Mn Veterans Home-Mpls
5101 Minnehaha Avenue South, Minneapolis, MN 55417 · Government - State · 341 certified beds · (651) 539-2400 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 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 fell from 4 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 23.1% | 18.2% | 15.4% | worse |
| Long-stay residents who lose too much weight | 3.1% | 4.1% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.4% | 1.9% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 2.2% | 2.6% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 2.2% | 4.1% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 3.7% | 4.0% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 21.3% | 20.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 7.2% | 12.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.0% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.2% | 5.2% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 19.9% | 24.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 21.8% | 17.1% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 14.3% | 1.9% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 45.7% | 82.7% | 79.4% | worse |
| Long-stay hospitalizations per 1,000 resident days | 0.23 | 1.61 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.10 | 1.90 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Met the expected recovery: 45.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 24 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.21 therapist hours per resident per day in 2026Q1 — more than 25% 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 therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 45.8% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 20.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 20.8% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 discharge | not reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 341 beds and averages 293.5 residents a day — about 86% occupied, or roughly 48 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 6.21 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.47 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.00 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 5.55 hrs/resident/day on weekends vs 6.48 on weekdays — 14% thinner on weekends. RN hours go from 1.67 to 0.98 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 12 most serious are shown; the remaining 10 are one tap away and print in full.
- Immediate jeopardy · J2025-09-22 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 observations, interview and document review, the facility failed to follow R1's Physician Orders for Life-Sustaining Treatment (POLST) do not attempt resuscitation (DNR), do not intubate, and to allow natural death for 1 of 3 residents (R1) when R1 became unresponsive after a fall and licensed practical nurse (LPN)-A initiated cardiopulmonary resuscitation (CPR). The immediate jeopardy began on [DATE] when R1 became unresponsive after a fall, licensed practical nurse (LPN)-A initiated cardiopulmonary resuscitation (CPR), and was identified on [DATE]. The campus administrator, director of nursing, and nurse manager of facility staff were notified of the immediate jeopardy at 3:20 p.m. on [DATE]. The immediate jeopardy was removed on [DATE] and the deficient practice corrected on [DATE], prior to the start of the survey and was therefore Past Noncompliance. Findings include: R1's Physician Orders for Life-Sustaining Treatment (POLST) dated [DATE], indicated he was a DNR. R1's progress note dated [DATE] at…
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.
- Immediate jeopardy · J2025-04-17 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that a resident was free from a significant medication error for 1 of 3 residents (R1) reviewed for medication errors. This resulted in an Immediate Jeopardy (IJ) citation when licensed practical nurse, (LPN)-A administered morphine, a narcotic medication, 20 times the amount that was ordered by the provider. The immediate jeopardy began on 4/11/25 p.m. when LPN-A administered 20 times the amount of liquid morphine to R1 and was identified on 4/17/25. The director or nursing (DON) and the Administrator were notified of the immediate jeopardy at 3:03 p.m. on 4/17/25. The immediate jeopardy was removed on 4/17/25, and the deficient practice corrected on 4/14/25, prior to the start of the survey and was therefore was issued at past noncompliance. Findings include: R1's quarterly Minimum Data Set (MDS) dated [DATE], indicated R1's primary diagnosis was cerebral vascular accident (stroke). Other diagnoses included: diabetes, dementia and atrial…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2026-07-09 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 monitor dishwasher temperatures in the main kitchen. This had the potential to increase the risk of food borne illness and affect 293 residents who received food from dietary services. Findings include: The dishwasher temperature log for July of 2026, indicated the required temperatures were 160 degrees (Fahrenheit) for the wash cycle and 180 degrees for the final rinse cycle. It further indicated to report low temperatures to the supervisor immediately which was also highlighted in yellow. The following temperatures and dates were recorded on the log and did not meet the requirements for safe dishwashing temperatures: -7/1/26 wash cycle for supper 154 degrees-7/2/26 wash cycle during lunch 157 degrees-7/4/26 final rinse cycle during dinner 173 degrees-7/5/26 wash cycle for supper 150 degrees, final rinse cycle 179 degrees-7/6/26 wash cycle during breakfast 158 degrees-7/7/26 wash cycle during lunch 159 degrees-7/8/26 wash cycle during breakfast 150 degrees and final rinse cycle 174 degrees-7/9/26 final…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-07-09 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review, the facility failed to ensure as-needed (PRN) psychotropic medication orders had a defined stop date and were limited to 14 days without a documented rationale for extension for 1 of 5 residents (R279) reviewed for unnecessary medications. Findings include: R279's quarterly Minimum Data Set (MDS) dated [DATE], indicated R279 was severely cognitively impaired, and had diagnoses of non-traumatic brain dysfunction, Alzheimer's disease, non-Alzheimer's dementia, anxiety, and depression. R279 had verbal behavioral symptoms (such as threatening or screaming) directed toward others, behavioral symptoms not directed at others (such as disruptive sounds, pacing, ect.), and wandering. R237 used a wheelchair for mobility. R279's Mood/Behavior care plan focus revised 6/11/26, directed staff to administer prescribed medications per MD/NP orders, monitor for side effects of medications, notify provider with concerns, and refer to behavioral services as needed. R279's Order Review…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-07-09 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 follow doctor's orders for 1 of 1 resident (R87) reviewed who required daily weights. In addition, the facility failed to ensure services were coordinated with the hospice agency for 1 of 1 resident (R265) reviewed who received hospice services. Finding include: R87's significant change Minimum Data Set (MDS) dated [DATE], indicated severely impaired cognition and diagnoses of congestive heart failure (CHF), chronic kidney disease, and dementia. R87's physician's orders dated 5/18/26, indicated daily weight for CHF, in the morning and to update the provider if the resident gains +2 pounds (lbs.) per day or +5 lbs. per week R87's treatment administration record (TAR) indicated the following weights: -6/1/26 229.5 lbs. -6/2/26 236.2 lbs. R87 gained 6.7 lbs. between 6/1/26 and 6/2/26. R87's care plan dated 6/22/26, indicated R87 had CHF and indicated the following interventions: -Apply oxygen 2-5 liters per minute for desaturation, titrate…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-07-09 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure enhanced barrier precautions (EBP) were followed for 1 of 1 resident (R11) reviewed for EBP.Findings include:R11's quarterly Minimum Assessment Data (MDS) dated [DATE], indicated R11 had moderate cognitive impairment, was incontinent of bowel and bladder, required moderate assistance to transfer to the toilet, and was dependent on staff for toileting hygiene. R11's Clinical Diagnosis form dated 7/9/26 indicated a diagnosis of carrier of methicillin resistant staphylococcus aureus (MRSA). R11's Clinical Profile dated 7/9/26 indicated R11 was on EBP.R11's care plan dated 7/9/26, included a care plan focused on EBP. The EBP care plan indicated R11 required enhanced barrier precautions due to history/diagnosis of MRSA in nares and directed staff to wear gown and gloves when in room providing personal cares.During observation on 7/9/26 at 11:07 a.m., a sign on R11's door indicated he was on EBP. The sign directed staff to wear a gown…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-07-09 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop 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 that recommended pneumococcal vaccinations were offered and/or that shared clinical decision-making regarding pneumococcal vaccinations occurred, as outlined by the Centers for Disease Control (CDC), to reduce the risk of severe disease for 1 of 5 residents (R11) reviewed for immunizations.Findings include:A CDC Pneumococcal Vaccine Timing for Adults chart dated 3/2025, included a table identifying when each (or all) of the pneumococcal vaccinations should be obtained for adults 50 years and older. The chart indicated that when a resident had received the 13-valent pneumococcal conjugate vaccine (PCV13) at any age and the pneumococcal polysaccharide vaccine 23 (PPSV23) at greater than 65 years, the resident and provider may choose to administer the 20-valent pneumococcal conjugate vaccine (PCV20) or the 21-valent pneumococcal conjugate vaccine (PCV21). R11's quarterly Minimum Data Set (MDS) dated [DATE], indicated R11 was [AGE] years old at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-04-10 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 a voiced grievance of a missing shirt was acted upon timely to help facilitate prompt resolution for 1 of 1 resident (R232) who reported such item as missing with no follow-up. Findings include: R232's quarterly Minimum Data Set (MDS) dated [DATE], indicated R232 was cognitively intact. R232's progress note failed to identify a missing item reported on 2/28/25. However, there was a late entry on 3/6/25 at 9:30 a.m., R232 expressed to writer his black long sleeve shirt was stolen by a p.m. staff member. R232's progress note dated 3/6/25 at 4:33 p.m., (documented as a late entry) identified R232 pointed out the staff member that allegedly stole his black long sleeve shirt, and the nurse writer immediately removed staff from resident care. The writer and ADON interviewed both the resident and staff member and filed a report with MDH (Minnesota Department of Health). R232's progress notes failed to show follow-up after the missing item 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.
- Potential for harm · Dcited before2025-04-10 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 conduct accurate and on-going assessments for bruising, and implement skin protection interventions for 1 of 1 resident (R10) reviewed for anticoagulant use, and failed to follow orders for ankle compression sleeves (compression stockings) to legs for 1 of 1 resident (R53) reviewed for edema. Findings include: R10's annual Minimum Data Set (MDS) dated [DATE], indicated R10 was independent with mobility, used a walker on and off the unit, was cognitively intact, had a diagnoses of anemia and atrial fibrillation, and took an anticoagulant (blood thinning) medication. No other skin conditions or skin concerns were documented. R10's annual skin assessment dated [DATE], described on going skin issues as, resident bruises easily r/t apixaban usage. R10's care plan dated 11/29/2024, identified the medical management of anticoagulant therapy and included R10 would be free from discomfort, but failed to apply interventions to protect R10's skin while taking…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-10 · tag F0685 — isolatedAssist a resident in gaining access to vision and hearing 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 follow up and implement treatment for improved hearing for 1 of 1 residents (R277) when complaints of hearing loss were made. Findings include: R277's quarterly Minimum Data Set (MDS) dated [DATE], indicated R277 had intact cognition, adequate hearing (no difficulty in everyday conversation), and did not use hearing aids. R277's provider Admit Note dated 10/8/24, indicated R277 had stated he had an audiogram which showed some hearing loss and particularly had difficulty with hearing in crowded rooms. The note indicated that R277 was interested in pursuing further evaluation for hearing aids. R277's medical record was reviewed and did not indicate further follow-up on R277's request for hearing aids. The note indicated R277 had declined in-house audiology services but was interested in an audiology evaluation to work towards getting hearing aids. During an interview on 4/7/25 at 12:57 p.m., R277 stated he had a hearing test around the time he 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.
- Potential for harm · D2025-04-10 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 staff assisted 1 of 1 resident (R74), who was reviewed for restorative nursing program, to attend their GI (general term used for government issued) therapy gym sessions or document reasons resident was not available for attendance. The facility further failed to ensure occupational therapist recommendations were care planned and initiated for one of two residents (R184) who was assessed as at risk for bilateral hand contractures and impaired skin due to clenching fist reviewed for services to prevent decrease in range of motion. Findings include: R74 R74's quarterly Minimum Data Set (MDS) dated [DATE], indicated R74 had severe cognitive impairment and no behaviors or rejection of care. R74 had impairment on one side of upper and lower extremity and required substantial to total assistance with activities of daily living. R74 had diagnoses which included coronary artery disease, hypertension, peripheral vascular disease,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 analyze and care plan R596's multiple declinations to wear supplemental oxygen as ordered for 1 of 1 resident (R596) reviewed for oxygen use. Findings include: R596's quarterly Minimum Data Set (MDS) dated [DATE], indicated R596 had intact cognition and no behaviors or rejection of care. R596 had impairments to both sides of lower extremities. R596 required substantial and/or maximal or greater assistance with most activities of daily living, setup or clean-up assistance with eating, and supervision or touching assistance with oral hygiene. R596's diagnoses included anemia, heart failure, hypertension, renal failure, diabetes mellitus, depression, post-traumatic stress disorder, COPD (chronic obstructive pulmonary disease), and respiratory failure. The MDS indicated R596 had oxygen therapy. R596's care plan printed 4/8/25, indicated R596 required oxygen therapy with focus area initiated on 12/31/24. Care plan interventions included:…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · D2025-04-10 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 observations, interview, and document review, the facility failed to ensure staff were competent to apply medicated ointment for 1 of 1 resident (R232) reviewed for self-administration. Findings include: R232's quarterly Minimum Data Set (MDS) dated [DATE], indicated R232 was cognitively intact, had a diagnosis of diabetes and was receiving skin treatments to areas other than his feet. R232's care plan dated 1/30/25, failed to identify a self administration medication program. R232's order summary report identified an active order for Triamcinolone Acetonide External Ointment 0.025% (Topical) applied to itchy dry skin, with a start date of 9/12/24, with no end date. R232's SAM's (self-administration of medication and/or treatments) dated 2/1/25, indicated the resident did not want to self-administer medications. R232's treatment administration record dated March 2025 through April 2025 indicated daily documentation of unsupervised self administration for Triamcinolone Acetonide External Ointment with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-04-10 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and document review, the facility failed to ensure enhanced barrier precautions (EBP) were utilized appropriately for 2 of 2 residents (R269, R595) reviewed for EBP related to wounds. In addition, staff failed to perform appropriate hand hygiene for 1 of 1 resident (R595) observed to receive cares in enhanced barrier precautions. Findings include: EBP NOT FOLLOWED AND LACK OF HAND HYGIENE R595's entry tracking record dated 4/3/25, indicated R595 returned to the facility from a short-term general hospital. R595's care plan printed 4/9/25, indicated: -12/30/24, R595 had MRSA (methicillin-resistant staphylococcus aureus; staph germ which have resistance to antibiotics) to a wound on the second toe of right foot and required contact precautions and meticulous hand washing. -4/1/25, R595 required enhanced barrier precautions. -4/4/25, R595 required assist of two staff to transfer with full body lift and physical assist of one staff for lying/sitting bed mobility. R595 positioned self…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0554 — isolatedAllow 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 on observation, interview, and document review the facility failed to assess a resident for the ability to self-administer medications via a nebulizer (machine that aerosolizes medications for inhalation) for 1 of 1 residents (R49) reviewed for self-administration of medications. Findings include: R49's quarterly Minimum Data Set (MDS) dated [DATE], indicated R49 had severe cognitive impairment and diagnoses of chronic obstructive pulmonary disease ([COPD] debilitating lung disease) and dementia. R49's provider order dated 5/5/2023, indicated R49 required levalbuterol inhalation nebulization (medication given via nebulizer to increase airflow to the lungs) solution 1.25 milligrams/3 milliliters four times a day related to COPD. R49's self-administration of medication assessment dated [DATE], indicated R49 did not request to self-administer medications. During observation on 3/18/24 at 5:02 p.m., R49 was in bed with the head of bed elevated. R49's nebulizer machine was running. Staff were not present in 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.
- Potential for harm · D2024-03-21 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to comprehensively assess residents food preferences and ensure meal choices were provided for 1 of 1 residents (R146) reviewed for choices. Findings include: R146's significant change Minimum Data Set (MDS) dated [DATE], indicated R146 was cognitively intact and had diagnoses of Parkinson's disease, diabetes, and depression. Furthermore, R146's MDS indicated R146 required set up for meals. R146's dietary care area assessment (CAA) dated 2/28/24, indicated a nutrition care plan would be addressed and to refer to R146's nutrition assessment dated [DATE]. R146's nutrition assessment dated [DATE], indicated R146 was recently admitted to hospice and had a liberalized diet. R146 had difficulty chewing and mashed potatoes, cottage cheese, and ice cream were incorporated into the meal plan. R146's assessment stated R146 reviewed menus ahead of time and chose items to ea. R146's assessment lacked indication food preferences were reviewed. R146's care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-21 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 a voiced grievance of a missing electric toothbrush was acted upon timely to help facilitate prompt resolution for 1 of 1 resident (R187) who reported such item as missing with no follow-up. Findings include: R187's quarterly Minimum Data Set (MDS), dated [DATE], identified R187 had intact cognition and demonstrated no delusional behavior and/or thinking. R187's care plan, last reviewed 1/23/24, identified R187 was alert and oriented to person, place and time; and could become upset or frustrated . when I do not feel like I am being heard or when technology is not working in a way that I would like it to. The care plan lacked evidence R187 had delusional thinking or any associated behaviors. On 3/18/24 at 3:24 p.m., R187 was interviewed and expressed frustration as his electric toothbrush had gone missing the week prior. R187 stated he reported it to the nursing assistant (NA) and nurse working who seemed to more argue with him about ever…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 assessed and care-planned interventions for skin monitoring were consistently implemented to reduce the risk of complication (i.e., infection, breakdown) for 1 of 3 residents (R246) reviewed for non-pressure skin impairments. Findings include: R246's quarterly Minimum Data Set (MDS), dated [DATE], identified R246 had intact cognition and needed substantial assistance with bathing or showering. Further, the MDS outlined R246 was at risk for pressure ulcer development and had current moisture-associated skin damage (MASD) present. On 3/18/24 at 3:01 p.m., R246 was interviewed and expressed concern with a rash on his bilateral legs. R246 stated the rash seemed to come and go and described it as really bumpy and just itchy. R246 stated the staff (i.e., nursing assistants) were applying lotion to his legs but not everyday. R246 stated the nurses, to his knowledge, were aware of it but was unsure what, if any, monitoring of it was being done. R246's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and document review the facility failed to comprehensively assess and develop a program to maintain bowel continence was implemented for 1 of 1 residents (R146) reviewed for bowel management. Findings include: R146's significant change Minimum Date Set (MDS) dated [DATE], indicated R146 was cognitively intact and had diagnoses of Parkinson's disease, diabetes, and depression. Furthermore, R146's MDS indicated R148 was dependent on toileting and always continent of bowel. R146's urinary incontinence care area assessment (CAA) dated 2/28/24, indicated R146 was admitted to hospice services and required physical assist with all cares and was incontinent of bowel. R146's bladder and bowel assessment dated [DATE], indicated R146 was continent of bowel, was able to turn on call light when needing to have a bowel movement, wore an incontinence brief, and required 1-2 staff and a transfer belt to toilet. Furthermore, R146's assessment lacked a 3-day bowel assessment summary. R146's care plan revised…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-21 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
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 a provider order for a throat culture had been obtained in a timely manner for 1 of 1 residents (R124) reviewed for infection. Findings include: R124's quarterly Minimum Data Set (MDS) dated [DATE], indicated R124 was cognitively intact and had diagnoses of heart failure and depression. R124's provider order dated 3/16/24, indicated R124 required a STAT (immediate) throat culture to test for streptococcal bacteria (bacteria found in strep throat). A review of R124's progress notes indicated the following: -on 3/16/24 at 5:30 p.m., R124 had complained of a sore throat since the morning and was painful when swallowing fluids. R124's provider was notified, and an order was received for throat culture to rule out strep throat. -on 3/16/24 at 8:26 p.m., R124's throat culture was obtained and waiting pick up from the lab. -on 3/17/24 at 2:44 p.m. R124's throat culture results were pending. -on 3/20/24 at 10:49 a.m., the lab was called to inquire…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-21 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop 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 recommended pneumococcal vaccinations, as outlined by the Centers for Disease Control (CDC), were offered and/or provided to reduce the risk of severe disease for 1 of 5 residents (R148) reviewed for immunizations. In addition, the facility failed to ensure 5 of 5 residents (R24, R48, R49, R148, R243) medical records included documentation that the resident or resident representative was provided education regarding influenza immunization benefits and potential side effects. Findings include: Pneumococcal Vaccination A CDC Pneumococcal Vaccine Timing for Adults chart dated 3/15/2023, identified various tables when each (or all) of the pneumococcal vaccinations should be obtained for adults 65 years and older. The chart indicated when a resident had received the Pneumococcal 13-valent Conjugate Vaccine (PCV13) at any age, greater or equal to one year ago, they should receive the pneumococcal polysaccharide vaccine 23 (PPSV23) or 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.
- No harm found · C2025-07-31 · tag F0846 — widespreadHave policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and document review, the facility failed to ensure a facility closure policy and procedure had been developed. This had the potential to effect all residents residing in the building. Findings include:A policy and procedure covering facility closure was requested from the facility but facility failed to provide such documentation. According to an interview 7/31/25 at 2:45 p.m. assistant administrator stated we have been unable to locate the facility closure policy.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| BARRICK, TROY | Individual | W-2 MANAGING EMPLOYEE; OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2022 |
| CURTIS, NANCY | Individual | W-2 MANAGING EMPLOYEE | since 12/24/2018 |
| DONNER, DANELLE | Individual | W-2 MANAGING EMPLOYEE | since 01/20/2021 |
| HUGHES, DOUGLAS | Individual | W-2 MANAGING EMPLOYEE; OPERATIONAL/MANAGERIAL CONTROL | since 07/05/2016 |
CMS files one row per role, so the 6 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $544K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in MN
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Minnesota Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 245620. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-07-09, 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.