Andrew Residence

Location & what’s nearby

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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

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.

Staffing

How full it usually is: this home is certified for 212 beds and averages 207.9 residents a day — about 98% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 1.95 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.21 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 1.51 hrs/resident/day on weekends vs 2.13 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.74 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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 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.

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.

• Immediate jeopardy · J2025-11-25 · 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, observation, and record review the facility failed to immediately respond, investigate timely, and implement resident protections for 4 of 4 residents (R1, R2, R3, R4) after an allegation of sexual abuse of R1 by R2 was reported, which resulted in subsequent sexual abuse for R3 and R4. The immediate jeopardy began on 11/7/25 at 1:30 p.m., when R1's family member (FM)-A reported unwanted sexual touching, by R2 to R1 while the residents were in R1's room, to the Social Worker (SW)-A and the facility failed to timely report the incident to the State Agency, begin an investigation, and place resident protections to ensure other vulnerable residents at risk of sexual abuse were safe. The director of clinical services (DCS)-A and director of nursing (DON) were notified of the immediate jeopardy at 5:02 p.m. on 11/20/25. The immediate jeopardy was removed on 11/21/25, but noncompliance remained at the lower scope and severity level D - isolated scope and severity level, which indicated no actual…

  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 · D2025-11-25 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, observation, and document review the facility failed to ensure 4 of 4 residents (R1, R2, R3, R4) reviewed for abuse were free of sexual abuse when R1, R3 and R4 were subjected to unwanted sexual touch by R2.Findings include: R1's annual Minimum Data Set (MDS) dated [DATE], indicated R1 had intact cognition and diagnoses that included bipolar disorder, (a mental health condition characterized by extreme shifts in mood, energy and activity levels), anxiety, post-traumatic stress disorder, and depression, and borderline personality disorder (a mental health condition characterized by long-term patterns of unstable emotions, relationships, and self-image, leading to impulsive and self-destructive behavior). R1's care plan dated 10/3/24 indicated R1 was at risk for and/or had a history of sexual victimization and dated 5/27/25 indicated R1 exhibited behaviors that allowed others to manipulate, exploit, victimize, and bully her. R1's Interpersonal Skills Assessment (IPS) assessment dated [DATE],…

  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 · D2025-11-25 · 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 alleged sexual abuse immediately (within two hours) to the State Agency (SA) for 3 of 4 residents (R1, R2) when R2 was alleged to make unwanted sexual advances towards R1 and R4. Findings include: R1's annual Minimum Data Set (MDS) dated [DATE], indicated R1 had intact cognition and diagnoses that included bipolar disorder, (a mental health condition characterized by extreme shifts in mood, energy and activity levels), anxiety, post-traumatic stress disorder, and depression, and borderline personality disorder (a mental health condition characterized by long-term patterns of unstable emotions, relationships, and self-image, leading to impulsive and self-destructive behavior). The State Agency report dated 11/13/25, indicated R1's family member (FM)-A reported on 11/7/25 an incident of romantic overtures by R2 in R1's room to social worker (SW)-A. R2 exposed himself to R1 and R2 and pushed his pelvis against R1's hip. Per the…

  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 · F2025-09-11 · tag F0755 — failed to provide safe pharmacy services — widespread
  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

  Based on observation, interview, and document review, the facility failed to ensure its system for medication reconciliation was adequate to ensure timely identification of loss or diversion of non-narcotic, controlled medications for 8 of 8 medication carts. Findings include: During an observation and interview with mental health worker (MHW)-A and MHW-B on 9/9/25 at 3:18 p.m., the two fifth-floor medication carts were reviewed. The non-narcotic, controlled medications were observed in a permanently affixed lock box in each locked medication cart. A count of the non-narcotic, controlled medications was observed to be completed with no discrepancies noted. MHW-B stated staff reconciled the non-narcotic, controlled medications every shift and demonstrated this in an observed controlled medication three-ring binder containing loose three-hole punched paper. MHW-B stated that if facility staff had a concern regarding a drug count, they would reference the medication administration record to verify medication administration. During an observation and interview with MHW-C and MHW-D 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-11 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure equipment was in proper working order for 1 of 2 washing machines on the 5th floor. Furthermore, the facility failed to provide a sanitary environment in laundry room. Findings include: During interview on 9/8/25 at 12:47 p.m., R4 stated concern the facility washing machines were frequently broken. R4 stated they had been intermittently working for the last few months, however, this time it had been over 2 weeks. The staff had been updated about the broken machine. R4's MDS indicated cognitively intact, independent with activities of daily living. During interview on 9/8/25 at 3:42 p.m., R141 stated the washing machine on the 5th floor had been broken, it was intermittently repaired for the last 3 months or so. However, it had been about 2 weeks since they reported the broken machine with standing water in it. R141 stated it was unacceptable 5th floor residents only had an intermittent functioning washing machine. It was difficult doing laundry due to the lack of supervision and accountability for…

  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 · D2025-09-11 · tag F0641 — isolated
  Ensure 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 interview and record review the facility failed to ensure accurate Minimum Data Set assessments (MDS) were completed for 2 of 3 residents (R2, R7) reviewed for accuracy of assessments. Findings include: R2’s quarterly MDS dated [DATE], indicated R2 was cognitively intact and had diagnoses of diabetes. Furthermore, R2’s MDS indicated R2 had seven days of insulin injections. R2’s medication administration record (MAR) dated 7/2025, lacked indication R2 received insulin injections. When interviewed on 9/11/25 at 10:08 a.m., registered nurse (RN)-D stated information was gathered from the observation period, staff, the residents medical record and the resident when completing their MDS assessment. RN-D verified R2 had a diagnosis of diabetes and was on Metformin (an oral medication to help lower blood glucose) and Victoza (non-insulin injectable medication) for diabetes. RN-D looked up Victoza and verified it was not an insulin and should not have been included in the insulin injections of the MDS. When…

  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 before2025-09-11 · 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 identify baseline SpO2 (blood oxygen levels), and parameters for use based on resident specific risk factors for 1 of 1 resident (R176) reviewed for O2 therapy.Findings include:R176's quarterly Minimum Data Set (MDS) dated [DATE], identified intact cognition and no staff assistance was needed for activities of daily living. Diagnoses included non-traumatic brain dysfunction and chronic obstructive pulmonary disease (COPD) which is an ongoing lung condition caused by damage to the lungs. No oxygen use was identified on the MDS.R176's care plan dated 9/11/25, identified problems of COPD and chronic bronchitis, goal of no SOB (shortness of breath) as evidenced by respirations of 14 - 20 per minute. Interventions included monitor vital signs and SpO2 monthly and more frequently as needed, and effective 6/12/25; O2 concentrator as needed per physician order 4 liters per minute (L/min) via nasal cannula. The care plan lacked parameters for…

  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 · D2025-05-07 · tag F0657 — failed to keep the care plan current — isolated
  Develop 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 observation, interview, and document review, the facility failed to revise the care plan to include a smoking-related safety intervention for 1 of 3 residents (R1) reviewed for safety. Findings include: R1's facesheet dated 5/7/25, indicated he had diagnoses including schizoaffective disorder (chronic illness causing changes in thoughts, moods, and behaviors) and tobacco use. R1's annual Minimum Data Set (MDS) dated [DATE], indicated R1 was cognitively intact. R1 was independent with activities of daily living (ADLs) and mobility, had behavioral symptoms not directed towards others, and currently used tobacco. R1's physician orders included an order dated 10/25/24, to observe forearms for self-inflicted burns or picking two times per day and to notify nurse if present. R1's physician note from psychiatrist dated 4/15/25, indicated R1 had a history of schizoaffective disorder and baseline included some ongoing paranoia and anxiety. Further, he has preservative focus on his hair and skin, resulting in…

  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 · D2025-05-07 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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 professional standards of practice for documentation were followed during transcription and administration of a standing order medication for 2 of 2 residents reviewed (R1, R2) with wounds requiring antibiotic ointment. Findings include: Facility policy titled Standing Medication and Treatment Orders dated 5/18/22, included a copy of the facility standing orders list. Non-oral/topical routine treatments included: bacitracin zinc (antibiotic used to treat minor skin injuries such as cuts/scrapes/burns) ointment, apply topically to affected areas up to three times daily PRN, with a seven-day time limit. R1 R1's annual Minimum Data Set, dated [DATE], indicated R1 admitted to the facility on [DATE] with primary diagnosis of schizoaffective disorder (chronic illness causing changes in thoughts, moods, and behaviors) and did not have any ulcers, wounds, or skin problems. R1's care plan included a problem dated 5/1/25, of burns to…

  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 before2025-05-07 · tag F0880 — failed to prevent and control infections — isolated
  Provide 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 use appropriate personal protective equipment during high-contact cares for 1 of 1 resident (R1) reviewed with enhanced barrier precautions implemented. Findings include: Enhanced Barrier Precautions (EBPs): the use of personal protective equipment (PPE) including gown and gloves during high-contact resident care activities that provide opportunities for transfer of multidrug-resistant organisms (MDROs) to staff hands and clothing. R1's facesheet dated 5/7/25, indicated R1 had diagnoses including bladder disorder, urethral stricture (narrowing of urethra), benign prostatic hyperplasia (BPH, enlarged prostate), bladder neck obstruction, and overactive bladder. R1's annual Minimum Data Set (MDS) dated [DATE], indicated R1 had an indwelling catheter. R1's care plan dated 2/8/24, indicated R1 had altered urinary elimination related to urinary retention, BPH, urethral stricture with outlet obstruction requiring suprapubic catheter, 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-01 · tag F0909 — failed to maintain a comfortable temperature — isolated
  Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  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 conduct regular inspections of hospital bed frames, mattresses and bed rails as part of a preventative maintenance program for 1 of 1 resident (R49) reviewed who had a broken bed rail affixed to the frame. Findings Include: R49's quarterly Minimum Data Set (MDS) dated [DATE], identified R49 had severe cognitive impairment and was independent with all activities of daily living. R49's diagnoses sheet printed 8/1/24 listed the pertinent diagnoses of undifferentiated schizophrenia (experiences psychotic symptoms) and lymphedema (swelling caused by buildup of lymph fluid). R49's care plan dated 6/14/23, indicated R49 was at risk for falls with an intervention of utilizing a hospital bed (electric adjustable bed) with transfer assist bars for sleeping. During observation on 7/29/24 at 3:05 p.m., R49's bed had two pivoting assist devices (PAD) attached to the adjustable bed frame. The left PAD was in the upright position. The right PAD was…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in MN