Edenbrook Pine Haven

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

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.

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.

47.5% 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 65 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 39.1% 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 46 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 0.16 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% 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.

Staffing

How full it usually is: this home is certified for 70 beds and averages 56.4 residents a day — about 81% occupied, or roughly 14 beds typically open. It usually has some room. 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.

Weekend coverage: total nurse staffing is 3.89 hrs/resident/day on weekends vs 4.70 on weekdays — 17% thinner on weekends. RN hours go from 1.29 to 0.68 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 74% is well above the national median of 45%. 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 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.

28 citations, most serious first. The 11 most serious are shown; the remaining 17 are one tap away and print in full.

• Actual harm · Gcited before2024-01-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to ensure a transfer belt to assist with a safe transfers for 1 of 3 residents (R1) reviewed for falls. This resulted in actual harm for R1 who fell when being transferred without a transfer belt, which which resulted in a fall with a pelvic fracture and subdural hematoma (brain bleed) requiring hospitalization. This deficient practice is being cited at past non-compliance related to corrective action taken to ensure proper use of transfer belt prior to the survey. Findings include: R1's admission Minimum Data Set (MDS) dated [DATE], identified R1 had intact cognition with diagnoses of stroke with left sided hemiplegia (paralysis on one side of body) and a history of falling. R1 required extensive assist of one staff with bed mobility, dressing, toileting, and transfers. R1 had functional limitation in range of motion (ROM) on one side of upper and lower extremity and used a walker and wheelchair for mobility. R1 had a history of falls…

  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 · Past Non-Compliance
• Potential for harm · E2025-08-28 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and document review, the facility failed to prevent the loss of resident's personal clothing by not investigating the root cause of the missing items. Findings include: Facility grievances dated 3/25-8/25, indentified five grievances were filed related to missing clothing items. The resolution/follow up for all 5 was to reimburse the resident/family after the item was replaced. During an interview on 8/26/25 at 2:01p.m., the administrator stated social services does an inventory of all belongings and a check list is uploaded to the resident's chart. Clothing items are labeled by laundry. During an interview on 8/27/25 at 7:21 a.m., laundry aide (LA)-F stated any staff can take a report about a missing item. Once reported, staff will look for the item on the unit and she will look through the laundry room for the items. The facility has a no name cart that contains all unclaimed clothing items. LA-F stated upon admission, all resident items are cataloged and put in a green bag and sent down to laundry. The green bag tells laundry there are unlabeled items 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-28 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor 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 observation, interview and document review, the facility failed to ensure a proper procedure was in place to identify a residents resuscitation wish was appropriately updated in the electronic medical record (EMR) in a timely manner based on a signed Physician Orders for Life Sustaining Treatment (POLST, a medical order indicating treatments a person would like to receive in case of serious illness and/or cardiac arrest) for 1 of 1 residents (R60) reviewed for advanced directives.Findings include:R60's was admitted to the facility on [DATE].R60's medical record electronic medical record (EMR) banner indicated R60 was on hospice however lacked code status on the banner.Further review of R60's medical record identified Hospice admission documents located under a tab labeled documents included hospice orders for code status of DNR/DNI signed on [DATE]. A Provider Orders for Life Sustaining Treatment (POLST) dated [DATE], was included in the hospice admission documents on page 16 of 22. During an…

  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 · D2025-08-28 · 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 observation, interview and document review, the facility failed to notify the physician in a timely manner for 1 of 1 resident (R5) who frequently refused important medications from certain staff. Findings include:R5's comprehensive Minimum Data Set (MDS) assessment dated [DATE], identified intact cognition with no behaviors towards others. R5's diagnoses included atrial fibrillation (an abnormal heartbeat that caused quiver instead of normal heartbeat), heart failure, hypertension, diabetes mellitus, depression, left knee amputation and one, stage three pressure ulcer. R5's care plan dated 6/21/21, identified goals and interventions to maintain blood glucose levels, reduce risk related to a history of atrial fibrillation, stroke, and pulmonary embolism, maintain mood, and report changes to the provider. R5's provider orders, included evening medications of acetaminophen for pain three times per day, apixaban for atrial fibrillation (blood thinning medication to reduce stroke) two times per day,…

  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 · D2025-08-28 · 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

  Based on observation, interview and document review, the facility failed to assess and develop non-pharmacological interventions to promote comfort for 2 of 5 residents (R12, R16) reviewed for pain management.Findings include:R12's admission Minimum Data Set (MDS) assessment, dated 6/9/25, indicated R12 had intact cognition. Further the assessment identified R12 frequently has pain which occasionally effects sleep, interferes with rehabilitation therapy and day-to day activities and rated pain at a 2 out of 10 on a pain scale and R12 receives pain medications.R12's face sheet, identified the following diagnoses: fractures of the third, fourth and fifth lumbar vertebrae (a break in the bones of the lower back), low back pain, spinal stenosis of cervical region(spinal canal in the neck narrows compressing the snail cord and nerves), fibromyalgia (condition characterized by widespread chronic pain), polyneuropathy (general term for nervous system disorder that is characterized by symptoms like numbness, and burning pain in distal parts of the arms and legs) and disease of the spinal…

  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 · Dcited before2025-08-28 · 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 record review the facility failed to ensure proper hand hygiene for 1 of 1 resident (R9) reviewed for contact precautions. In addition, the facility failed to ensure proper PPE usage for 2 of 2 (R20, R46) reviewed for enhanced barrier precautions. Findings include: R9's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated R9 was cognitively intact with no behaviors. R9 had no upper or lower body range of motion impairment. R9 was independent with eating, oral hygiene, toileting, mobility, and all activities of daily living. R9 had an indwelling urinary catheter and was always continent of bowel. R9's diagnoses list included cancer, received chemotherapy treatments, chronic kidney disease, diabetes, and malignant lung cancer. R9's careplan indicated R9 was diagnosed with clostridium difficile infection (c-diff-a contagious bacterial infection of the small and large intestine). Interventions included contact-based precautions, educate 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-28 · 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 1 of 5 sampled residents (R23) was offered and/or provided updated vaccinations for pneumococcal disease, in accordance with Centers for Disease Control (CDC).Findings include: Review of the current, 10/26/24, Centers for Disease Control (CDC): Pneumococcal Vaccine Recommendations, located at https://www.cdc.gov/pneumococcal/hcp/vaccine-recommendations/index.html, identified based on shared clinical decision-making, adults 65 years or older have the option to get PCV20 or PCV 21, or to not get additional pneumococcal vaccines. They can get PCV20 or PCV 21 if they have received both the PCV13 (but not PCV15, PCV20, or PCV 21) at any age and a PPSV23 at or after the age of [AGE] years old. R23's quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated R23 was [AGE] years old. It also indicated R23's pneumococcal vaccination status was not up to date and the pneumococcal vaccine was not offered. R23's immunization record indicated R23…

  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 · D2024-12-24 · 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 record review the facility failed to ensure allegations of staff to resident physical abuse were immediately reported to the State Agency (SA) no later than 2 hours after the knowledge of the allegation of abuse, for 1 of 1 residents (R1) reviewed for abuse. Findings include: Facility reported incident (FRI) submitted on 12/18/24 at 9:27 p.m., identified that on 12/18/24 at 4:10 p.m., the facility was notified by registered nurse (RN)-D that R1 stated her leg was sore because someone had kicked her in the leg and pinched her in the groin area. Two finger sized bruises noted to inner thigh. In addition, R1 stated she had been slapped in the cheek and her glasses were knocked off of her face. R1 identified it was a staff member from 2 weeks ago and had not seen staff member since. R1's quarterly, Minimum Data Set (MDS), dated [DATE], indicated R1's cognition was moderately impaired. R1's diagnoses included dementia. R1's progress note dated 12/18/24 at 6:12 p.m., identified R1 made an…

  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 before2024-12-24 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide 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 assess and monitor non-pressure related skin injury (bruises) for changes until resolved for 1 of 1 resident (R1), reviewed for abuse. Findings include: R1's admission, Minimum Data Set (MDS), dated [DATE], indicated R1's cognition was moderately impaired. R1's care plan dated 4/9/24, identified a focus of R1 had history of potential for/actual impairment to skin integrity however did not identify and/or direct a monitoring plan for the potential or actual impairment. R1's progress note dated 12/17/24 at 10:31 p.m., included R1's skin issues on arms and back still present. Facility reported incident (FRI) submitted on 12/18/24 at 9:27 p.m., identified that on 12/18/24 at 4:10 p.m., the facility was notified by registered nurse (RN)-D that R1 reported allegations of physical abuse. Two finger sized bruises noted to inner thigh. R1's record was reviewed between 12/18/24 through 12/24/24, and did not include a comprehensive skin assessment…

  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 · Dcited before2024-10-03 · 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 a physician order for oxygen was transcribed accurately to ensure adequate monitoring and oxygen administration and further failed to deliver oxygen as ordered for 1 of 1 residents (R5) reviewed for oxygen use. Findings include: R5's significant change Minimum Data Set (MDS) dated [DATE], indicated R5's cognition was intact, had diagnoses of respiratory failure, obstructive sleep apnea, and had oxygen therapy. MDS did not identify if oxygen therapy was intermittent or continuous. R5's care plan dated 7/26/24, identified a focus that R5 had oxygen therapy related to obstructive sleep apnea (OSA), 2 liters (L) bled into BIPAP at bedtime. Interventions included: monitor for signs and symptoms of respiratory distress and report to medical doctor (MD) PRN (as needed): respirations, pulse oximetry, increased heart rate, restlessness, diaphoresis (sweating), headaches, lethargy, confusion, atelectasis (collapse of lung that cause…

  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 · Dcited before2024-10-03 · 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 ensure enhanced barrier precautions (EBP) were implemented for management of wound care to reduce the risk of infection to others for 1 of 1 resident (R6) who was reviewed for infection control and prevention. Findings include: R6's diagnosis list printed on 10/3/24 included; bullous pemphigoid (rare skin condition causing large, fluid filled blisters that appear on the abdomen, chest, upper and lower extremities, groin, and/or axillary region), chronic venous hypertension with ulcer of bilateral lower extremities, non-pressure chronic ulcer of left calf with unspecified severity, non-pressure chronic ulcer of other part of right lower leg limited to breakdown of skin, and subacute osteomyelitis of the right ankle and foot. R6's admission minimum data set (MDS) dated [DATE] indicated R6 had a brief interview for mental status (BIMS) of 15 (score of 13-15 indicates individual is cognitively intact), 2 diabetic foot ulcers, and open…

  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

“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

$14,898 in federal fines across 1 penalty.

• $14,898 — penalty dated 2024-01-23

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.

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.

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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MN