stay residents with worsening bladder/bowel control14.8%24.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table20.0%17.1%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.9%1.4%better
Short-stay residents given the seasonal flu vaccine81.2%82.7%79.4%typical

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.

55.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

55.7%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
0.35U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF55.7%CMS range 43.5–70.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 6.9–16.010.7%Oct 2022–Sep 2024no 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.1%CMS range 3.6–12.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.941.02Oct 2022–Sep 2024CMS 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

1.02
RN hours/ resident / day
0.50
LPN hours/ resident / day
1.83
Aide hours/ resident / day
3.35
Total nurse hours/ resident / day
0.52
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 39 beds and averages 33.7 residents a day — about 86% occupied, or roughly 5 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 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.02 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.83 is below 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 2.89 hrs/resident/day on weekends vs 3.54 on weekdays — 18% thinner on weekends. RN hours go from 1.22 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

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

3
deficiencies at the latest standard inspection (2025-11-19)
1
at the previous standard inspection (2024-10-16)

Deficiencies are more than at the previous inspection — worsening. 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.

ABCDEFGHIJKL

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.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

  • Actual harm · G2024-01-04 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such 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 interview and document review, the facility failed to ensure pain management was provided consistent with professional standards of practice and the residents' goals and preferences for 2 of 2 residents (R131 and R14) reviewed for pain managment. This deficient practice caused actual harm for R131, who experienced unmanaged pain, disturbed sleep patterns and who had reports of pain. Findings include: R131's discharge Minimum Data Set (MDS) dated , 9/23/23, identified resident admitted to the facility 9/22/23 from an acute care hospital for aftercare following surgery on the nervous system and diagnoses of spondylolisthesis lumbar region (a spinal disorder in which a vertebra slips forward onto the bone below it), radiculopathy lumbar region (a pinched nerve), spinal stenosis (a narrowing of the spinal canal that can put pressure on the spinal cord and nerves within the spine), chronic pain and muscle weakness. R131 had clear speech, the ability to make herself understood and had clear comprehension.…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-19 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 document review and interview, the facility failed to ensure the Minnesota Ombudsman Office was informed of residents discharging against medical advice (AMA) for 2 of 3 residents (R37 and R38) who were reviewed for discharge from the facility.Findings include - R37: R37's electronic medical record (EMR) documented the following diagnoses: multiple fractures of ribs, left side subsequent to a motor vehicle accident, acute pain from trauma and muscle weakness. R37 was admitted to the facility on [DATE] and discharged against medical advice on 10/01/25, after not returning from an leave of absence (LOA). Review of R37's progress notes documented the following: > 9/30/2025 [9:45 p.m.] Writer was told in report resident was on LOA and will be back, around 9PM resident was not available, writer called resident phone and left a voicemail for resident to call facility> 10/01/2025 11:00 a.m., [business office manager] resident and left called a VM regarding his failure to return from LOA. Resident signed out…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-19 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 there were orders and interventions in place for continuous positive airway pressure (CPAP) machine usage for 1 of 1 residents (R16) reviewed for CPAP therapy. Findings include: R16's quarterly Minimum Data Set (MDS) dated [DATE], identified R16 was cognitively intact and required assistance with all cares. Diagnoses included congestive heart failure (CHF), diabetes, atrial fibrillation, chronic kidney disease, end stage renal disease, obstructive sleep apnea, chronic respiratory failure and asthma. R16's care plan initiated 7/9/25, identified R16 had an alteration in oxygen/gas exchange, respiratory status related to sleep apnea and chronic respiratory failure. Interventions included CPAP at bedtime for sleep apnea. R16's physician orders dated 11/17/25 failed to indicate orders to wear CPAP machine at night, clean CPAP mask and tubing or to replace CPAP supplies. On 11/17/2025 at 11:12 a.m., R16's CPAP machine was observed 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-19 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 there were orders in place for Dexcom sensor (a wearable Continuous Glucose Monitoring (CGM) system for people with diabetes) for 1 of 3 residents (R16) reviewed for Dexcom use. In addition the facility failed to ensure orders were in place to remove pressure dressing (bandage applied to stop bleeding) after dialysis (medical procedure filters and removes waste from blood) for 1 of 1 residents (R16) reviewed for dialysis. Findings include: R16's quarterly Minimum Data Set (MDS) dated [DATE], identified R16 was cognitively intact and required assistance with all cares. In addition the MDS indicated R16 received dialysis. Diagnoses included congestive heart failure (CHF), diabetes, atrial fibrillation, chronic kidney disease, end stage renal disease, obstructive sleep apnea, chronic respiratory failure and asthma. Review of R16's progress notes identified nurses had replaced R16's Dexcom sensor on 9/23/25, 10/4/25, 10/17/25 and 11/17/2025. R16'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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-09 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 an abuse protection plan was documented and all staff were educated on the plan for 2 of 3 residents (R1, R2) reviewed for sexual abuse. Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE] indicated severe cognitive impairment with diagnoses including convulsions and Alzheimer's disease. R1's care plan dated 10/14/24 indicated R1 was a vulnerable adult with a goal of remaining free from abuse and/or neglect. An additional goal was added 1/7/24 directing R1 would be kept safe from other residents, and not be left alone with any other residents without staff supervision. R2's quarterly MDS dated [DATE] indicated severe cognitive impairment with diagnoses including dementia. R2's care plan indicated he was at risk for alteration in mood and behavior related to dementia. On 1/3/25 at 8:30 p.m., R1's incident note indicated R1 and R2 were sitting in their wheelchairs in the common area. At 8:30 p.m., another resident alerted staff…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-25 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    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 report an allegation of sexual abuse to law enforcement as required for 1 of 1 residents (R1) reviewed for abuse. Findings include: R1's admission Minimal Data Set (MDS) dated [DATE], indicated R1 had diagnoses which included bipolar disorder, anxiety disorder, and post traumatic stress disorder. Identified R1's cognition was intact. R1's care plan dated 10/23/24, revealed R1 required assistance of one to two staff members for activities of daily living (ADLs) such as dressing, personal hygiene, and toileting. Review of facility report number 358352 to the State Agency (SA) dated 10/21/24 at 12:40 p.m., revealed R1 reported nursing assistant (NA)-A came into her room to assist R1 with brief change and while wiping R1's bottom, R1 reported feeling NA-A place her hand in R1's vagina. R1 reported the incident shocked her and hurt her. R1's progress note dated 10/23/24 at 1:35 p.m., revealed R1 met with administrator and director of nursing (DON) 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-10-16 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    F851 Based on interview and document review, the facility failed to submit accurate and/or complete data for staffing information at least quarterly based on payroll and other verifiable and auditable data during (2024) 1 of 1 quarter reviewed (Quarter three) in Federal Fiscal Year (2024), to the Centers for Medicare and Medicaid Services (CMS), according to specifications established by CMS. This has the potential to affect all 33 residents residing in the facility. Findings include: Review of the Payroll Based Journal Report (PBJ) [NAME] Report 1705 D identified the following dates triggered for review: 4/6/24, 4/20/24, 4/21/24, 5/19/24 and 6/15/24 for failure to have registered nurse (RN) coverage eight hours per day. Review of staffing schedules identified the facility had RN staff identified to have worked on 4/6/24, 4/20/24, 5/19/24 and 6/15/24 for at least 8 hours therefore the data submitted in the PBJ to CMS was inaccurate. When interviewed on 10/16/24 at 11:56 a.m., the administrator identified an RN was working for at least 8 hours on 4/6/24, 4/20/24, 5/19/24 and 6/15/24…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-01-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    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 store and distribute food in accordance with professional standards for food safety. This had the potential to affect all 32 resident currently residing in the facility. Findings include: During observations and interview in the facility dining room on 1/2/24 at 11:15 a.m., in the resident dining room were two refrigerators side by side. One refrigerator referred to as the nurse refrigerator by the culinary services director (CSD), had latches on the bottom refrigerator door and on the upper freezer door but was not locked. There was a thermometer inside and temperature logs were kept. Inside the freezer were mighty shake supplements the CSD stated were used by nursing for the residents. On top of the mighty shakes were ice packs, some with resident names the CSD stated nursing used for the residents. The refrigerator had spills and stains inside. The CSD stated the dietary staff stocked the mighty shakes and assumed nursing was responsible to clean it. On the door of the refrigerator was a sign reminding…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-01-04 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and document review, the facility failed to submit accurate and/or complete data for staffing information based on payroll and other verifiable and auditable data during 1 of 1 quarter reviewed (Quarter 4), to the Centers for Medicare and Medicaid Services (CMS), according to specifications established by CMS. Findings include: Payroll Based Journal (PBJ) [NAME] Report 1705 identified the following dates triggered: 7/1/23, 8/26/23, 8/27/23, 9/30/23 for failure to have licensed nurse coverage 24 hours per day and 8/5/23, 8/6/23, 8/19/23, 8/20/23, 9/2/23, 9/3/23, 9/30/23 for no registered nurse (RN) hours. Daily staff schedules on the above-mentioned dates identified licensed nursing staff including registered nurses had worked and therefore the data submitted in the PBJ to CMS was inaccurate. During interview on 1/4/23 at 3:02 p.m., administrator stated Human Resources submits the information for the PBJ reporting. Administrator stated the human resource staff who was responsible for submitting data was not available for interview on this date. Administrator…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-01-04 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 provide a safe and sanitary environment. This had the potential to affect all 32 residents. During observations and interview in the facility kitchen on 1/2/24 at 11:15 a.m., above the kitchen stove, the vent screens were noted have two-three inch wide areas thick with grease and imbedded dust. When interviewed the culinary services director (CSD) stated he agreed the vent screens looked bad. The CSD stated normally staff should be taking two panels down at a time and running them through the dish washer. The CSD stated this appeared to not have been done and normally all panels should be washed every two weeks. The CSD stated he had no cleaning logs to show when it had been done last. When interviewed on 1/3/24 at 11:06 a.m., the day cook (cook)-A stated cleaning responsibilities were based on position. Cook-A stated the cooks cleaned the prep areas and pots and pans. Cook-A stated the vent panels were run through the dishwasher by whoever had time and they had been missed for the past couple weeks. Cook-A…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-04 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 of observation, interview and document review, the facility failed to ensure self-administration of medication was clinically appropriate for 1 of 1 residents (R5) reviewed. Findings include: R5's Minimum Data Set (MDS) dated [DATE], identified intact cognition and R5 had a diagnosis of asthma. R5's clinical order set dated 1/3/24, identified resident as having the following medication orders: - albuterol sulfate (an asthma medication) inhaler and to take two puffs, inhale orally every four hours as needed (prn) for wheezing and shortness of breath - fluticosone propionate (an asthma medication) inhaler to take two times a day for mild intermittent asthma - artificial tears ophthalmic ointment to instill into right eye four times per day for dryness R5's medical record lacked an order to self administer the above medications as well as an order for saline eye drops. R5's medication administration record (MAR) for December and January 2023, indicated staff were documenting use of her fluiticosone inhaler…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 8 citations
  • Potential for harm · D2024-01-04 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately 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 interview and document review, the facility failed to notify a provider of low blood glucose readings for 1 of 1 residents (R7) as well as complaints of increased pain for 1 of 1 residents (R14) reviewed for changes in condition. Findings include: R7's quarterly MDS dated [DATE] indicated R7 had intact cognition, had diagnoses of type 2 diabetes mellitus, chronic kidney disease stage 3 and bipolar disorder. R7's physician's orders printed 1/4/24, included an order to check blood glucose every morning before meal and put results in vitals in the morning. The order failed to provide instructions for updating the physician. Review of R7's blood glucose results 12/2023-1/2024 were as follows: - 1/3/24 - blood glucose of 45 - 1/2/24 - blood glucose of 80 - 1/1/24 - blood glucose of 78 - 12/31/23 - blood glucose of 57 - 12/30/23 - blood glucose of 67 - 12/27/23 - blood glucose of 54 - 12/26/23 - blood glucose of 80 - 12/19/23 - blood glucose of 69 - 12/17/23 - blood glucose of 77 - 12/14/23 - blood glucose of…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-04 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 interviews and document review, the facility failed to thoroughly investigate an allegation of misappropriation of property for 1 of 1 resident (R19). Findings include: R19's quarterly Minimal Data Set (MDS) dated [DATE], indicated R19 was cognitively intact, without hallucinations or delusions noted and no behaviors were identified. Review of facility report to the State Agency (SA) dated 10/17/23, identified R19 had reported missing money from his wallet on 10/16/23. Facility staff searched R19's room for the missing money with no success of locating money. Review of facility 5-day investigation submitted to the SA dated 10/19/23, the facility investigation lacked evidence of staff interviews and other residents being interviewed or assessed to ensure safety of personal property. During interview on 1/2/24 at 12:41 p.m., R19 stated that he was missing $210.00 from his wallet that was located in his nightstand. R19 stated he went out to have a cigarette and when he came back the money was missing from…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-04 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to send notice of a hospital transfer to the office of the state long term care ombudsman for 1 of 1 residents (R15) reviewed for hospitalization. Findings include: R15's Minimum Data Set (MDS) dated [DATE], identified intact cognition. R15's progress note dated 10/17/23, indicated R15 had been sent to the emergency room for evaluation of increasing weakness and low blood pressure and was admitted to the hospital. The facility monthly ombudsman notification tracking form for October 2023, identified R15 was transfered to an acute care facility on 10/17/23 but lacked evidence the form was sent to the ombudsman. When interviewed on 1/3/24 at 4:19 p.m., the administrator stated the facility tracks all emergency acute care transfers and discharges on a monthly spreadsheet but verified they had not been sent to the ombudsman.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-04 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    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 to provide pharmaceutical services including administration of drugs to meet the needs of 1 of 1 (R131) residents reviewed for pain control. Findings include: R131's discharge Minimum Data Set (MDS) dated [DATE], identified R131 admitted to the facility 9/22/23 from an acute care hospital for aftercare following surgery on the nervous system and diagnoses of spondylolisthesis lumbar region (a spinal disorder in which a vertebra slips forward onto the bone below it), radiculopathy lumbar region (a pinched nerve), spinal stenosis (a narrowing of the spinal canal that can put pressure on the spinal cord and nerves within the spine), chronic pain and muscle weakness. R131 had clear speech, the ability to make herself understood and had clear comprehension. R131's hospital Discharge summary dated [DATE], identified R131 admitted [DATE] and underwent surgical procedures including lumbar hemllaminectomy with [NAME] repair (a spine surgery that involves…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-04 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 to routinely assess residents who received antipsychotic medications for signs and symptoms of tardive dyskinesia (disorder that results in involuntary repetitive body movements) for 2 of 2 residents (R1 and R7) reviewed for unecessary medications. Findings include: R1's admission Minimum Data Set (MDS) dated [DATE] indicated R1 had severe cognitive impairment, had diagnoses of anxiety, depression, and schizophrenia. R1's physician orders print date of 1/4/24, indicated R1 had an order for Clozapine 200 milligrams (mg) once daily in the morning and Clozapine 400 mg once daily in the evening. In review of R1's electronic medical record, R1 had an AIMS (Abnormal Involuntary Movement Scale) assessment initiated on 11/17/23 but was not completed. R1's care plan indicated R1 had the potential for psychotropic drug adverse reactions related to daily use of psychotropic medication and included an intervention which directed an AIMS assessment needed to be done per…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-04 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 3 of 5 residents (R5, R8 and R17) reviewed for immunizations were offered and/or provided the pneumococcal vaccine series as recommended by the Centers for Disease Control (CDC) to help reduce the risk of associated infection(s). Findings include: A CDC Pneumococcal Vaccine Timing for Adults feature, dated 3/15/2023, identified various tables when each (or all) of the pneumococcal vaccinations should be obtained. This identified when an adult over [AGE] years old had received the complete series (i.e., PPSV23 and PCV13; see below) then the patient and provider may choose to administer Pneumococcal 20-valent Conjugate Vaccine (PCV20) for patients who had received Pneumococcal 13-valent Conjugate Vaccine (PCV13) at any age and Pneumococcal Polysaccharide Vaccine 23 (PPSV23) at or after [AGE] years old. R5's face sheet, dated 1/4/24, indicated she was [AGE] years old. The immunization record, dated 1/4/24, indicated she received a PCV13 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-29 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and document review, the facility failed to ensure allegations of abuse were reported immediately, within two hours, to the State Agency (SA) for 1 of 1 residents (R1) reviewed for allegations of abuse. Finding include: A Facility Reported Incident (FRI) submitted to the SA on 11/22/23 at 5:10 p.m. indicated R1 reported physical abuse by a facility employee. R1's Diagnosis List included diagnoses of nontraumatic intracerebral hemorrhage (stroke), hemiplegia and hemiparesis (paralysis on one side of the body) left non-dominant side. R1's admission Minimum Data Set (MDS) indicated R1 had moderate cognitive impairment. On 11/29/23, at 10:38 a.m. R1 stated she woke up on the floor. R1 stated the only thing that made sense was one of the nursing assistants (NA) or nurses must have pulled her out of bed. R1 stated she wasn't getting along with NA-A prior to ending up on the floor. R1 stated NA-A broke her arm and it hurt bad. On 11/29/23, at 11:42 a.m. NA-A stated she assisted R1 to boost up in her bed on 11/21/23, around 10:00 p.m. NA-A stated there was no fall that…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2024-01-04 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and document review, the facility failed to ensure the actual hours and number of staff were posted per each shift. This had the potential to affect all residents residing in the facility, staff and/or visitors who may wish to view the information. Findings include: The facilities daily staff postings and the actual working schedules were reviewed for the month of 12/2023. The posting Report of Nursing Staff Hours directly Responsible for Resident Care contained the following information: census, date, start of day shift, start of evening shift, start of night shift, number of registered nurses (RN) with a total hours and number of staff for each shift, number of licensed practical nurses (LPN) with a total hours and number of staff for each shift, number of trained medication aides (TMA) with a total hours and number of staff for each shift and number of nursing assistants with a total hours and number of staff for each shift, and then an accumulated total of nursing staff and nursing hours for each 24-hour day. The schedule and nurse postings were compared 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$11,928 in federal fines across 1 penalty.

  • $11,928 — penalty dated 2023-11-29

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to MONARCH HEALTHCARE MANAGEMENT — 45 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 →

RatingThis homeChain avg
Overall 4 of 52.2+1.8 vs chain
Health inspection 4 of 52.1+1.9 vs chain
Staffing 2 of 53.7-1.7 vs chain
Quality measures 4 of 53.0+1.0 vs chain
The other 44 homes this chain runs (chain average 2.2★, per CMS)
1 of 5Hillcrest Health Care, LLCMankato, MN 1 of 5Maplewood Rehabilitation CenterMaplewood, MN 1 of 5The Emeralds At Fairbault LLCFaribault, MN 1 of 5The Emeralds At Grand Rapids LLCGrand Rapids, MN 1 of 5The Emeralds At St Paul LLCSaint Paul, MN 1 of 5The Estates At Excelsior LLCExcelsior, MN 1 of 5The Estates At Lynnhurst LLCSaint Paul, MN 1 of 5The Villas At BrookviewGolden Valley, MN 1 of 5The Villas At New BrightonNew Brighton, MN 1 of 5The Villas At Osseo LLCOsseo, MN 1 of 5The Villas At RobbinsdaleRobbinsdale, MN 1 of 5The Villas At The CedarsSaint Louis Park, MN 1 of 5The Waterview Pines LLCVirginia, MN 1 of 5The Waterview Shores LLCTwo Harbors, MN 1 of 5The Waterview Woods LLCEveleth, MN 1 of 5Villas At Bryn Mawr LLCMinneapolis, MN 2 of 5Bayside Manor LLCGaylord, MN 2 of 5Oaklawn Health Care, LLCMankato, MN 2 of 5Parmly On The Lake LLCChisago City, MN 2 of 5The Estates At Chateau LLCMinneapolis, MN 2 of 5The Estates At Fridley LLCFridley, MN 2 of 5The Estates At Roseville LLCRoseville, MN 2 of 5The Estates At Rush City LLCRush City, MN 2 of 5The Estates At Twin Rivers LLCAnoka, MN 2 of 5The Gardens At Foley LLCFoley, MN 2 of 5The Gardens At Winsted LLCWinsted, MN 2 of 5The North Shore Estates LLCDuluth, MN 2 of 5The Villas At St Louis ParkSaint Louis Park, MN 2 of 5The Villas At St PaulSaint Paul, MN 2 of 5The Villas At The ParkSaint Louis Park, MN 3 of 5Bethany On The Lake LLCAlexandria, MN 3 of 5Laurels Peak Health Care, LLCMankato, MN 3 of 5Meeker Manor Rehablitation Center, LLCLitchfield, MN 3 of 5River Valley Health And Rehabilitation Center LLCRedwood Falls, MN 3 of 5The Estates At Bloomington LLCBloomington, MN 3 of 5The Estates At St Louis Park LLCSaint Louis Park, MN 3 of 5The Villas At RichfieldRichfield, MN 3 of 5The Villas At RosevilleRoseville, MN 4 of 5Lakeshore Rehabilitation Center LLCWaseca, MN 4 of 5Mala Strana Health Care, LLCNew Prague, MN

Showing 40 of 44; lowest-rated first.

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 / managerTypeRoleShareSince
NIJ LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST7%since 03/01/2017
SPARTAN HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST30%since 03/01/2017
YAZOMA HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST30%since 03/01/2017
AREM, JEFFREYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST7%since 03/01/2017
STERN, WILLIAMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER20%since 03/01/2017
HALPERT, MARCIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR30%since 03/01/2017
JAFFA, NOAMIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 03/01/2017
LEGUM, JOSHUAIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE30%since 03/01/2017
MONARCH HEALTHCARE OPERATING IV LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 03/01/2017

CMS files one row per role, so the 12 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

$4.3M
Net patient revenuemost recent cost report
+3.9%
Operating marginrevenue minus expenses
$644K
Related-party expense15% of expenses
Who pays — share of resident-days
Medicaid 57%Medicare 9%Other / private 34%

This home reported $644K paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$391per resident / day
operating cost
$11,891per month
≈ monthly operating cost
$407per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Minnesota
$10,646/mo
Nursing home (semi-private)
$13,870/mo
Nursing home (private)
$6,573/mo
Assisted living

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 245336. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-19, 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.

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